Tabla de Contenidos:
  • MEDICARE
  • Copyright
  • Contents
  • Preface
  • Introduction to the Study and This Report
  • CONGRESSIONAL CHARGE
  • STUDY METHODS
  • ORGANIZATION OF THIS REPORT
  • Summary
  • FINDINGS AND CONCLUSIONS
  • A MODEL OF QUALITY ASSURANCE FOR MEDICARE
  • DEFINING QUALITY OF CARE
  • RECOMMENDATIONS
  • Medicare Mission and Quality Assurance
  • Quality Assurance Goals of the Medicare Program
  • Medicare Program to Assure Quality (MPAQ)
  • Public Accountability and Evaluation
  • Hospital Conditions of Participation
  • Research and Capacity Building
  • FUNDING
  • ORGANIZATIONAL AND OPERATIONAL FEATURES OF THE MEDICARE PROGRAM TO ASSURE QUALITYStarting Points
  • Structure
  • The Federal and Local Levels
  • The Internal Organization-Based Level
  • Operational Overview of the Proposed Model
  • An Emphasis on Outcomes
  • The Importance of the Process of Care
  • Continuity of Quality Assessment
  • Potential Problems
  • IMPLEMENTATION STRATEGY AND PHASES
  • Phase I: Years 1 and 2
  • Phase II: Years 2 through 8
  • Data Collection
  • Data Analysis Capabilities
  • Information Dissemination
  • Special Projects
  • Phase III: Years 9 and 10CONCLUDING REMARKS
  • 1 Health, Health Care, and Quality of Care
  • DEFINING QUALITY OF HEALTH CARE
  • Elements of the Committee's Definition
  • Implications of the Committee's Definition
  • HEALTH AND HEALTH CARE IN THE UNITED STATES
  • Health and Illness
  • Structure of the U.S. Health Care System
  • Major Health Policy Issues with Implications for Quality of Care
  • Health Care Expenditures
  • Access to Services
  • Settings of Care
  • Integration of Financing and Delivery of Services
  • Utilization Management and Utilization ReviewMedicare's Physician Payment System
  • Summary
  • QUALITY OF HEALTH CARE AS A PUBLIC POLICY ISSUE
  • Burden of Harm of Poor Quality
  • Assuring Quality: A Professional and a Public Responsibility
  • Professional Responsibilities
  • Public Sector Responsibilities and Regulation
  • Health Care as a Public Good
  • Other Forces for Quality Assurance
  • Market Forces and Competition
  • Malpractice and Risk Management
  • Value Purchasing
  • Decision Making and Population-Based Outcomes
  • SUMMARY
  • NOTES