Inspector general: can PROs effectively teach and police?

Article Abstract:

The Health and Human Services inspector general has issued a report questioning whether peer review organizations (PRO) can affectively identify problematic doctors. Over the years the focus of PROs has shifted from identifying problems with individuals to analyzing practice patterns and other broad trends. State licensing boards may be asked to take responsibility for enforcing practice standards among physicians. Legislation may also be enacted to provide information-sharing between state boards and PROs. Medicare beneficiaries are particularly concerned about the status of PROs.

Management, Health care industry, Professional standards review organizations (Law)

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Oregon profiling system: a model for the AMA?

Article Abstract:

The Ambulatory Records Certification (ARC) program developed by the Oregon Medical Association has cut medical costs and decreased physician frustrations regarding medical profiling requirements. The ARC program has been used with 2,800 physicians statewide since its introduction in 1995. The American Medical Association anticipates using the tenets of the ARC program when developing its own physician performance assessment initiative.

Oregon Medical Association

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Payers, providers open to AMA profiling ventures

Article Abstract:

The American Medical Association (AMA) has garnered payer and provider support for the development of a unified physician assessment program. The AMA Physician Performance Assessment Program will incorporate self-assessment results, clinical performance data and physician credentials into a standard profile report for accreditors, medical plans and government entities. The first assessments are scheduled for 1997.

Planning, American Medical Association

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