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Group Study Project: Accreditation and Insurance
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From 26 March to 5 April 2007, BUSPH hosted a study tour by 15 members from the Kazakh Ministry of Health and
Labor and 5 members from the Georgian Ministry of Health and Social Affairs. Dr. Warren Kaplan served as the BUSPH
faculty representative. The study group addressed implementation of private health insurance (primary interest of
the Georgians) as well as the accreditation of healthcare providers in the United States and its implementation
(primary interest of the Kazakhstan group). The purpose of the project was to enable the participants to
improve/modify existing practices in their own country. The course methodology was based on overview seminars plus
on-site visits/lectures with both state and federal regulators. After each such visit, the group had a structured
discussion (“debriefing”) to facilitate review and analysis of their experiences. Subjects reviewed with the
participants included:
- Introduction to U.S. Healthcare system
- Licensing of Physicians and Nurses
- Massachusetts Medical Society/MassPRO (utilization review and quality improvement of healthcare services)
- Massachusetts Nurses Association
- Accreditation of Primary Care Physicians
- Accreditation of Specialist Physicians
- Role of Insurers (Blue Cross Blue Shield) in enforcing Accreditation
- Regulation of Massachusetts Pharmacies
- Accreditation of Hospitals (JCAHO) domestic and international
- Massachusetts medical reform /private insurance regulation
- National Practitioner Databanks
- National physician licensing exams
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LATEST UPDATES
Information from the Third International Conference for Improving Use of Medicines, ICIUM2011
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