Examination Of Quality Of Care Under Medicare S Prospective Payment System

Author : Anonim
Publisher : Unknown
Page : 44 pages
File Size : 48,6 Mb
Release : 1985
Category : Medicare
ISBN : IND:30000112693548

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Medicare's Prospective Payment System by Anonim Pdf

Author : United States. Congress. Senate. Committee on Finance
Publisher : Unknown
Page : 506 pages
File Size : 51,6 Mb
Release : 1986
Category : Aged
ISBN : STANFORD:36105045293409

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Examination of Quality of Care Under Medicare's Prospective Payment System by United States. Congress. Senate. Committee on Finance Pdf

Author : United States. Congress. Senate. Special Committee on Aging
Publisher : Unknown
Page : 794 pages
File Size : 48,7 Mb
Release : 1986
Category : Diagnosis related groups
ISBN : LOC:00185830299

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Quality of Care Under Medicare's Prospective Payment System: Appendix by United States. Congress. Senate. Special Committee on Aging Pdf

Author : United States. Congress. Office of Technology Assessment
Publisher : Unknown
Page : 0 pages
File Size : 51,7 Mb
Release : 1985
Category : Hospitals
ISBN : OCLC:612595027

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Medicare's Prospective Payment System by United States. Congress. Office of Technology Assessment Pdf

Author : United States. Congress. Senate. Committee on Finance
Publisher : Unknown
Page : 488 pages
File Size : 51,9 Mb
Release : 1986
Category : Aged
ISBN : PSU:000011991212

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Examination of Quality of Care Under Medicare's Prospective Payment System by United States. Congress. Senate. Committee on Finance Pdf

Author : United States. Congress. Senate. Special Committee on Aging
Publisher : Unknown
Page : 810 pages
File Size : 43,9 Mb
Release : 1986
Category : Diagnosis related groups
ISBN : STANFORD:36105021024729

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Quality of care under Medicare's prospective payment system by United States. Congress. Senate. Special Committee on Aging Pdf

Author : Kathleen N. Lohr
Publisher : Rand Corporation
Page : 69 pages
File Size : 50,8 Mb
Release : 1985
Category : Social Science
ISBN : 0833006533

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Impact of Medicare Prospective Payment on the Quality of Medical Care by Kathleen N. Lohr Pdf

Under the prospective payment system (PPS) introduced in 1983, hospitals are to be paid for each Medicare admission on the basis of a price per case set in advance, thus giving hospitals and other providers incentives for delivering care that are radically different from those of cost-reimbursement financing. This report identifies major issues relating to quality of care, sketches conceptual and practical aspects of carrying out appropriate studies of these issues, and outlines a quality-of-care research agenda. It emphasizes changes in hospital care that are most likely to occur secondary to PPS, those likely to have the most direct impact on patients' outcomes, and changes that can be defined, detected, and measured with relative ease. Certain themes for future research efforts are stressed: (1) the overall research agenda must be strong enough to detect clinically meaningful impacts on patient outcomes and to be able to assign those impacts to PPS; (2) outcomes other than death must be examined; (3) interpreting the impacts of PPS requires understanding the clinical circumstances of Medicare patients; (4) developing better outcome measures is essential; (5) targeting impact studies on high-priority topics will be unavoidable; and (6) a full picture of the effects of PPS requires a long-term perspective, extending beyond FY 1987.

Author : Anonim
Publisher : Unknown
Page : 12 pages
File Size : 49,9 Mb
Release : 1998
Category : Hospital care
ISBN : NWU:35556029693736

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Effects of Medicare's Prospective Payment System on the Quality of Hospital Care by Anonim Pdf

Author : Michael J. McGinty
Publisher : DIANE Publishing
Page : 152 pages
File Size : 55,9 Mb
Release : 1993
Category : Hospital care
ISBN : 9780788110535

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Medicare Reimbursement and the Quality of Hospital Care by Michael J. McGinty Pdf

Examines the relationship between hospital reimbursement per discharge & the clinical quality of care received by Medicare patients before & after the implementation of the PPS in 1993-1984. Objectives were to evaluate the link between program, payments & quality & to identify characteristics of higher & lower quality hospitals for the period 1981 to 1986.

Author : United States. Congress. Office of Technology Assessment
Publisher : Unknown
Page : 232 pages
File Size : 53,7 Mb
Release : 1985
Category : Hospitals
ISBN : OCLC:1083791235

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Medicare's Prospective Payment System by United States. Congress. Office of Technology Assessment Pdf

Author : Stuart Guterman,Allen Dobson
Publisher : Unknown
Page : 18 pages
File Size : 51,6 Mb
Release : 1986
Category : Hospitals
ISBN : IND:32000014596664

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Impact of the Medicare Prospective Payment System for Hospitals by Stuart Guterman,Allen Dobson Pdf

Author : Rand Corporation
Publisher : Unknown
Page : 32 pages
File Size : 48,9 Mb
Release : 1991
Category : Diagnosis related groups
ISBN : IND:30000009572284

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The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients by Rand Corporation Pdf

To control rising health care costs, the federal government, in 1983, established a prospective payment system (PPS) to reimburse hospitals for inhospital care of Medicare patients. PPS changed the way Medicare reimbursed hospitals from a cost or charge basis to a prospectively determined fixed-price system in which hospitals are paid according to the diagnosis-related group (DRG) into which a patient is classified. This report constitutes the executive summary of an evaluation of the impact of the DRG-based PPS system. Six conditions were selected for the evaluation: congestive heart failure, acute myocardial infarction, hip fracture, pneumonia, cerebrovascular accident, and depression. The authors used both explicit and implicit measures to assess quality of care. Two key policy conclusions emerge from the findings: (1) at least through the middle of 1986, PPS did not interrupt a long-term trend toward better hospital care; and (2) PPS has had a detrimental effect on patients' stability at discharge. The authors recommend that physicians, hospitals, and professional review organizations undertake a more systematic assessment of a patient's readiness to leave the hospital, and that clinically detailed data on sickness at admission, processes, discharge status, and outcomes continue to be collected regularly as long as PPS is in place.

Author : Anonim
Publisher : Rand Corporation
Page : 343 pages
File Size : 44,8 Mb
Release : 1992
Category : Diagnosis related groups
ISBN : 0833012207

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The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients by Anonim Pdf

In 1983, in an effort to control rising health care costs, the federal government established a prospective payment system (PPS) to reimburse hospitals for inhospital care of Medicare patients. Under PPS, hospitals are paid an amount based largely on flat rates per admission calculated for each of approximately 470 diagnosis-related groups (DRGs). This new payment system has been somewhat successful at slowing the upward spiral of Medicare costs. However, because PPS presents incentives to decrease lengths of stay and to substitute lower-cost services and procedures, patients, physicians, and policymakers are concerned that, despite the introduction of monitoring by professional review organizations, the quality of health care given Medicare patients may have declined under PPS. This report assesses the quality of inhospital care for Medicare patients age 65 and over, before and after the implementation of PPS, and estimates the effects of the PPS intervention on quality of care, by comparing quality of care now with the best estimate of what it would have been without PPS. Specifically, the authors describe the study's design, sampling, and fieldwork; discuss changes in sickness at admission following the introduction of PPS; consider measurements of the quality of care using explicit criteria before and after implementation of the PPS; compare changes in quality of care between 1981 and 1986 for five diseases as measured by implicit review; and discuss PPS and impairment at discharge.

Author : Anonim
Publisher : Unknown
Page : 56 pages
File Size : 53,6 Mb
Release : 1991
Category : Hospitals
ISBN : UOM:39015051435645

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An Examination of Winners and Losers Under Medicare's Prospective Payment System by Anonim Pdf

Author : Institute of Medicine,Committee to Design a Strategy for Quality Review and Assurance in Medicare
Publisher : National Academies Press
Page : 462 pages
File Size : 54,8 Mb
Release : 1990-02-01
Category : Medical
ISBN : 9780309042307

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Medicare by Institute of Medicine,Committee to Design a Strategy for Quality Review and Assurance in Medicare Pdf

Health care for the elderly American is among our nation's more pressing social issues. Our society wishes to ensure quality health care for all older people, but there is growing concern about our ability to maintain and improve quality in the face of efforts to contain health care costs. Medicare: A Strategy for Quality Assurance answers the U.S. Congress' call for the Institute of Medicine to design a strategic plan for assessing and assuring the quality of medical care for the elderly. This book presents a proposed strategic plan for improving quality assurance in the Medicare program, along with steps and timetables for implementing the plan by the year 2000 and the 10 recommendations for action by Congress. The book explores quality of careâ€"how it is defined, measured, and improvedâ€"and reviews different types of quality problems. Major issues that affect approaches to assessing and assuring quality are examined. Medicare: A Strategy for Quality Assurance will be immediately useful to a wide audience, including policymakers, health administrators, individual providers, specialists in issues of the older American, researchers, educators, and students.