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<p><strong>You Are Here:</strong> <span class="crumb_link"><a href="/" class="crumb_link">AHRQ Archive Home</a> &gt; <a href="/hcqual/" class="crumb_link">President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry</a> &gt; <a href="/hcqual/final/" class="crumb_link">Quality First: Better Health Care for All Americans</a> </p>
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<div class="headnote">
<p>This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: <a href="https://info.ahrq.gov/">https://info.ahrq.gov</a>. Let us know the nature of the problem, the Web address of what you want, and your contact information. </p>
<p>Please go to <a href="https://www.ahrq.gov/">www.ahrq.gov</a> for current information.</p></div><br /><br />
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<p><em>The purpose of the health care system must be to continuously reduce the
impact and burden of illness, injury and disability, and to improve the health
and functioning of the people of the United States.</em></p>
<h1>Preface </h1>
<p>The Advisory Commission on Consumer Protection and Quality in the Health
Care Industry was established by Executive Order 13017, dated September 5, 1996,
with an amendment made with Executive Order 13040, dated March 26, 1997 (see
Appendices). The Commission was charged to advise the President on changes
occurring in the health care system and, where appropriate, to make
recommendations on how best to promote and assure consumer protection and health
care quality. The Commission is governed by the provisions of Public Law
92-463, as amended, which sets forth standards for the formation and use of
advisory committees.</p>
<p>The Commission is co-chaired by the Honorable Alexis M. Herman, Secretary of
Labor, and the Honorable Donna E. Shalala, Secretary of Health and Human
Services. It has 34 members drawn from a variety of backgrounds including
consumers, business, labor, health care providers, health plans, State and local
governments, and health care quality experts.</p>
<p>The Commission was asked to advise the President on changes occurring in the
health care system and recommend measures as may be necessary to promote and
assure health care quality and value, and protect consumers and workers in the
health care system. In particular, the Commission was asked to:</p>
<ul>
<li> Review the available data in the area of consumer information and
protections for those enrolled in health care plans and make recommendations as
may be necessary for improvements.</li>
<li> Review existing and planned work that defines, measures, and promotes
quality of health care, and will help build further consensus on approaches to
assure and promote quality of care in a changing delivery system.</li>
<li> Collect and evaluate data on changes in availability of treatment and
services, and make such recommendations as may be necessary for improvements.
</li></ul>
<p>On November 20, 1997, the Commission delivered its Interim Report to the
President, entitled, &quot;A Consumer Bill of Rights and Responsibilities.&quot;
An Executive Summary of that report appears in the Appendices of this report.
Copies of the Interim Report can be obtained by writing to: </p>
<p>Consumer Bill of Rights, Box 2429, Columbia, MD 21045-1429, or by calling,
toll-free, (800) 732- 8200.</p>
<p>During the course of its deliberations, the Commission and its Subcommittees
held 10 public meetings in Washington, DC, Burlington, VT, and Chicago, IL. The
Commission heard public testimony from more than 150 individuals; others have
provided written testimony and other forms of advice and counsel.</p>
<h1>Acknowledgments</h1>
<p>During the course of its deliberations, the Commission relied on the work of
four Subcommittees for the initial deliberations on key policy issues. The
leaders of those panels deserve special praise for their work: Peter Thomas,
Consumer Rights, Protections, and Responsibilities; Sheila Leatherman, Quality
Measurement; Mary Wakefield, Creating a Quality Improvement Environment; and
Sandra Hernandez and Gail Warden, Roles and Responsibilities of Public and
Private Purchasers and Quality Oversight Organizations.</p>
<p>The Commission wishes to thank Executive Director Janet Corrigan, for
providing us with expert policy direction, strategic advice, and organizational
support. Our appreciation, too, to Deputy Director Richard Sorian, and Ann Page,
Associate Director for Policy, for their policy analysis, management, and
communication skills.</p>
<p>Special thanks to John Dicken and Elizabeth Docteur who, in addition to
their role as analysts, planned and coordinated the meetings and the staff work
for the Quality Improvement Environment and Quality Measurement Subcommittees
and to Peter Nixon, Marilyn Park, and Karen Titlow for their analytical and
writing skills.</p>
<p>The Commission is especially grateful to Edward (Chip) Malin for his sound
advice and remarkable management skills. And we thank Mary Gerald and Zita Holly
for their steadfast administrative contributions.</p>
<p>Elizabeth McGlynn and Marsha Gold produced commissioned papers that
contributed significantly to Chapters One and Two of this report. Important
contributions to other chapters were made by Tony Dreyfus, Kevin Haugh, Lisa
Iezzoni, Richard Kronick, Virginia Riehl, and Sandeep Wadhwa.</p>
<p>The Commission expresses its sincere appreciation to the following elected
officials for their testimony: Rep. Sherrod Brown (D-OH), Rep. Ben Cardin
(D-MD), Gov. Howard Dean (D-VT), Rep. John Dingell (D-MI), Mark Green, Sen.
James Jeffords (R-VT), Sen. Joseph Lieberman (D- CT), Rep. Charlie Norwood
(R-GA), Rep. Marge Roukema (R-NJ), Rep. Bernie Sanders (I-VT), Rep. Pete Stark
(D-CA), and Rep. Henry Waxman (D-CA).</p>
<p>The Commission also wishes to thank the following individuals for their
expert testimony: Theresa Alberghini, G. Lawrence Atkins, Frederick Aurbach,
Laura Avakian, Larry Bedard, Judith Bello, William Benson, Robert Berenson,
Barry Bermingham, David Blumenthal, Peter Bouxsein, Randall Bovbjerg, Robert
Brook, John Brumsted, Tracy Buckholz, Gary Carneal, Mark Chassin, Alfred
Chiplin, Jordan Cohen, Peggy Connerton, Colleen Conway-Welch, Richard Curtis,
Lauren Dame, Helen Darling, Richard Davidson, Karen Davis, Thomas Delbanco,
Steve deMontmollin, Don Detmer, Allen Dobson, John Eisenberg, Mary Jane England,
Ron Fair, John Fanning, Laurie Flynn, Mary Foley, Mary Foto, Scott Furst, Jon
Gabel, Robert Galvin, Geoffrey Garin, Paul Ginsburg, Susan Gleeson, Jack Hadley,
Sandra Harmon-Weiss, Paul Harrington, Kevin Haugh, Harry Hertz, Cathy Hurwit,
Douglas Kamerow, Jeanne Keller, Deborah Klein Walker, David Lansky, Lucian
Leape, Peter Lee, S. Robert Levine, Donald Lewers, Deborah Lisi-Baker, Scott
Macey, Marc Machiz, Deborah Maiese, Bruce McIver, Michael McMullan, Gregory
Morris, Josephine Musser, Woodrow Myers, Margaret O'Kane, Dennis O'Leary,
Richard Platt, Ken Porter, Anya Rader, Richard Rettig, David Reynolds, David
Richardson, Elizabeth Rolph, Rand Rosenblatt, Diane Rowland, Herbert Sacks,
Robert St. Peter, William Sage, Susan Schulmerich, John Seffrin, Cary Sennett,
Gail Shearer, Henry Simmons, Albert Siu, Helen Smits, Ralph Snyderman, Caroline
Rossi Steinberg, Andrew Van de Ven, Bruce Vladeck, James Webster, John Wennberg,
and Gail Wilensky.</p>
<p>These individuals offered public comment to the Commission during its
hearings: Judith Baker, Bob Boland, George Bosl, Winifred Booker, Larry Boras,
Laura Braun, Gerald Britton, Leigh Callahan, Michael Cannon, Patty Clark, Carol
Clay, Marco Coronado, John Crosby, Justin Dart, Kathleen Fitzgerald, Larry Gelb,
Muriel Glanthen, Bob Gris, Michael Grice, Sharon Guillett, Ida Helander, Henry
Heffernan, Carol Johnson, Ann Kempski, Richard Koepke, Margaret Lavigne, Maureen
Linihan-Howard, Frances Louis-Taylor, Dwight Marsh, Robert Mayer, William
McNary, William Michael, Marie Michnich, Suzanne Mintz, Lori Moore, Jim
Mortimer, Thair Phillips, Jim Pyles, Michael Rapp, Josef Reum, Don Riggin,
Charlie Sabatino, Sandra Sands, Cheryl Schmidt, Fred Star, Jean Summerfield,
Andy Van Kleunen, Myrl Weinberg, Kathleen Yosko, and Gemma Ziegler.</p>
<p>The Commission and its staff wish to recognize the assistance of the
following individuals from the U.S. Department of Health and Human Services:
William Benson, Brenda Black, Jason Block, Holly Bode, Deby Blum, Laurie Boeder,
Peter Bouxsein, M. Blake Caldwell, Karen Carp, DonnaRae Castillo, Henry Chiu,
Ken Choe, Carolyn Clancy, Gary Claxton, Mary Pat Couig, Venese DeJernett, Betsy
D'Jamoos, Jackie Eder, Frances Eisel, John Eisenberg, John Fanning, Bernadette
Fernandez, Stephen Finan, Myra Finkel, Nancy Foster, Geri Goins, Mary Grady,
Mary Harahan, Howard Holland, Bruce Immerman, John Jones, Doug Kamerow, Jeff
Kang, Michael Katz, Joyce Kelly, Marge Keyes, Mary Lambert, Lisa Lang, William
LeVee, Adrienne Little, Margaret Long, Deborah Maiese, Renee McCullough, Ellen
McGovern, Michael McMullan, Patricia MacTaggart, Tonya Manuel, Karen Migdail,
Nancy Miller, Kevin Murray, Karen Norrell, Shana Olshan, David Peabody, Salina
Prasad, Sandy Robinson, William Robinson, Mary Rolston, Lisa Rovin, Maggie
Rutherford, Judy Sangl, Randie Siegel, Richard Silva, Stephanie Simons, Lisa
Simpson, Anthony So, Joann Staton, Joan Steiber, Christopher Treston, Vicky
Rivas Vasquez, Nancy Wartow, Judy Wilcox, Christine Williams, and Bill Wood.</p>
<p>We also thank the following individuals from the U.S. Department of Labor:
Valerie Akers, Olena Berg, Bette Briggs, Mark Connor, Myra Dandridge, Cheryl
Dorsey, Robert Doyle, Elizabeth Goodman, Mark Greenstein, Monica Healy, Richard
Hinz, Susan Lahne, Alan Lebowitz, Gerald Lindrew, Avis McKnight, Mark Machiz,
Daniel Maguire, Kevin Maroney, Meredith Miller, Holly Nelson, Kaye Pestaina,
David Saltz, William Taylor, Sharon Watson, Alice Weiss, and Tiffany Williams.</p>
<p>Finally, the Commission acknowledges the assistance of the many individuals
who have lent their expertise: Amy Anderson, Cybele Bjorklund, Carmella
Bocchino, Howard Cohen, Steve Corrie, Gayle Dahlman, Geri Dallek, Diana Dennett,
Paul Dennett, Molla Donaldson, Sam Downing, Amy Driskowski, Margaret Farrel,
Marilyn Field, Linda Fishman, Karen Geiss, Lee Goldberg, Linda Headrick, Henry
Heffernan, Jack Hoadley, Brent James, Chip Kahn, Jim Klein, Donna Koocher,
Judith Lichtman, Brian Lindberg, Marjorie MaGinn, Mary Jo Malone, John McCarthy,
Ned McCulloch, Catherine McDermott, Mary McDonald, Kathleen McGinley, Kathy
Milholland, David Nexon, Elizabeth Noyes, Sheila Pasupathy, Karen Pollitz, Karl
Polzer, Lisa Raines, Carol Regan, John Rother, Patricia Rowell, Cristen Schmitt,
Reka Shinkle, Thomas Spangler, Nicole Tapay, Bridget Taylor, Bruce Taylor, Mark
Ugoretz, Carol Vargo, Elizabeth Vega, Judy Waxman, Andrew Webber, Marina Weiss,
Peters Willson, Lawrence Zippin, and many others.</p><br />
<div class="footnote">
<p> The information on this page is archived and provided for reference purposes only.</p></div>
<p>&nbsp;</p>
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