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Pages 12-13

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From page 12...
... The tension between extraordinarily detailed or sophisticated guidelines and those that can be translated into usable medical review criteria or patient education materials must be recognized and dealt with during the development process, not after the fact. Keeping implementation and evaluation in mind during guidelines development means, among other things, understanding the following.
From page 13...
... If improperly developed and applied, they can undermine support for practice guidelines. Building on earlier IOM reports on utilization management and quality assurance, the committee discussed a few broad principles for the constructive use of medical review criteria and other evaluation tools derived from practice guidelines.


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