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008 010131s1990 dcua ob 001 0 eng d
040 |a N$T  |b eng  |e pn  |c N$T  |d OCL  |d OCLCQ  |d YDXCP  |d OCLCG  |d OCLCQ  |d NTE  |d OCLCQ  |d OCLCF  |d NLGGC  |d OCLCO  |d OCLCQ  |d OCLCA  |d OCLCQ  |d TOA  |d AGLDB  |d OCLCQ  |d VNS  |d VTS  |d AU@  |d OCLCO  |d OCLCA  |d STF  |d M8D  |d OCLCQ  |d OCLCO  |d OCLCQ 
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035 |a (OCoLC)45885529 
043 |a n-us--- 
050 4 |a RA395.A3  |b I56 1990eb 
060 4 |a WT 30 I591m 
072 7 |a HEA  |x 028000  |2 bisacsh 
072 7 |a MED  |x 078000  |2 bisacsh 
072 7 |a MED  |x 036000  |2 bisacsh 
072 7 |a HEA  |x 039000  |2 bisacsh 
072 7 |a MED  |x 022000  |2 bisacsh 
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082 0 4 |a 362.1/0973  |2 20 
049 |a UAMI 
110 2 |a Institute of Medicine (U.S.).  |b Division of Health Care Services. 
245 1 0 |a Medicare.  |n Vol. 1 :  |b a strategy for quality assurance /  |c Committee to Design a Strategy for Quality Review and Assurance in Medicare, Division of Health Care Services, Institute of Medicine, Division of Health Care Services ; Kathleen N. Lohr, editor. 
260 |a Washington, D.C. :  |b National Academy Press,  |c 1990. 
300 |a 1 online resource (468 pages) :  |b illustrations 
336 |a text  |b txt  |2 rdacontent 
337 |a computer  |b c  |2 rdamedia 
338 |a online resource  |b cr  |2 rdacarrier 
500 |a "This study was supported by the Health Care Financing Administration, U.S. Department of Health and Human Services, under cooperative agreement no. 17-C-99170/3"--Title page verso 
504 |a Includes bibliographical references and indexes. 
588 0 |a Print version record. 
505 0 |a 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 
505 8 |a 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 
505 8 |a 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 
505 8 |a 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 
590 |a eBooks on EBSCOhost  |b EBSCO eBook Subscription Academic Collection - Worldwide 
650 0 |a Medical care  |z United States  |x Quality control. 
650 0 |a Medicare. 
650 0 |a Medical care  |x Quality control. 
650 2 |a Quality Assurance, Health Care 
651 2 |a United States 
650 2 |a Medicare 
650 6 |a Medicare. 
650 6 |a Soins médicaux  |x Qualité  |x Contrôle. 
650 7 |a HEALTH & FITNESS  |x Health Care Issues.  |2 bisacsh 
650 7 |a MEDICAL  |x Public Health.  |2 bisacsh 
650 7 |a MEDICAL  |x Health Policy.  |2 bisacsh 
650 7 |a HEALTH & FITNESS  |x Diseases  |x General.  |2 bisacsh 
650 7 |a MEDICAL  |x Diseases.  |2 bisacsh 
650 7 |a MEDICAL  |x Health Care Delivery.  |2 bisacsh 
650 7 |a Medical care  |x Quality control.  |2 fast  |0 (OCoLC)fst01013833 
650 7 |a Medicare.  |2 fast  |0 (OCoLC)fst01014815 
651 7 |a United States.  |2 fast  |0 (OCoLC)fst01204155 
700 1 |a Lohr, Kathleen N.,  |d 1941- 
710 2 |a Institute of Medicine (U.S.).  |b Committee to Design a Strategy for Quality Review and Assurance in Medicare. 
710 1 |a United States.  |b Health Care Financing Administration. 
776 0 8 |i Print version:  |a Institute of Medicine (U.S.). Division of Health Care Services.  |t Medicare. Vol. 1.  |d Washington, D.C. : National Academy Press, 1990  |z 0309042305  |w (DLC) 90005787  |w (OCoLC)21228508 
830 0 |a IOM publication ;  |v 90-02. 
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