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A New Approach to Quality Assurance in Medicare

Stephen F. Jencks, MD; Gail R. Wilensky, PhD

JAMA. 1992;268(7):900-903.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

THIS ARTICLE describes how the Health Care Financing Administration (HCFA) is reshaping its approach to improving care for Medicare beneficiaries. The goal of the Health Care Quality Improvement Initiative (HCQII) is to move from dealing with individual clinical errors to helping providers to improve the mainstream of care. Such a reform implies profound changes.

First, the processes and criteria for review change: instead of having clinicians use essentially intuitive local criteria to find problems in individual cases, peer review organizations (PROs) will use explicit, more nationally uniform criteria to

For editorial comment see p 917. examine patterns of care and patterns of outcomes. Second, the immediate objective changes: PROs will focus primarily on persistent differences between the observed and the achievable in both care and outcomes and less on occasional, unusual deficiencies in care. Third, the ultimate method changes: PROs will help providers identify problems and their solutions by monitoring . . . [Full Text PDF of this Article]

Author Affiliations
From the Health Care Financing Administration, Baltimore, Md. Dr Wilensky is now with the Office of Policy Development, The White House, Washington, DC.

Footnotes
Reprints not available.

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