Guidelines for Structured Implicit Review of the Quality of Hospital Care for Diverse Medical and Surgical Conditions

by Haya R. Rubin, Katherine L. Kahn, Lisa V. Rubenstein, Marjorie J. Sherwood

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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.

This research was sponsored by the Health Care Financing Administration, U.S. Department of Health and Human Services under a Cooperative Agreement.

This report is part of the RAND Corporation note series. The note was a product of the RAND Corporation from 1979 to 1993 that reported other outputs of sponsored research for general distribution.

The RAND Corporation is a nonprofit institution that helps improve policy and decisionmaking through research and analysis. RAND's publications do not necessarily reflect the opinions of its research clients and sponsors.