title: Medicare: a strategy for quality assurance, IV: Medicare conditions of participation and quality assurance.
abstract: This article, the fourth of a series, summarizes the conclusions of the review of the Medicare conditions of participation and accreditation conducted by the Institute of Medicine (IOM). Difficulties in measuring outcomes of care, limitations in survey information, attitudes toward sanctions, and variation in survey procedures are discussed.
authors.affiliation: Institute of Medicine, National Academy of Sciences, Washington, DC 20418.
authors.forename: J
authors.initials: J
authors.lastname: Harris-Wehling
authors.forename: M G
authors.initials: MG
authors.lastname: McGeary
mesh_terms: D000068:Accreditation / Q000458:organization & administration*; D014487:Centers for Medicare and Medicaid Services, U.S.; D002568:Certification / Q000458:organization & administration; D006302:Health Services Research; D006761:Hospitals / Q000592:standards*; D006801:Humans; D007591:Joint Commission on Accreditation of Healthcare Organizations; D006278:Medicare / Q000592:standards*; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D011366:Professional Review Organizations; D011785:Quality Assurance, Health Care / Q000458:organization & administration*; D014481:United States