Clarification of the terms accredit, certify, credential, and verify.
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After years of attempting to control costs by changing providers' behavior and practice patterns, it has become apparent that the solution lies in the study and cooperation of practitioners. Computers, reports, analysis, and payment reforms have discovered the truth: Many physicians and hospitals have always provided high-quality care efficiently. Costs will be controlled when these providers dominate the health care delivery system.
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Current JCAHO standards require hospitals to link the use of drugs to prescriber credentialling. The pharmacy service at the Veterans Affairs Medical Center, Iowa City, Iowa, has developed a prescriber-specific program that documents clinical interventions and links that information to physician credentialling through the Pharmacist Intervention Report and associated quality assurance (QA) program. A severity index level was also developed to rate the significance of the interventions. The Pharmacist Intervention Report is used by all medical departments in their respective QA programs.
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