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The difficulty of gathering together, organizing, and collating hospital quality assurance information is a common problem for hospital quality assurance departments. Trying to assemble and compare quality data, appearing in multiple locations, from multiple sources, across a time-line often...
The prospective payment system for the reimburse ment of hospitalizations has stimulated utilization re view and quality assurance activities. Patients are definitely being discharged more quickly, but the pri mary concern is that they would be discharged pre maturely. In either case increased...
This article summarizes the convictions of a profes sional ethicist and director of a hospital-based bioeth ics institute with regard to decisions of clinical ethics, especially those surrounding care of the terminally ill.An ethical and legal distinction is made between refusal of treatment on...
The Congress has increasingly added responsibili ties and authorities to the Office of Inspector General in the Department of Health and Human Services. The Inspector General's responsibilities extend be yond oversight of the monies spent by the Medicare and Medicaid programs to the assurance of...
There is a relationship between morbidity/mortal ity and volume, between cost and volume and between excess surgical capacity and medically inappropriate procedures. The study reviews insurance claims data for three procedures: cataract surgery, lumbar lami notomy, and coronary artery bypass...
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