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Biomedical subjects

J J Clinton

Publications and source records attributed to J J Clinton.

10 recordsLinked to original sources
PubMed1988

A first report of the Department of Defense external civilian peer review of medical care.

In mid-1985, the Department of Defense announced a plan for an external civilian peer review of selected medical and surgical cases in military hospitals. A medical advisory panel consisting of practicing clinical representatives from nine medical specialty societies helped develop written criteria and standards for specific surgical and medical cases. Abstracted data were compared with computer algorithms created from the medical standards and criteria. Those cases failing the review criteria were reviewed by a physician peer review panel. The sampled medical records represented approximately 7% to 8% of the total hospital discharges. Less than 1% of the overall sampled cases were in noncompliance with stated standards. The highest rate of noncompliance was for cases of diabetic ketoacidosis. The most frequent noncompliance event was hysterectomy. Although comparisons are not available, the quality of care among selected cases, as measured by compliance with civilian physician specialty group-endorsed standards, appeared high.

Algorithms↗
PubMedDate not supplied

An interview with J. Jarrett Clinton. Interview by Carmella A. Bacchino.

Medical effectiveness initiatives, outcomes research, and practice guidelines--the new buzz words for the 90s--will change the way health care services are delivered and allocated. The focal point for medical effectiveness and health services research for the federal government is the Public Health Service's newest agency, the Agency for Health Care Policy and Research. The agency is headed by J. Jarrett Clinton, MD, MPH, administrator, who also served as acting administrator since the creation of the agency in December 1989 until April 1991. In this interview, Dr. Clinton discusses the agency's responsibilities, his perspective on the agency's work, and the effect of health services research on the U.S. health care delivery system.

Delivery of Health Care↗