WHAT IS THE PSRC OF
AMERICA?
WHAT THE PSRC HAS TO OFFER
WHO USES OUR SERVICES?
MISSION STATEMENT
AFFILIATED ORGANIZATION
What is the PSRC
of America?
The PSRC of America is an organization of physicians, nurses,
administrators, allied health care professionals, and data analysts providing services to
promote quality of care and the efficient management of health care resources in managed
care and traditional settings.
Founded in 1977, the PSRC is an independent, not-for-profit organization serving corporate
and governmental clients.
Our services are available to large and small clients, on a local or national basis.
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What the PSRC
Has to Offer
The rapid changes occurring in the health care system, as well as increasing consumer
expectations, have prompted a reevaluation of how health care is provided. Health care
organizations are increasingly faced with the need to balance cost containment with
vigilant concern for quality and access to care. In this changing environment, the PSRC
assists health care providers by assuming many of the clinical review and administrative
tasks associated with an enhanced delivery system
As an organization of clinical personnel committed to professional standards, the PSRC
works with its clients to develop quality care mechanisms within an efficiently managed
structure. Our services are tailored to client needs and encompass design and
implementation of quality and cost management programs, individual medical record or
environmental site reviews, and educational and training programs for professional
caregivers.
The PSRC has an outstanding reputation in the health care field. We are adept at working
with all segments of the provider community, particularly physicians. Our clinical staff
have hands-on experience and understand current practice patterns. They have earned the
respect of the professionals they have evaluated.
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Who Uses
Our Services?
Managed care organizations serving both public
and/or private patients
Credentialing departments
Quality and utilization management departments
Physician networks
Community-based health clinics
Hospitals
Insurers
State and local departments of health, social services and mental health
Foundations supporting services to increase health care access and quality
Federal health care regulatory agencies
Pharmaceutical companies
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Mission
Statement
The PSRC of America, Inc. was established to accomplish three principal goals:
to maintain and enhance the quality of health care
to encourage the delivery of appropriate types of care
to engage in activities which advance the public benefit.
In pursuit of these goals the PSRC carries out, on behalf of
managed care, corporate and public sector clients, programs which review and seek to
enhance the quality and efficiency of health care delivery in all settings. The scope of
our services includes physician office practice patterns, credentialing mandates, and
educational and research projects designed to promote the general health and well-being of
the community at large.
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Affiliated
Organization
The Foundation for Quality Medical Care, Inc. (Foundation) carries out the following
programs:
Nursing Home Audits
The Foundation validates the level of care and resources provided to New York State
nursing home residents. The program uses the Patient Review Instrument, commonly known as
the PRI. The Foundation has carried out this program for the New York State Department of
Health since 1985.
Registered nurses from the Foundation audit the information submitted by nursing homes on
their resident population. This audited information forms the basis for State
reimbursement to the facility for the care rendered to nursing home residents.
Approximately 50,000 resident records are reviewed annually at over 700 skilled nursing
facilities.
The Hotline
The Foundation
serves as the "hotline" for any individual, institution or community-based
organization which requires information and clarification on the PRI program described
above. Our registered nurses answer questions on how to complete the form, what medical
conditions meet the program criteria as well as numerous other questions relating to the
program.
Thousands of inquiries are answered every year.
The hotline has facilitated understanding of the patient assessment process and has
enhanced program effectiveness. The hotline may be reached at (212) 213-8186.
Other Activities
Over the years, the Foundation has been called upon by the New York State Department of
Health to carry out many other programs. These include a study to assess the time spent by
registered nurses caring for patients in the home, and an intensive clinical review of
cerebral palsy/rehabilitation patients and the services they receive at diagnostic and
treatment centers.
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