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The Effects Of The Drg Based Prospective Payment System On Quality Of Care For Hospitalized Medicare Patients
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Book Synopsis The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients by : Rand Corporation
Download or read book The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients written by Rand Corporation and published by . This book was released on 1991 with total page 32 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients by : Katherine L. Kahn
Download or read book The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients written by Katherine L. Kahn and published by . This book was released on 1990 with total page 45 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Medicare Reimbursement and the Quality of Hospital Care by : Michael J. McGinty
Download or read book Medicare Reimbursement and the Quality of Hospital Care written by Michael J. McGinty and published by DIANE Publishing. This book was released on 1993 with total page 152 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis New Medical Devices by : Institute of Medicine
Download or read book New Medical Devices written by Institute of Medicine and published by National Academies Press. This book was released on 1988-01-01 with total page 203 pages. Available in PDF, EPUB and Kindle. Book excerpt: In the past 50 years the development of a wide range of medical devices has improved the quality of people's lives and revolutionized the prevention and treatment of disease, but it also has contributed to the high cost of health care. Issues that shape the invention of new medical devices and affect their introduction and use are explored in this volume. The authors examine the role of federal support, the decision-making process behind private funding, the need for reforms in regulation and product liability, the effects of the medical payment system, and other critical topics relevant to the development of new devices.
Book Synopsis A Summary of The Effects of DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients by : Rand Corporation
Download or read book A Summary of The Effects of DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients written by Rand Corporation and published by . This book was released on 1990 with total page 54 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Quality of Care Assessment by : Robert Henry Brook
Download or read book Quality of Care Assessment written by Robert Henry Brook and published by . This book was released on 1973 with total page 370 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Quality of Care Under Medicare's Prospective Payment System by : United States. Congress. Senate. Special Committee on Aging
Download or read book Quality of Care Under Medicare's Prospective Payment System written by United States. Congress. Senate. Special Committee on Aging and published by . This book was released on 1986 with total page 388 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis EBOOK: Diagnosis-Related Groups in Europe: Moving towards transparency, efficiency and quality in hospitals by : Reinhard Busse
Download or read book EBOOK: Diagnosis-Related Groups in Europe: Moving towards transparency, efficiency and quality in hospitals written by Reinhard Busse and published by McGraw-Hill Education (UK). This book was released on 2011-11-16 with total page 490 pages. Available in PDF, EPUB and Kindle. Book excerpt: Diagnosis Related Group (DRG) systems were introduced in Europe to increase the transparency of services provided by hospitals and to incentivise greater efficiency in the use of resources invested in acute hospitals. In many countries, these systems were also designed to contribute to improving – or at least protecting – the quality of care. After more than a decade of experience with using DRGs in Europe, this book considers whether the extensive use of DRGs has contributed towards achieving these objectives. Written by authors with extensive experience of these systems, this book is a product of the EuroDRG project and constitutes an important resource for health policy-makers and researchers from Europe and beyond. The book is intended to contribute to the emergence of a ‘common language’ that will facilitate communication between researchers and policy-makers interested in improving the functioning and resourcing of the acute hospital sector. The book includes: A clearly structured introduction to the main ‘building blocks’ of DRG systems An overview of key issues related to DRGs including their impact on efficiency, quality, unintended effects and technological innovation in health care 12 country chapters - Austria, England, Estonia, Finland, France, Germany, Ireland, the Netherlands, Poland, Portugal, Spain and Sweden Clearly structured and detailed information about the most important DRG system characteristics in each of these countries Useful insights for countries and regions in Europe and beyond interested in introducing, extending and/ or optimising DRG systems within the hospital sector
Book Synopsis The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients by :
Download or read book The Effects of the DRG-based Prospective Payment System on Quality of Care for Hospitalized Medicare Patients written by and published by Rand Corporation. This book was released on 1992 with total page 343 pages. Available in PDF, EPUB and Kindle. Book excerpt: 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.
Book Synopsis Crossing the Quality Chasm by : Institute of Medicine
Download or read book Crossing the Quality Chasm written by Institute of Medicine and published by National Academies Press. This book was released on 2001-07-19 with total page 359 pages. Available in PDF, EPUB and Kindle. Book excerpt: Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.
Download or read book DHHS Publication No. (NIH). written by and published by . This book was released on 1991 with total page 248 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Health Care Financing Review written by and published by . This book was released on 1984 with total page 120 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Download or read book Status Report written by and published by . This book was released on 1987 with total page 260 pages. Available in PDF, EPUB and Kindle. Book excerpt:
Book Synopsis Wounded Profession by : Arnold Birenbaum
Download or read book Wounded Profession written by Arnold Birenbaum and published by Bloomsbury Publishing USA. This book was released on 2002-10-30 with total page 169 pages. Available in PDF, EPUB and Kindle. Book excerpt: This important new study explores how American health care evolved in the 1990s, as well as the changes in public support and policy. Birenbaum examines where the interests of consumers and professionals have dovetailed and where they differ. He considers the health care system's future and suggested ways the system must be adjusted to provide better and wider coverage at reasonable costs. This volume is essential reading for scholars, students, and professionals in the medical field, as well as general readers concerned with health care issues. The 90s saw the country moving toward a realization that health care had become unaffordable—or an enormous financial burden for people with otherwise adequate incomes. Health care providers and consumers alike worried that the problem was becoming uncontrollable. Doctors saw their autonomy and control eroded, employers saw their costs rising significantly, the costs began shifting to employees, and alternative approaches to cost containment were explored.
Book Synopsis The Elusive Quest by : Carolyn L. Wiener
Download or read book The Elusive Quest written by Carolyn L. Wiener and published by Transaction Publishers. This book was released on with total page 276 pages. Available in PDF, EPUB and Kindle. Book excerpt: Wiener (Research Sociologist, School of Nursing, U. of California) examines the large oversight apparatus that has been established to promote hospital accountability and the arena that has developed around it comprised of consultants, measurement experts, researchers, software developers, and numerous others.
Book Synopsis Health Care Law and Ethics by : Mark a Hall
Download or read book Health Care Law and Ethics written by Mark a Hall and published by Aspen Publishing. This book was released on 2024-02-28 with total page 1068 pages. Available in PDF, EPUB and Kindle. Book excerpt: Buy a new version of this textbook and receive access to the Connected eBook on Casebook Connect, including lifetime access to the online ebook with highlight, annotation, and search capabilities. Access also includes an outline tool and other helpful resources. Connected eBooks provide what you need most to be successful in your law school classes. Health Care Law and Ethics, Tenth Edition offers a relationship-oriented approach to health law--covering the essentials, as well as cutting-edge and controversial subjects. The book provides thoughtful and teachable coverage of all major aspects of health care law, including medical liability. Current and classic cases build logically from the fundamentals of the patient/provider relationship to the role of government and institutions in health care. The book is adaptable to both survey courses and courses covering portions of the field. New to the Tenth Edition: Length: Trimmed by 20% to enhance teachability New author: Nadia N. Sawicki Thoroughly revised coverage of: Medical liability Reproductive rights and justice Public health law Extensive coverage of issues relating to COVID-19 Supreme Court decisions on abortion and the Affordable Care Act Discussion of emerging topics, such as: Gender reassignment Artificial intelligence Revising "brain death" and the "dead donor" rule for organ transplants Work requirements under Medicaid Medical price transparency Vertical integration and cross-market mergers Benefits for instructors and students: The organization vividly presents the entwined roles of patient, provider, and state in understanding and resolving private and public health care dilemmas Scope includes all major areas of health care law and policy Coverage of classic medical liability topics remains substantial Coverage of all major emerging and conventional issues in bioethics, public health, health care finance and reform, and corporate and regulatory law More streamlined editing facilitates coverage of multiple areas or use in survey courses "The strength of the editors and the evolution of the book over a substantial period has allowed the book to become the best from which I have ever taught." Roy Spece, University of Arizona
Book Synopsis Epidemiology E-Book by : Leon Gordis
Download or read book Epidemiology E-Book written by Leon Gordis and published by Elsevier Health Sciences. This book was released on 2013-11-14 with total page 418 pages. Available in PDF, EPUB and Kindle. Book excerpt: Epidemiology, by award-winning educator and epidemiologist Leon Gordis, is a best-selling introduction to this complex science. Dr. Gordis leverages his vast experience teaching this subject in the classroom to introduce the basic principles and concepts of epidemiology in a clear, uniquely memorable way. He guides you from an explanation of the epidemiologic approach to disease and intervention, through the use of epidemiologic principles to identify the causes of disease, to a discussion of how epidemiology should be used to improve evaluation and public policy. It’s your best choice for an accessible yet rich understanding of epidemiology! Gain a solid foundation of basic epidemiologic principles as well as practical applications in public health and clinical practice. Visualize concepts vividly through abundant full-color figures, graphs, and charts. Check your understanding of essential information with 120 multiple-choice epidemiology self-assessment questions. Master the latest nuances in epidemiology thanks to a wealth of new and updated illustrations, examples, and epidemiologic data.