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Related Experiment Videos

What's ahead on quality: the managed care perspective.

S C Schoenbaum1

  • 1Harvard Community Health Plan, Brookline, MA.

Physician Executive
|October 5, 1993
PubMed
Summary

Managed care organizations are improving quality through accreditation and "report cards." These initiatives, while initially costly, will enhance the healthcare industry and patient care long-term.

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Area of Science:

  • Healthcare Management
  • Quality Improvement
  • Health Services Research

Background:

  • Managed care organizations (MCOs) are increasingly scrutinized for quality of care.
  • Accreditation and quality reporting are key processes influencing MCO performance.
  • The year 1993 marked significant advancements in these areas, with continued progress expected.

Purpose of the Study:

  • To examine the impact of accreditation and quality reporting on managed care.
  • To highlight the synergistic relationship between these two quality improvement processes.
  • To project the long-term benefits of these initiatives for the healthcare industry.

Main Methods:

  • The study focuses on the conceptual and developmental aspects of accreditation and quality reporting in managed care.
  • It analyzes the intended functions and interrelation of these quality assessment tools.
  • No specific empirical data collection methods are detailed, suggesting a review or conceptual analysis.

Main Results:

  • Accreditation ensures MCOs are equipped to provide quality healthcare programs.
  • Quality reporting (report cards) enables MCOs to understand and improve their performance.
  • Both processes are viewed as crucial for enhancing the overall managed care industry.

Conclusions:

  • Accreditation and quality reporting are vital for improving managed care quality.
  • These initiatives, despite short-term costs, promise significant long-term benefits for patient care.
  • The integration of these processes is essential for a better healthcare system.

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