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100525 1 (1977-04-04)

handle is hein.gao/gaobadxth0001 and id is 1 raw text is: 


DOCUMENT RESURE


00525 - [A1051901

Implementation of the Professional Standards Review Organization
Program. April 4, 1977. 19 pp.

Testimony before the Hcase Committee on Ways and Beans:
oversight Subcommittee; by Gregoiy J. Ahart, Director, Hunan
Resources Div.

Issue Area: Health Programs (1200).
Contact: Human Resources Div.
Budget Function: Health: Healtb Care Servicas (551).
Organization Concerned: Departrant of Heailth, EIdaatioa, and
    Welfare.
Congressional Relevance: House Committee on Ways and Beans:
    oversight Subcommittee.
Authority: Social Security Act, as amended (P.L. 92-603).

         GAO reviewed activities at 15 Professional Standairds
Review Otganizations JPSRO) in 11 States and at the Department
of Health, Education, and Welfare (HEW). To date, 37 areas,
including the entire States of Texas, Georgia, and Nebraska,
have no PSROs. Ot the 58 current planning PSROs, 47 were not
established until February or Harch 1977. A ni-sber of the 108
conditional PSROs are not performing concurrent reviews at all
the hospitals in their areas and have donc few or no profile
analyses. Some PSROs are or were in the planning stage for what
appears to be unnecessarily long periods. Several interrelated
factors have impeded implementatio- of the PSRC program:
deficiencies in HEW's program admiristration; physician
opposition; and internal PSRO problems in organizing, developing
program plans, converting to conditional statts, developinj
working relationships with State edicaid and aternal and Child
Health agencies, obtaining support from some hospitals,
developing long-term care facility review programs, and
coordinating with Health Systems agencies. HEW failed to
promptly effectively organize and adequately staff the PSRO
program and obtain or direct cohesive, vigorous efforts among
participating branch agencies. (QM)

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