The Role of Data at the Carolinas Center for Medical Excellence

Autor: Anna P. Schenck, Mark W. Massing
Rok vydání: 2008
Předmět:
Zdroj: North Carolina Medical Journal. 69:132-138
ISSN: 0029-2559
Popis: Carolina, CCME is responsible for assuring quality of care for nearly 2 million Medicare enrollees. The QIO program is the product of the federal government’s evolving need to contain costs and provide appropriate care in the Medicare program. It developed from antecedent programs formed shortly after the creation of Medicare in 1965. These earlier programs focused on hospital-based utilization control and physician peer review. Data from administrative claims and medical records were used to identify physicians providing substandard or unnecessary care. The focus was on outliers with little emphasis on improvements in the general population of providers. In response to
Databáze: OpenAIRE