Medicare's Quality Improvement Organization Program Maximizing Potential (2006) / Chapter Skim
Currently Skimming:
Introduction
Introduction
Pages 19-32
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 19... ...
The Committee on Redesigning Health Insurance Performance Measures, Payment, and Performance Improvement Programs (referred to as the Committee on Redesigning Health Insurance) is the most recent IOM committee to study health care quality and to build on the findings and conclusions of two earlier IOM reports -- To Err Is Human: Building a Safer Health System (IOM, 2000)
|
From page 20... ...
108-173, is planned as part of the Redesigning Health Insurance project. That report will focus on payment strategies that can be used to incentivize performance and quality improvement and will be published in 2006.
|
From page 21... ...
. · The United States is among the few industrialized countries that does not ensure access to health care services for its population; in 2004, 45.8 million people in the United States lacked health insurance (U.S.
|
From page 22... ...
Separate End-Stage Renal Disease Networks, similar to the QIOs, have quality improvement responsibilities for the care of beneficiaries who qualify for Medicare because they have end-stage renal disease. CMS also supports the development, implementation, and reporting of quality measures and the development of consumer satisfaction surveys.
|
From page 24... ...
An earlier IOM report on health care quality highlighted the need for government agencies to pave the way in introducing quality improvements in the public and private sectors of the health care system (IOM, 2002)
|
From page 25... ...
In addition, Medicare would greatly magnify its impact by coordinating its policies with those of other major government programs, such as Medicaid, the State Children's Health Insurance Program, and the program of the Veterans Health Administration, as recommended in earlier IOM studies (IOM, 2002, 2006)
|
From page 26... ...
This perspective served as a foundation for the committee's review of the assets and capabilities of the QIO program and assessment of the program's potential role in contributing to the future of health care quality improvement. The committee concluded that the new requirements for health care performance measurement and reporting may help stimulate the adoption of electronic health records by many providers; likewise, realignment of the financial incentives in the health insurance system to reward higher levels of quality and performance improvement will likely stimulate behavioral and institutional reforms that will improve the quality of health care delivery.
|
From page 27... ...
Part I is intended for those desiring an overview prior to or in lieu of reading the more detailed treatment in Part II. STUDY APPROACH The Committee on Redesigning Health Insurance and the Subcommittee on Quality Improvement Organization Program Evaluation gathered data on the highly complex QIO program from a wide variety of sources and compared the conclusions drawn in those sources.
|
From page 28... ...
Various constraints, such as the timing of the 7th and 8th SOWs and the budget for this study, made it impossible to build data collection into 1CMS uses the acronym SOW for both "scope of work" and "statement of work." In this report, the committee uses SOW only for "scope of work" and adopts the general usage of SOW accepted within the QIO community, in which the term denotes either tasks required in general or the time period of a contract. When discussing specific details of QIO work, the committee is referring to the contract itself.
|
From page 29... ...
, and recommendations concerning QIO program activities and oversight of the QIO program by CMS (Chapters 4 and 5, respectively)
|
From page 30... ...
, describe private-sector organizations offering services related to quality improvement (Appendix B) , review various approaches to program evaluation (Appendix C)
|
From page 31... ...
. Section 109: Expanding the Work of Medicare Qual ity Improvement Organizations to Include Parts C and D
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.