Please choose your delivery country and your customer group
The PSRO statute, specifically Section 1154 (b) of the Social Security Act, explicitly requires PSROs to review ancillary services as part of their general mandate to review all health care services for which reimbursement is sought under the Act. Ancillary services review offers PSROs an excellent opportunity to have an impact on both the quality and cost of care, as unnecessary or inappropriate use of these services represents unnecessary risks to patients as well as excessive costs in dollars, personnel time, and use of health facilities. To aid PSROs in implementing review, the Division of Peer Review of HCFA's Health Standards and Quality Bureau in 1979 authorized the compilation of an annotated bibliography on the subject. The first edition appeared in June 1979; this second edition brings the discussion up to date and sharpens its focus. It contains more than 150 abstracts from the literature published since 1970 that (1) analyzes the problem of misuse of ancillary services, and (2) suggests solutions to the problem. In addition to a preliminary section containing general overviews of the subject, the bibliography is divided into three major sections, corresponding to the three major settings where PSRO review is being implemented: the acute care inpatient setting, hospital-based outpatient facilities and long term care facilities. Author and subject indexes are provided.