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Results for “PSRO's”

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At least 73 records · Page 4Linked to original sources
PubMed1975

Relation between quality assessment and utilization review in a functioning PSRO.

The Utah State Medical Association, through its peer-review foundation, the Utah Professional Review Organization, has implemented an integrated system of utilization reveiw and quality assessment linked to a program of continuing education. Nurse co-ordinators, employed by the Organization, screen all hospitalized patients covered by Titles XVIII, XIX and V as well as by subscribing private insurers. Approximately 10 per cent of hospitalized patients do not meet peer-generated criteria for admission review or length of stay and are screened out for peer review, The nurse co-ordinators collect data for retrospective quality assessment, identifying targets for continuing medical education. Preliminary data support the cost effectiveness of such a review program. Continuing qualtiy audit will test the effectiveness of education programs.

Education, Medical, Continuing↗
PubMed1977

Two views of PSRO.

Explore the source record for details and available documents.

Professional Review Organizations↗
PubMed1978

Can the psro's be cost effective? A study of the effect of the Commonwealth Health Agencies monitoring program on the length of stay of Medicaid patients in Massachusetts.

To analyze the effect of the Commonwealth Health Agencies Monitoring Program on the length of stay of a sample of Massachusetts Medicaid patients, we compared their experience with that of non-Medicaid patients. We found a consistently decreasing trend in the length of stay of Medicaid patients during the 2 1/2-year period studied. The average length of stay of Medicaid patients decreased by 11.9 per cent relative to the norm, whereas the non-Medicaid length of stay decreased by only 6.6 per cent. We infer that the Program may be credited within the 5.3 per cent differential decrease. The consistency and reliability of the data suggest that similar results may be extrapolated to the hospitals not sampled. We conclude that Professional Standards Review Organizations, of which this program was a precursor, can be cost effective, given an expanded review mandate and the application of suibable evaluative processes.

Cost-Benefit Analysis↗
PubMed1980

Mandates for a changing practice: PSRO and P.L. 94-142.

Federal legislation in the fields of education and health care now requires the development of systems of professional accountability. This accountability to the sponsoring system and to the client is making profound changes in practice. Implications of these changes are reviewed with a challenge to social workers to assume leadership in translating these changes into effective practice models.

Education, Special↗
PubMed1978

PSRO--impact and implications for alcoholism treatment programs.

Since there has been recent congressional concern with claims of Medicare/Medicaid fraud and abuse and a renewed push for a national health insurance program, PSROs seem evermore closely tied to the mandate of quality health care at the lowest possible cost. Now is the time to acknowledge their being, assess their impact on health care delivery programs, and gear our efforts to supporting our common objective of quality medical services.

Alcoholism↗
PubMed1976

Peer review and PSRO: an update.

The author provides a summary of developments in peer review and Professional Standards Review Organizations (PSROs) within APA, the federal government, and the American Medical Association between June 1974 and June 1975. He discusses the reaction of the medical profession to the interim guidelines from the U.S. Department of Health, Education, and Welfare and the problems of financing PSROs. He concludes that the key issues for PSROs and peer review in general are the availability and effectiveness of local review components, and that lack of involvement on the part of psychiatry will only ensure that nonpsychiatrists will design the review procedures.

Financing, Government↗