Medicare New Directions in Quality Assurance Proceedings (1991) / Chapter Skim
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6. A Response
6. A Response
Pages 37-44
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From page 37... ...
described in the previous chapter. QUALITY IMPROVEMENT POLICY AT WEST PACES FERRY HOSPITAL I would introduce my hospital, West Paces Ferry Hospital, as a radically different place to practice medicine and to receive health care than it was before November 1987.
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From page 38... ...
Thus, we have begun to think about quality assurance in a very different way. There is reason to look at the 5 percent or so of bad outcomes and systematically reduce them, but what I think we have ignored for the past 30 years in health care is the opportunity to improve the entire system and to reduce variation.
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From page 39... ...
I would begin with the question, Are this country's current models of quality assurance effectively improving the quality of health care in the United States? Perhaps, but the Japanese and more and more American companies are abandoning old ways for a continuous improvement approach.
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From page 40... ...
The power of learning from local physicians about their practices may be the best way of addressing the issues of overuse and perhaps even underuse of health care resources. As we systematically examine variations in practice patterns and locally based initiatives, it is evident where overuse occurs.
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From page 41... ...
What is a process? Within medical staffs, how can individuals work together and what is the role of continuous improvement in health care?
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From page 42... ...
Should we not capitalize on the creative energies of the thousands of Americans in health care professions dedicated to quality improvement, by giving them a supportive regulatory framework and an organization committed to continuous improvement?
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From page 43... ...
Pp. 167173 in Medicare: New Directions in Quality Assurance.
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