1. Making the health care delivery system accountable.
- Author
-
Wilen SB and Stone BM
- Subjects
- Aged, Benchmarking, Centers for Medicare and Medicaid Services, U.S., Chronic Disease, Cost Control, Delivery of Health Care economics, Delivery of Health Care organization & administration, Health Care Rationing economics, Health Care Rationing standards, Humans, Industry, Joint Commission on Accreditation of Healthcare Organizations, Management Audit, Outcome Assessment, Health Care, Quality Assurance, Health Care, United States, Universities, Delivery of Health Care standards, Social Responsibility, Total Quality Management organization & administration
- Abstract
Accountability has become the fact of life for the health care provider and the delivery system. Until recently, accountability has been viewed primarily through the judicial process as issues of fraud and liability, or by managed care entities through evaluation of the financial bottom line. It is this second consideration and its ramifications that will be explored in this article. Appropriate measurement tools are needed to evaluate services, delivery, performance, customer satisfaction, and outcomes assessment. Measurement tools will be considered in light of the industry's unique considerations and realities. All participants, including insurers, employers, management, and health care providers and recipients, bear responsibilities which necessitate assessment and analysis. However, until the basic question, "Who is the customer?" is resolved, accountability issues remain complex and obscured. Accountability costs and impacts must be evaluated over time. They go way beyond bottom line cost containment and reduction. Accountability will be accomplished when the health care industry implements quality and measurement concepts that yield the highest levels of validity and appropriateness for health care delivery.
- Published
- 1998