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HRD-79-37 1 (1979-05-14)

handle is hein.gao/gaobaazel0001 and id is 1 raw text is: 




BY THE COMPTROLLER GENERAL Ilfllllllllllll~llllll~
                                                                LM109358


Report To The Congress


OF THE UNITED STATES


The Medicare Hospital

Certification System

Needs Reform



/The Department of Health, Education, and
Welfare is required by law to certify that all
hospitals participating in the Medicare pro-
gram are providing quality care to patients.
Hospitals accredited  by  the Joint Com-
mission on Accreditation of Hospitals are
automatically certified except for two
requirements.

) However, the certification system has prob-
lems caused  by (1) limited capacity to
measure the quality of health care, (2) differ-
ences in standards used by HEW and the Com-
mission, (3) differences in how States and the
Commission conduct surveys and apply stand-
ards, and (4) ineffective monitoring of States'
activities.                         /


GAO  recommends that the Secretary of
HEW provide incentives for hospitals to
promptly correct deficiencies. He should also
improve the Department's policy guidance
and  monitoring activities and encourage
other actions so that the number of surveys
hospitals receive would be reduced.






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   HRD-79-37
MAY 14, 1979


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