This Note contains a quality review form and guidelines for its use, developed for and used in the RAND PRO Quality Review Validation Study. The form and guidelines were designed for structured implicit peer review of hospital records by physicians, to assess the quality of inpatient care for diverse medical and surgical conditions. The guidelines are designed to be used in a preliminary training session for physician reviewers, as well as for reference thereafter. The form, training procedures, and guidelines are based on and modified from condition-specific structured implicit review methods previously developed at RAND for a study sponsored by the Health Care Financing Administration of the effects of Medicare's Prospective Payment System on the quality of care.
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