6. In 1918, the _____________________________ was initiated, in which the
concept of hospital accreditation was advocated as a formal means of assuring good
hospital care.
7. In 1952, the Joint Commission on Accreditation of Hospitals (JCAH) was
established to assume responsibility for the _________________________________.
8. When Congress passed Public Law 89-67, providing _________________ for
the elderly, permanently disabled, and the indigent, the requirement that the level of patient
care had to meet certain standards was included in the legislation.
9. When the utilization review program proved ineffective, Public Law 92-603,
Amendments to Social Security Act, was passed establishing ___________________
10. Professional Review Organizations (PROs) review claims from Medicare
services furnished by hospitals to determine:
____________________________________________________________.
____________________________________________________________.
____________________________________________________________.
____________________________________________________________.
11. In an effort to contain costs, the ___________________________________
was established under Public Law 98-21, creating an even greater need for a strong
review system because hospitals now had the incentive to increase admissions, which
increased payments.
12. Public Law 99-660, the _________________________________________
provides immunity from damages to persons, hospitals, or other health care entities
participating in or providing information for peer review.
13. Under Public Law 99-509, the Sixth Omnibus Budget Reconciliation Act
(SOBRA), the PRO would review ____% of military medical records.
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