This has been driven by cost savings, but also by a public mandate of high quality and especially standardization, that is difficult to maintain in a non-industrial setting.
Inadequate financial and human resources, lack of capital investment and poor management have affected the ability of the public sector to fulfill its mandate of providing quality healthcare services to all those in need resulting in greater reliance on the private sector (MoH 2010a).
Furthermore, a National HIV reference laboratory and zonal centres have been established with the mandate of conducting external quality control (EQC) and quality assurance (EQA) of HIV diagnostic services.
Setting aside the more fundamental discourse over guns (and tax cuts) versus butter, I would go one step further and argue that Congress could get better value by mandating the kinds of quality improvements being pursued by Medicare and value-driven employer purchasers like General Electric.
When the cost of collecting the data items for the clinical indicators was estimated at $61 M, fiscal reality intervened and the legislature mandated the use of quality measures that used California's existing routinely-maintained databases.[ 7] The aim of this current study was to determine what data are needed to provide feedback on measures of interest to clinicians, who treat cancer patients.
A key body is the Health Information and Quality Authority (HIQA), established in 2007 with the mandate of enhancing the quality of health and social services.
We must stop the avalanche of an ever-increasing number of mandated quality metrics so we can get to work on using measures that really matter and thereby focus on what we need to do for our patients, our communities and our country to provide better health outcomes, better care and lower per capita costs.
The MDS is a federally mandated assessment used to standardize detection of quality indicators in long term care facilities [ 10].
However, additional considerations surrounding the methodologies employed, potential for bias, and confounding factors mandated downgrading of the quality of evidence to very low.
"According to the mandate of UNICEF, all children – without exception – should receive an education of quality," she says.
