{"title":"Utilization management in the VA.","authors":"B Garbin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79675,"journal":{"name":"Journal of quality assurance : a publication of the National Association of Quality Assurance Professionals","volume":"9 3","pages":"20-1"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21161625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A QA monitor for the QA department.","authors":"N S Martin","doi":"10.1111/j.1945-1474.1987.tb00663.x","DOIUrl":"https://doi.org/10.1111/j.1945-1474.1987.tb00663.x","url":null,"abstract":"<p><p>Utilizing the User Satisfaction and Departmental Performance Monitor provides information to health care managers on the assistance available from the QA professional. Obtaining responses to the approach the QA professional uses in teaching and assisting with QA activity changes should promote a behavior change in the consultant. The quality assurance professional provides a service and should periodically monitor how that service is used and what can be done to improve it. Trending the responses of the health care managers provides the quality assurance department with direction for future program planning.</p>","PeriodicalId":79675,"journal":{"name":"Journal of quality assurance : a publication of the National Association of Quality Assurance Professionals","volume":"9 4","pages":"24-5"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1111/j.1945-1474.1987.tb00663.x","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21172275","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"QA techniques for today's neonatal transport team.","authors":"K S Zilligen","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79675,"journal":{"name":"Journal of quality assurance : a publication of the National Association of Quality Assurance Professionals","volume":"9 1","pages":"12-5"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21158189","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Business applications for UR programs.","authors":"J Girten","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79675,"journal":{"name":"Journal of quality assurance : a publication of the National Association of Quality Assurance Professionals","volume":"9 1","pages":"22-3"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21158194","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Monitoring the laboratory.","authors":"W Bartek","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79675,"journal":{"name":"Journal of quality assurance : a publication of the National Association of Quality Assurance Professionals","volume":"9 2","pages":"17"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21161617","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Measuring productivity in quality assurance.","authors":"L K Curtis","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In a climate of financial viability in early 1986, productivity measurement and analysis were implemented as major components of the quality assurance program at University Medical Center at the Arizona Health Sciences Center. The purpose was basically to balance the benefits of conducting an integrated quality assurance program with the operational costs. A fully integrated quality assurance program was implemented at University Medical Center during June, 1985. Comprehensive, 100 percent chart screening is conducted utilizing occurrence screening criteria and criteria for all required JCAH clinical monitors. The quality assurance program is based on the Medical Management Analysis (MMA) system established by Joyce W. Craddick, M.D. Since the immediate plan of the hospital administration's financial sector was to develop units of service for nonrevenue-producing cost centers, the QA director was obligated to develop standards that would demonstrate effective management of the QA department's resources and would project revenue requirements for program development. The QA director elected to conduct a productivity study which resulted in the establishment of performance standards that are currently utilized in budget development to determine staffing needs; to appraise employee performance; and to perform trend analysis.</p>","PeriodicalId":79675,"journal":{"name":"Journal of quality assurance : a publication of the National Association of Quality Assurance Professionals","volume":"9 2","pages":"10-3"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21161613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Integrated concurrent utilization quality review, Part one.","authors":"R P Caterinicchio","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article is the first of a two-part series which argues for the concurrent management of the appropriateness, necessity, and quality of patient care. Intensifying scrutiny by the credentialing groups, the PROs and all third-party payors underscores the vital need to implement cost-effective information systems which integrate the departmentalized functions of patient-physician profiling, DRG case-mix analyses, length of stay monitoring, pre-admission/admission and continued stay review, discharge planning, risk management, incident reporting and quality review. In the domain of physician performance regarding admitting and practice patterns, the ability to exercise concurrent utilization-quality review means early detection and prevention of events which would otherwise result in denials of payment and/or compromised patient care. Concurrent utilization-quality review must, by definition, be managerially invasive and focused; hence, it is integral to maintaining the integrity of the services and product lines offered by the provider. In fact, if PPO status is a marketing agenda, then the institutional objectives of cost-effectiveness, productivity, value, and competitiveness can only be achieved through concurrent utilization-quality review.</p>","PeriodicalId":79675,"journal":{"name":"Journal of quality assurance : a publication of the National Association of Quality Assurance Professionals","volume":"9 2","pages":"14-5"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21161614","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Access to health care. American College of Healthcare Executives.","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79675,"journal":{"name":"Journal of quality assurance : a publication of the National Association of Quality Assurance Professionals","volume":"9 1","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21158192","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"AARP's (American Association of Retired Persons) concern: earlier discharge.","authors":"J Denning","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":79675,"journal":{"name":"Journal of quality assurance : a publication of the National Association of Quality Assurance Professionals","volume":"9 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21173263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The elements of a concurrent integrated UR-QR management system, Part two.","authors":"R P Caterinicchio","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The previous discussions obviously lend credibility to the construct of concurrent integrated UR-QR management. DRG prospective payment obviously accelerates the need for coordinated interdepartmental UR-QR management so that managers are in positions to control the units of service. The value of concurrent integrated UR-QA management is patent in supporting the institutional mission of fiscal solvency under DRG prospective payment. However, very few acute care facilities have such programs in place; the rule is to departmentalize the components of UR and QR at the expense of efficiency, cost-effectiveness and problem resolution.</p>","PeriodicalId":79675,"journal":{"name":"Journal of quality assurance : a publication of the National Association of Quality Assurance Professionals","volume":"9 3","pages":"14-8"},"PeriodicalIF":0.0,"publicationDate":"1987-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21182547","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}