System change: quality assessment and improvement for Medicaid managed care.
Part of a special section on health-care service delivery in an evolving managed care environment. The writers discuss Virginia's Quality Assessment and Improvement (QA/I) program for Medicaid, which was adapted from the guidelines of the Quality Assurance Reform Initiative (QARI) of the Health Car...
| Publicado en: | Health Care Financing Review Vol. 17; pp. 97 - 116 |
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| Autores principales: | , , |
| Formato: | Artículo |
| Publicado: |
HCFA ORDS Publications
Summer 1996
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| Materias: | |
| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ssf&AN=510513483&site=ehost-live header: @attributes: shortDbName: ssf uiTerm: 510513483 longDbName: Social Sciences Full Text (H.W. Wilson) uiTag: AN controlInfo: bkinfo: jinfo: jid: 01958631 HCF jtl: Health Care Financing Review issn: 01958631 maglogo: N pubinfo: dt: Summer 1996 vid: 17 pid: 187 pub: HCFA ORDS Publications artinfo: ui: 510513483 ppf: 97 ppct: 19 formats: fmt: @attributes: type: T tig: atl: System change: quality assessment and improvement for Medicaid managed care. aug: au: Smith, Wally R. Cotter, J. James Rossiter, Louis F. su: Managed care programs Medical quality control Medical care -- Utilization Medicaid Virginia sug: subj: Virginia Managed care programs Medical quality control Medical care -- Utilization Medicaid ab: Part of a special section on health-care service delivery in an evolving managed care environment. The writers discuss Virginia's Quality Assessment and Improvement (QA/I) program for Medicaid, which was adapted from the guidelines of the Quality Assurance Reform Initiative (QARI) of the Health Care Financing Administration. The QA/I program uses three operational assessment components: practice parameter profiles of the outcomes for sentinel conditions seen by primary-care physicians, detailed chart reviews for selected areas of care, and a household survey of 1,500 patients on health and on satisfaction with and access to care. In its implementation of the adapted QARI guidelines, several limitations were encountered by the state. Despite this, the QARI approach is a starting point for states to begin assuring Medicare quality and efficiency. pubtype: Academic Journal doctype: Article src: R language: English refInfo: copyright: @attributes: flag: N holdings: @attributes: islocal: N |
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