PubMed · 683250
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H T Oyama. 1978-09-21. Concurrent quality assurance.. https://doi.org/10.1056/nejm197809212991221
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In 1991 the third of a series of trials of concurrent case note screening was conducted over a 4 month period in one surgical and one medical unit of a busy metropolitan public teaching hospital in South Australia. The conclusion reached was that there is insufficient evidence of consistent improvement to justify the continuation of this expensive method of quality assurance. Traditional monitoring of performance by consultants, perhaps with the aid of computer-assisted management information, should achieve similar results.
While many HMOs and insurance companies have contracted with outside managed mental health firms to control mental health utilization, ConnectiCare, an IPA Model HMO with nearly 100,000 members, manages its own mental health utilization with a multifaceted approach. How the system has evolved and preliminary results are presented to illustrate how an HMO can manage its own mental health care program while using local providers.
Experts asked whether 'quality assurance' improves care and utilization, cuts costs, changes behavior, needs new formats, meets new uses, or poses conflicting values.