Demonstrating CME knowledge in privileging decisions.
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Biomedical subjects
Publications and source records attributed to M T Koska.
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At times, it seems as though every hospital, hospital association, philanthropic foundation and major corporation in the United States is involved in the quality movement in health care. The explosion of quality measurement initiatives that began in the 1980s is continuing apace, with earlier programs being expanded, enhanced, modified and replicated throughout the country in a variety of settings. This cover story looks at the broad efforts to develop clinical quality measurement tools from four different perspectives. First, we provide an update on the Maryland Quality Indicator Project and its ongoing use as a role model for many of the newer clinical indicator projects now being developed. Part two looks at the Joint Commission on Accreditation of Healthcare Organizations and its Agenda for Change project, as well as other large-scale quality measurement programs under way in the private sector that are attempting to determine what indicators are meaningful to use. Part three examines the growing role of corporate payers in pushing hospital-comparison and other assessment programs forward. And in the final section, we look at the federal government's role in developing practice guidelines and outcomes research.
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With hundreds of clinical practice parameters in place and hundreds more being developed, clinicians are scurrying just to keep up. But obtaining information on clinical guidelines ranks as a top priority for hospital quality management programs, according to an American Hospital Association survey.
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Physician groups are upset over the proposed new Medicare fee schedule. The RBRVS was to be budget-neutral and equitable; however, MD groups are charging that its implementation will be neither.
Traditional clinical quality assurance may be an endangered species. In a new effort, the Joint Commission on Accreditation of Healthcare Organizations is issuing new standards requiring all hospital CEOs to become educated in continuous quality improvement methods.
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