Kidney Failure and the Federal Government. (Record no. 84114)
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| control field | EBC3376555 |
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| control field | MiAaPQ |
| 005 - DATE AND TIME OF LATEST TRANSACTION | |
| control field | 20240729125248.0 |
| 006 - FIXED-LENGTH DATA ELEMENTS--ADDITIONAL MATERIAL CHARACTERISTICS | |
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| 007 - PHYSICAL DESCRIPTION FIXED FIELD--GENERAL INFORMATION | |
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| 008 - FIXED-LENGTH DATA ELEMENTS--GENERAL INFORMATION | |
| fixed length control field | 240724s1991 xx o ||||0 eng d |
| 020 ## - INTERNATIONAL STANDARD BOOK NUMBER | |
| International Standard Book Number | 9780309597692 |
| Qualifying information | (electronic bk.) |
| 020 ## - INTERNATIONAL STANDARD BOOK NUMBER | |
| Canceled/invalid ISBN | 9780309044325 |
| 035 ## - SYSTEM CONTROL NUMBER | |
| System control number | (MiAaPQ)EBC3376555 |
| 035 ## - SYSTEM CONTROL NUMBER | |
| System control number | (Au-PeEL)EBL3376555 |
| 035 ## - SYSTEM CONTROL NUMBER | |
| System control number | (CaPaEBR)ebr10056829 |
| 035 ## - SYSTEM CONTROL NUMBER | |
| System control number | (CaONFJC)MIL20398 |
| 035 ## - SYSTEM CONTROL NUMBER | |
| System control number | (OCoLC)923264687 |
| 040 ## - CATALOGING SOURCE | |
| Original cataloging agency | MiAaPQ |
| Language of cataloging | eng |
| Description conventions | rda |
| -- | pn |
| Transcribing agency | MiAaPQ |
| Modifying agency | MiAaPQ |
| 050 #4 - LIBRARY OF CONGRESS CALL NUMBER | |
| Classification number | RA645.K5 -- I57 1991eb |
| 082 0# - DEWEY DECIMAL CLASSIFICATION NUMBER | |
| Classification number | 362.1/9614/00973 |
| 100 1# - MAIN ENTRY--PERSONAL NAME | |
| Personal name | Levinsky, Norman G. |
| 245 10 - TITLE STATEMENT | |
| Title | Kidney Failure and the Federal Government. |
| 250 ## - EDITION STATEMENT | |
| Edition statement | 1st ed. |
| 264 #1 - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE | |
| Place of production, publication, distribution, manufacture | Washington, D.C. : |
| Name of producer, publisher, distributor, manufacturer | National Academies Press, |
| Date of production, publication, distribution, manufacture, or copyright notice | 1991. |
| 264 #4 - PRODUCTION, PUBLICATION, DISTRIBUTION, MANUFACTURE, AND COPYRIGHT NOTICE | |
| Date of production, publication, distribution, manufacture, or copyright notice | ©1991. |
| 300 ## - PHYSICAL DESCRIPTION | |
| Extent | 1 online resource (440 pages) |
| 336 ## - CONTENT TYPE | |
| Content type term | text |
| Content type code | txt |
| Source | rdacontent |
| 337 ## - MEDIA TYPE | |
| Media type term | computer |
| Media type code | c |
| Source | rdamedia |
| 338 ## - CARRIER TYPE | |
| Carrier type term | online resource |
| Carrier type code | cr |
| Source | rdacarrier |
| 505 0# - FORMATTED CONTENTS NOTE | |
| Formatted contents note | Kidney Failure and the Federal Government -- Copyright -- Acknowledgments -- Contents -- PART I Overview -- Summary -- THE CONGRESSIONAL CHARGE TO THE INSTITUTE OF MEDICINE -- BASIC ASSUMPTIONS -- ESRD PATIENTS AND THEIR TREATMENT -- ACCESS -- ETHICS -- THE PROVIDER COMMUNITY -- REIMBURSEMENT AND QUALITY -- Reimbursement Effects on Quality -- Outpatient Dialysis Reimbursement Issues -- Covered Services -- Rate-Setting and Payment Policy -- QUALITY ASSESSMENT AND ASSURANCE -- DATA SYSTEMS -- RESEARCH -- NOTES -- REFERENCES -- 1 Introduction -- THE CONGRESSIONAL CHARGE -- BASIC ASSUMPTIONS -- CONTEXT OF THIS STUDY -- STUDY METHODS -- THE ESRD PATIENT POPULATION -- NATIONAL EXPENDITURES FOR ESRD -- ORGANIZATION OF THE REPORT -- NOTES -- REFERENCES -- PART II Patients and Providers -- 2 Perspectives of ESRD Patients -- EXPERIENCES WITH RENAL FAILURE -- Patient Relationships with Physicians and Staff -- Patient Education -- Patient-Related Services -- Effect of Erythropoietin -- ECONOMIC EFFECTS OF KIDNEY FAILURE -- CONCLUSIONS -- NOTE -- REFERENCE -- 3 Ethical Issues -- PATIENT ACCEPTANCE CRITERIA -- WITHDRAWAL FROM TREATMENT -- Guidelines -- Advance Directives -- TREATING THE PROBLEM PATIENT -- CONCLUSIONS AND RECOMMENDATIONS. -- NOTES -- REFERENCES -- 4 The Patient Population -- INCIDENCE AND PREVALENCE -- COMPOSITION OF THE ESRD POPULATION -- MORTALITY ISSUES -- Unadjusted Mortality -- Adjusted Mortality -- Subgroup Mortality -- STATE AND REGIONAL MORTALITY DATA -- CROSS-NATIONAL MORTALITY DATA -- PROJECTIONS TO THE YEAR 20006 -- NOTES -- REFERENCES -- 5 The ESRD Patient Population: Special Groups -- PEDIATRIC PATIENTS -- ELDERLY ESRD PATIENTS -- DIABETIC PATIENTS -- HYPERTENSIVE PATIENTS -- Hypertension in the United States -- Relationship Between Hypertension and Hypertensive ESRD -- Epidemiology of ESRD Attributed to Hypertension. |
| 505 8# - FORMATTED CONTENTS NOTE | |
| Formatted contents note | Intervention -- MINORITY PATIENTS -- CONCLUSION -- NOTES -- REFERENCES -- 6 Structure of the Provider Community -- OVERVIEW -- Outpatient Dialysis Facilities -- Kidney Transplant Centers -- Pediatric Facilities -- CHANGING STRUCTURE OF THE OUTPATIENT DIALYSIS COMMUNITY -- Hospital-Based Versus Independent Providers9 -- Hospital-Based Providers -- Patients -- Independent Providers -- Outpatient Dialysis Facilities -- Not-For-Profit Versus For-Profit Providers11 -- Not-For-Profit Providers -- For-Profit Providers -- Size of Outpatient Dialysis Facilities12 -- Facility Ownership -- CONCLUSIONS -- NOTES -- REFERENCES -- PART III Access -- 7 Access Problems of ESRD Patients -- ESRD PATIENTS NOT ELIGIBLE FOR MEDICARE -- Who Are the Reported Noneligibles? -- Magnitude of the Problem -- Geographic Variations -- Payment Sources -- State Medicaid Programs -- State Kidney Programs -- Other ESRD Programs -- Conclusions and Recommendations -- MEDICARE-ELIGIBLE ESRD PATIENTS -- Pediatric Patients -- Elderly Patients -- Barriers to Access -- Information -- Insurance -- Transportation -- Rehabilitation Services -- Preventive Services -- STATE REGULATIONS -- Specific Limits to Access and Geographic Variations -- Implications of Regulations for Access and Quality -- NOTES -- REFERENCES -- 8 Access to Kidney Transplantation -- OVERVIEW -- THE MEDICARE KIDNEY TRANSPLANT BENEFIT -- DISTRIBUTION OF KIDNEY TRANSPLANTS -- SUPPLY OF DONOR ORGANS -- CONCLUSIONS AND RECOMMENDATIONS -- NOTES -- REFERENCES -- PART IV Reimbursement and Quality -- 9 Medicare ESRD Payment Policy -- KIDNEY TRANSPLANT SERVICES -- Renal Transplant Center Reimbursement -- Physician and Medication Reimbursement -- OUTPATIENT DIALYSIS SERVICES -- Facility Reimbursement -- Historical Overview -- Current Policy -- Special Provisions for Home Dialysis. |
| 505 8# - FORMATTED CONTENTS NOTE | |
| Formatted contents note | Special Provisions for Recombinant Human Erythropoietin (EPO) -- Physician Reimbursement -- INPATIENT DIALYSIS SERVICES -- Hospital Reimbursement -- Physician Reimbursement -- NOTES -- REFERENCES -- 10 Reimbursement Effects on Quality -- EFFECTS OF REIMBURSEMENT ON MORTALITY -- Assessing the Effects of Reimbursement on Mortality -- EFFECTS OF REIMBURSEMENT ON HOSPITALIZATION -- EFFECTS OF REIMBURSEMENT ON UNIT STAFFING -- What Factors Are Causing These Changes? -- What Are the Consequences of These Staffing Changes? -- Nurses -- Technicians -- Social Workers -- Dietitians -- Implications of Changing Staff Patterns for Quality -- EFFECTS OF REIMBURSEMENT ON INNOVATION -- Hemodialysis -- Peritoneal Dialysis -- Dialysis Research Support -- SUMMARY -- CONCLUSIONS -- NOTES -- References -- 11 Outpatient Dialysis Reimbursement Issues -- COVERED SERVICES IN THE COMPOSITE RATE -- THE RATE-SETTING PROCESS -- Timeliness of Cost Data -- Sampling Versus the Universe -- Medicare Part A Cost Principles -- The Calculation of Cost per Treatment -- Oversight of the Rate-Setting Process -- FACILITY PAYMENT POLICY ISSUES -- Level of Payment -- Dual Composite Rate -- Rebasing and Updating -- Inflation (or Market Basket) -- Patient Complexity (Case Mix) -- Technological Advances and Productivity -- Methods for Rebasing and Updating -- Labor Portion of the Composite Rate -- PHYSICIAN PAYMENT POLICY ISSUES -- CONCLUSIONS AND RECOMMENDATIONS -- NOTES -- REFERENCES -- APPENDIX 1 -- APPENDIX 2 -- Dissenting View of C.R. Neu -- Note -- 12 Quality Assessment and Assurance -- PRINCIPLES OF QA -- THINKING ABOUT QUALITY -- Structure -- Process -- Outcomes -- Outcomes and Process and Structure -- Proximate Clinical Indicators -- Functional-and Health-Status Assessments -- Patient Satisfaction -- Quality of Life -- Adjustment for Patient Complexity. |
| 505 8# - FORMATTED CONTENTS NOTE | |
| Formatted contents note | RESPONSIBILITIES OF FEDERAL AGENCIES -- Public Health Service -- Centers for Disease Control -- Food and Drug Administration -- National Institutes of Health -- Agency for Health Care Policy and Research -- Health Care Financing Administration -- Conditions of Coverage -- State Survey Process -- HSQB and the ESRD Networks -- Bureau of Policy Development -- Office of Research and Demonstrations -- Coordination Within HCFA -- Quality Assessment and Assurance Data Needs -- CONTINUOUS QUALITY IMPROVEMENT -- The Dialysis Facility: Practical Considerations -- Examples of ESRD Quality Assurance -- CONCLUSIONS AND RECOMMENDATIONS -- NOTES -- REFERENCES -- APPENDIX 1 QUALITY OF CARE IN ESRD: AN EXAMPLE OF A PROXIMATE CLINICAL INDICATOR -- Treating Anemia in Dialysis Patients1 -- Potential Use as an Outcome Indicator -- Potential Use as Process Indicators -- NOTE -- References -- APPENDIX 2 EXAMPLES OF ESRD QUALITY ASSURANCE -- Dialysis Clinic, Inc., Cincinnati (DCI-C) -- Greenfield Health Systems -- National Medical Care, Inc. (NMC) -- Reference -- PART V Data And Research -- 13 Data Systems -- HEALTH CARE FINANCING ADMINISTRATION -- U.S. RENAL DATA SYSTEM -- UNITED NETWORK FOR ORGAN SHARING -- NATIONAL END-STAGE RENAL DISEASE REGISTRY -- ADEQUACY OF DATA SYSTEMS -- RECOMMENDATIONS -- NOTES -- REFERENCES -- 14 Research Needs -- REFERENCES -- APPENDIXES -- A Glossary -- B Acronyms and Initialisms -- C Commissioned Papers and Contractor Reports -- Intergovernmental Health Policy Project, George Washington University -- Medical Media Associates, Inc. -- Urban Institute -- D Survival Analysis Methods for the End-Stage Renal Disease (ESRD) Program of Medicare -- GENERAL ISSUES IN SURVIVAL ANALYSIS -- Overview -- Examples -- Identification of the Study Population -- The Importance of a Comparison Group -- Biased Comparisons. |
| 505 8# - FORMATTED CONTENTS NOTE | |
| Formatted contents note | Interpreting Standard Errors for Population Data -- Accounting for Random Variation -- Important Versus Significant -- Analysis of Provider Versus Patient -- Choice of Parameter for Mortality Summaries -- Type I and Type II Error Issues -- Projections and Extrapolations -- Accuracy of Counts -- ADJUSTING MORTALITY ANALYSES FOR PATIENT CHARACTERISTICS -- Patient Characteristics Related to Mortality -- Currently Available Data -- Unavailable or Difficult-to-Evaluate Data -- Multivariable Methods -- Stratification -- Modeling -- Simultaneous Effects of Variables -- Constraints on the Adjustment Process -- STATISTICAL METHODS OF ANALYSIS FOR ESRD MORTALITY DATA -- Descriptive Parameters for One Group -- Death Proportions -- Death Rates -- Survival Curves -- Expected Lifetimes -- Comparative Parameters -- Regression Models -- Specific Models and Methods -- Poisson Regression for Death Rates -- Cox Models for Relative Rates and Survival Functions -- Logistic Regression for the Probability of Death -- Conditional Logistic Regression and Sampling from the Risk Set -- Fully Parametric Models -- Prevalent Versus Incident Cohort Analyses -- Frailty -- Treatment Modality -- Publication of Standard Death Rates -- Institutional Characteristics -- Internal and External Standardization -- INTERNATIONAL COMPARISONS -- Limitations -- Etiology -- Age -- Withdrawal Rates -- Patient Follow-up -- Directions for Further Research -- REFERENCES -- E Institute of Medicine ESRD Study Committee Public Hearing, May 5, 1989, Chicago, Illinois -- List of Participants -- F Institute of Medicine ESRD Study Committee Public Hearing on ''Issues in Dialysis Reimbursement Reimbursement Rate-Setting -- List of Participants -- G Institute of Medicine ESRD Study Committee Workshop on ESRD Staffing, November 3, 1989, Washington, D.C. -- List of Participants. |
| 505 8# - FORMATTED CONTENTS NOTE | |
| Formatted contents note | H Institute of Medicine ESRD Study Committee Workshop on Kidney Transplantation, December 13, 1989, Washington, D.C. |
| 588 ## - SOURCE OF DESCRIPTION NOTE | |
| Source of description note | Description based on publisher supplied metadata and other sources. |
| 590 ## - LOCAL NOTE (RLIN) | |
| Local note | Electronic reproduction. Ann Arbor, Michigan : ProQuest Ebook Central, 2024. Available via World Wide Web. Access may be limited to ProQuest Ebook Central affiliated libraries. |
| 650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | United States. -- Medicare Bureau. -- End-Stage Renal Disease Program. |
| 650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Chronic renal failure -- Government policy -- United States. |
| 650 #0 - SUBJECT ADDED ENTRY--TOPICAL TERM | |
| Topical term or geographic name entry element | Medicare. |
| 655 #4 - INDEX TERM--GENRE/FORM | |
| Genre/form data or focus term | Electronic books. |
| 700 1# - ADDED ENTRY--PERSONAL NAME | |
| Personal name | Rettig, Richard A. |
| 776 08 - ADDITIONAL PHYSICAL FORM ENTRY | |
| Relationship information | Print version: |
| Main entry heading | Levinsky, Norman G. |
| Title | Kidney Failure and the Federal Government |
| Place, publisher, and date of publication | Washington, D.C. : National Academies Press,c1991 |
| International Standard Book Number | 9780309044325 |
| 797 2# - LOCAL ADDED ENTRY--CORPORATE NAME (RLIN) | |
| Corporate name or jurisdiction name as entry element | ProQuest (Firm) |
| 856 40 - ELECTRONIC LOCATION AND ACCESS | |
| Uniform Resource Identifier | <a href="https://ebookcentral.proquest.com/lib/orpp/detail.action?docID=3376555">https://ebookcentral.proquest.com/lib/orpp/detail.action?docID=3376555</a> |
| Public note | Click to View |
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