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Traditional state-based legal protections for such health care quality improvement activities, collectively known as peer review protections, are limited in scope: They do not exist in all States; typically they only apply to peer review in hospitals and do not cover other health care settings, and seldom enable health care systems to pool data ...
The Healthcare Effectiveness Data and Information Set (HEDIS) is a widely used set of performance measures in the managed care industry, developed and maintained by the National Committee for Quality Assurance (NCQA). HEDIS was designed to allow consumers to compare health plan performance to other plans and to national or regional benchmarks.
It was established as the Agency for Health Care Policy and Research (AHCPR) in 1989 as a constituent unit of the Public Health Service (PHS) to enhance the quality, appropriateness, and effectiveness of health care services and access to care by conducting and supporting research, demonstration projects, and evaluations; developing guidelines ...
The federal Health Care Quality Improvement Act ("HCQIA"), 42 U.S.C. § 11112, enacted in 1986, sets standards that professional review actions must meet in order to receive protection under the Act. It requires that the action be taken in the reasonable belief that it will advance healthcare quality based on facts obtained through reasonable ...
The QSO Unit is also assessing how well newly established integrated care system can promote quality of services across health and social care. [44] In Scotland the Scottish Quality and Safety Fellowship (SQSF), a quality improvement programme was established by the NHS Scotland. The 10-month long programme focuses on leadership skills and the ...
The Institute for Healthcare Improvement (IHI) is an independent not-for-profit organization helping to lead the improvement of health and health care throughout the world. [46] Founded in 1991 and based in Boston, Massachusetts , IHI works to accelerate improvement by building the will for change, cultivating promising concepts for improving ...
The Health Resources and Services Administration (HRSA) is an agency of the U.S. Department of Health and Human Services located in North Bethesda, Maryland.It is the primary federal agency for improving access to health care services for people who are uninsured, isolated or medically vulnerable.
The Healthcare Quality Improvement Act of 1986 (HCQIA) of the United States was introduced by Congressman Ron Wyden from Oregon. ( Title 42 of the United States Code , Sections 11101 - 11152) It followed a federal antitrust suit by a surgeon against an Astoria hospital and members of its clinic in which he claimed antitrust actions were ...
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