Role of external oversight in quality activities : Accreditation, credentialing, licensure, and deemed status.
Strategies for Influencing Outcomes in Pre-ESRD and ESRD Patients. Special Conference. Washington, DC, USA, 1998/06/12.
There currently exist a number of organizations which provide quality oversight to the ESRD program in the United States.
The state surveyors confirm that dialysis facilities comply with Medicare's conditions of coverage, but surveyor activities have traditionally followed a quality assurance rather than a continuous quality improvement (CQI) model.
State surveyors focus primarily on nursing homes, so their content knowledge of ESRD quality issues may be limited.
The ESRD Networks have CQI expertise on their staffs, and their quality agenda is driven by their medical review boards, whose members bring scientific and technical expertise from the provider community.
The success of the Networks in achieving quality goals has been hampered by personnel and resource limitations and by inconsistent direction by the Health Care Financing Administration (HCFA).
Texas has developed a dialysis facility licensure program that partners its ESRD Network and its Medicare state surveyors in quality oversight activities.
This collaboration has led to improved patient outcomes and may prove to be a model for other states.
Non-Medicare payers may contract with dialysis providers based on performance specifications that exceed those of Medicare's conditions of coverage. (...)
Mots-clés Pascal : Insuffisance rénale, Homme, Etats Unis, Amérique du Nord, Amérique, Protocole thérapeutique, Efficacité traitement, Assurance qualité, Conception, Surveillance sanitaire, Surveillance population, Evaluation, Appareil urinaire pathologie, Rein pathologie
Mots-clés Pascal anglais : Renal failure, Human, United States, North America, America, Therapeutic protocol, Treatment efficiency, Quality assurance, Design, Sanitary surveillance, Population survey, Evaluation, Urinary system disease, Kidney disease
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 99-0109476
Code Inist : 002B30A01C. Création : 16/11/1999.