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

by Broder, Michael S.; Oken, Carole; Parker, Malcolm; Giammona, Mary; Newman, Jeffrey

• ISBN13: 9780833030849
• ISBN10: 0833030841
• Edition: 1st
• Format: Paperback
• Copyright: 2002-03-04
• Publisher: RAND CORPORATION

Summary

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.

Table of Contents

Preface
Summary
Acknowledgements
Introduction	p. 1
Adapting SIR For Outpatient Use	p. 2
Theoretical Framework for Outpatient Care	p. 4
Expert Panel	p. 6
SIR Form Development	p. 7
Reviewer Training	p. 8
Form Reliability and Resource Use	p. 10
Guidelines for Outpatient Implicit Review	p. 12
Outpatient Implicit Review Form	p. 21
Outpatient Care Conceptual Framework	p. 35
App. B: Rating Form	p. 38
Expert Panelist Background Form	p. 53
Outpatient Complaint Review Expert Panel	p. 54
References	p. 55
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