Clinical Practice Guidelines Directions for a New Program (1990) / Chapter Skim
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A THE OMNIBUS BUDGET RECONCILIATION ACT OF 1989
A THE OMNIBUS BUDGET RECONCILIATION ACT OF 1989
Pages 107-127
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From page 107... ...
Spends ~ The Omnibus Budget koconcHiabon Act of 1939 Pubbc ~ 101-~ He Omnibus Budgel Re=ncO~l~n ~1 of 1989, amended He P~bc Realm Seance and Social ~cuIiV ~G 1O create 1~ MODE HI Health Ore Poll and Search. The ~: ~ an ^=rpl Tom 1bal legislation.
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From page 108... ...
PURPOSE. The pure of the Agency is to enhance the quality, appropriateness, and effectiveness of health care services and access to such services, through the establishment of a broad base of scientific research and through the promotion of improver meets in clinical practice and in the org~ni~-~tion, financing, and delivery of health care seances.
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From page 109... ...
"(C) ~IULTIDISCIP~NARY CENTERS.-The Administrator may provide financial assistance to public or nonprofit private entities for meeting the costs of planning and establishing new centers, and operating existing and new centers, for multidisciplinary health services research, demonstration projects, evaluations, training, policy analysis, and demonstrations respecting the matters referred to In subsection (b)
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, the Administrator shall promote the development and application of appropriate health care technology assessments "(1) by identifying needs in, and establishing priorities for, the assessment of specific health care technologies "(2)
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be presented in formats appropriate for use by physicians, health care practitioners, providers, medical educators, and medical review organizations and in formats appropriate for use by consumers of health care, and "(3) include treatment-specific or condition-specif~c practice guidelines for clinical treatments and conditions in forms apprise priate for use in clinical practice, for use in educational programs, and for use in reviewing quality and appropriateness of medical care.
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From page 112... ...
with respect to the ~dards, performance mew ures, and renew criteria, identifying specific expects of health care for which the ~dards, performance mean ures, and review criteria are to be developed and those that are to be "liven priority in the development of the stand ards, performance measures, and review criteria.
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From page 113... ...
to improve methods of prevention, diagnc-s~s treatment, and clinical management for the benefit of a significant number of individuals; "(ii) to reduce clinically significant variations among physicians in the particular services and procedures utilized in making diagnoses and providing treatments; and "(iii)
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EVALUATIONS. The Director shall conduct and support evaluations of the extent to which the guidelines, standards, performance standards, and review criteria developed under section 912 have had an effect on the clinical practice of medicine.
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From page 115... ...
improved methods of prevention, diagnosis, treatment, and clinical management can benefit a significant number of individuals "(B) there is significant variation among physicians in the particular services and procedures utilized in making diagnoses and providing treatments or there is significant variation in the outcomes of health care services or Procter cures due to different patterns of diagnosis or treatment; "(C)
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From page 116... ...
conduct and support reviews and evaluations of the existing methodologies that use large data bases in conducting such research and shall develop new research methodologies, including data-based methods of advancing knowledge and methodologies that measure clinical and functional status of patients with respect to such research; CLINICAL PRACTICE GUIDELINES 103 STAT.
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From page 117... ...
EVALUATIONS. The Secretary 8hA11 conduct and support evaluations of the activities carried out under this section to determine the extent to which such activities have had an effect on the practices of physicians in prodding medical treatment, the delivery of health care, and the outcomes of health care services and procedures.
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From page 118... ...
the development and application of appropriate health care technology assessments; "(C) the development and periodic review and updating of guidelines for clinical practice, standards of quality performance measures, and medical renew criteria with respect to health care, and "(D)
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From page 119... ...
Of such members "(A) 8 shall be individuals distinguished in the conduct of research, demonstration projects, and evaluations with ret specs to health care; "(B)
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From page 121... ...
for financial assistance whose direct costs will not exceed $50,000, the Administrator may make appropriate adjustments in the procedures other established by the Administrator for the conduct of pee- rewew under this section. Such adjust meets may be made fo- the purpose of encouraging the entry of individuals into the field of research, for the purpose of encouraging clinical practice oriented research, and for such other purposes as the Arlmin~trator may determine to be appropriate.
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in call out this title CLINICAL PRACTICE GUIDELINES 103 STAT.
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From page 123... ...
CONSULTA~. The Secretary, in carrying out this title, may secure, from time to time and for such periods as the Administrator deems advisable but in accordance with section 3109 of title 5 United States Code, the assistance and advice of consultants from the United States or abroad.
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(A) The National Center for Health Services Research and Health Care Technology Assessment is terminated, and part A of title m of the Public Health Service Act (42 U.S.C 241 et seq.)
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From page 125... ...
, in the second sentence, by strik ing "the National Center for Health Sernces Research and Health Care Technology Assessment" and insert ing "the Agency for Health Care Policy and Research"; and (ii) in paragraph (2)
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From page 126... ...
Service Act (42 U.S.C.
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From page 127... ...
(2) SAVINGS PROVISIONS.-With respect to functions vested in the Administrator for Health Care Policy sold Research pursu ant to the amendments made by this section, all orders, rules, regulations, grants, contracts, certificates licenses, privileges and other determinations, actions, or official documents, of the Department of Health and Human Services that have been issued, made, granted, or allowed to become effective in the performance of such functions, and that are elective on the date of the enactment of this Act, shall continue in effect according to their terms unless changed pursuant to law.
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