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Health care for the elderly American is among our nation's more pressing social issues. Our society wishes to ensure quality health care for all older people, but there is growing concern about our ability to maintain and improve quality in the face of efforts to contain health care costs. Medicare: A Strategy for Quality Assurance answers the U.S. Congress' call for the Institute of Medicine to design a strategic plan for assessing and assuring the quality of medical care for the elderly. This book presents a proposed strategic plan for improving quality assurance in the Medicare program, along with steps and timetables for implementing the plan by the year 2000 and the 10 recommendations for action by Congress. The book explores quality of careâ€"how it is defined, measured, and improvedâ€"and reviews different types of quality problems. Major issues that affect approaches to assessing and assuring quality are examined. Medicare: A Strategy for Quality Assurance will be immediately useful to a wide audience, including policymakers, health administrators, individual providers, specialists in issues of the older American, researchers, educators, and students.
This User’s Guide is intended to support the design, implementation, analysis, interpretation, and quality evaluation of registries created to increase understanding of patient outcomes. For the purposes of this guide, a patient registry is an organized system that uses observational study methods to collect uniform data (clinical and other) to evaluate specified outcomes for a population defined by a particular disease, condition, or exposure, and that serves one or more predetermined scientific, clinical, or policy purposes. A registry database is a file (or files) derived from the registry. Although registries can serve many purposes, this guide focuses on registries created for one or more of the following purposes: to describe the natural history of disease, to determine clinical effectiveness or cost-effectiveness of health care products and services, to measure or monitor safety and harm, and/or to measure quality of care. Registries are classified according to how their populations are defined. For example, product registries include patients who have been exposed to biopharmaceutical products or medical devices. Health services registries consist of patients who have had a common procedure, clinical encounter, or hospitalization. Disease or condition registries are defined by patients having the same diagnosis, such as cystic fibrosis or heart failure. The User’s Guide was created by researchers affiliated with AHRQ’s Effective Health Care Program, particularly those who participated in AHRQ’s DEcIDE (Developing Evidence to Inform Decisions About Effectiveness) program. Chapters were subject to multiple internal and external independent reviews.
Helping human research protection program professionals create, implement, and evaluate quality assurance/quality improvement programs. Quality Assurance and Quality Improvement Handbook for Human Research is the first comprehensively designed instructional manual aimed at teaching human research protection program (HRPP) professionals how to create, implement, evaluate, and improve QA/QI programs. Geared toward institutions and individuals responsible for establishing new QA/QI programs or functions, the book offers several organizational models for consideration. It also provides practical information for improving and strengthening established programs, both big and small. Written in a conversational style, the book's step-by-step instructions make it easily accessible to those who may not be well versed in QA/QI concepts and fundamentals. Developed by the QA/QI Subcommittee of the Harvard Catalyst Regulatory Foundations, Ethics, and Law Program, which is committed to designing and strengthening QA/QI programs and functions, this volume • includes contributions by fifteen experts with diverse professional experiences from varied organizations • is enhanced with flow charts, examples, sample forms, and templates • incorporates model slide presentations and instructional materials • discusses the respective benefits and challenges of different organizational models • is applicable across many organizational types with a variety of reporting structures and available resources, including academic and medical institutions Perfect for both seasoned personnel and newcomers to the field, Quality Assurance and Quality Improvement Handbook for Human Research is a needed resource for ensuring investigative accountability. Contributors: Hila Bernstein, MS, MPH, Barbara E. Bierer, MD, Elizabeth Bowie, JD, MPH, MSc, Susan Corl, MSW, MPH, CIP, CCRP, Jacquelyn-My Do, MPH, Lisa Gabel, CIP, Alyssa Gateman, MPH, CCRP, Jennifer A. Graf, Nareg D. Grigorian, Leslie M. Howes, MPH, CIP, Jennifer Hutchinson, CIP, CPIA, Cynthia Monahan, MBA, CIP, Eunice Newbert, MPH, Sarah A. White, MPH, CIP, Elizabeth Witte, MFA
This manual provides a harmonized approach to quality assurance (QA) in the emerging area of digital mammography. It outlines the principles of, and specific instructions that can be used for, a QA programme for the optimal detection of early stage breast cancer within a digital environment. Intended for use by Member States that are now using digital mammography or that are assessing the implications of using digital mammography, it addresses major areas such as considerations concerning the transition from screen film to digital mammography, basic principles of QA, clinical image quality, quality control tests for radiographers, and quality control tests for medical physicists, including dosimetry assessment. Instructional materials to supplement the knowledge of professionals already working in the field of diagnostic radiology, as well as quality control worksheets, are also provided.
Quality Assurance" is a program executed by company management and "Quality Control" is a task that takes place on the production floor. QC offers the highest reasonable quality of product or service to the client, thereby meeting or even exceeding the client's requirements. The aim of QA is to apply a planned and systematic production process. Quality control focuses on NDT tests and inspections carried out at various production line checkpoints to discover defects, and reporting the results to management. Quality control involves problem identification, problem analysis, problem correction, and feedback. Process Piping Systems and Pipe Lines are complex arrangement of pipes of different sizes and schedules, valves of different sizes and classes, components of multitude designs and shapes, different types of supports, and process control instrumentation used for Oil & Gas Piping or Process Plant. "Perfect Quality Control & Quality Assurance" has been essentially prepared to give good deal of information to inspiring persons on international level. The American Society for Nondestructive Testing is the most recognized credential for NDT. ASNT certification has been the standard for the Non-destructive testing industry. ASNT certification is an impartial validation of the competence of NDT personnel for employers in the field. The scope of NDT includes ASME Sec V and other Codes, which cover the most applicable NDT methods such as Ultrasonic, Radiography, Magnetic Particle, Eddy Current, Dye Penetrant, and Visual Test. ASNT NDT Certification under this program results in the issuance of an "ASNT Certificate and Wallet Card" attesting to the fact that the certificate holder has met the published guidelines for the Basic and Method examinations as detailed in Recommended Practice for Level I, Level II, Level III inspectors. The Courses includes Training, Examination & Certification in different Courses.
This publication presents a harmonized approach to quality assurance in the field of computed tomography applied to both diagnostics and therapy. It gives a careful analysis of the principles and specific instructions that can be used for a quality assurance programme for optimal performance and reduced patient dose in diagnostic radiology. In some cases, radiotherapy programmes are making a transition from 2-D to 3-D radiotherapy, a complex process which critically depends on accurate treatment planning. In this respect, the authors also provide detailed information about the elements needed for quality assurance testing, including those relating to accurate patient characterization as needed for radiotherapy treatment planning.