Outpatient Care: A Conceptual Framework and a Form for Structured Implicit Review - Softcover

Broder, Michael S.

Softcover

ISBN 10: 0833030841 ISBN 13: 9780833030849

Publisher: RAND Corporation, 2002

Synopsis

This report describes a structured implicit review form designed for use in the outpatient setting. The form was developed as part of a broader Medicare beneficiary complaints process to improve physician peer review reliability. It was designed specifically for evaluating care that occurs in the outpatient setting and is intended to be used after a formal training session.

About this title

Synopsis

One-liner: As part of a broader effort to improve the process of Medicare peer review, this monograph describes the development of a review tool that physicians can use to evaluate the quality of care in the outpatient setting. This monograph describes the development of a structured implicit review tool that physicians can use to evaluate the quality of care in the outpatient setting, where most care is now provided. Structured implicit review specifies the key aspects of care and data sources for review while preserving individual reviewer judgments about quality. The work is part of a broader effort to improve the process of Medicare peer review. We first conceptualized outpatient care with a single, comprehensive framework developed from a review of existing literature and modified with input from an expert panel. We then used the conceptual framework to develop a structured implicit review form that, along with its associated guidelines and instructions, allows physicians to assess the quality of outpatient medical care. This tool is intended to be used after a formal training session.

About the Author

Carole Oken (M.A, Urban Planning, 1983, University of California, Los Angeles) is a researcher at Rand.

About this edition

• Publisher: RAND Corporation
• Publication date: 2002
• ISBN 10: 0833030841
• ISBN 13: 9780833030849
• Binding: Paperback
• Number of pages: 66