TMF Health Quality Institute is a private non-profit organization of licensed physicians. Its purpose is to promote, develop, define and encourage the delivery of high quality medical care and health services to the people of Texas and the general public, while promoting efficient, cost-effective medical care. TMF has been the Medicare quality improvement organization for Texas, reviewing the medical necessity and quality of care provided to Medicare beneficiaries since 1984.
TMF has been requested to conduct an independent, third party review of selected records of WilCo Care patients treated in Williamson County hospitals during the first half of the current fiscal year. TMF's work relates to evaluating and reporting on quality of care using established medical practice standards and guidelines to perform the assessment. TMS currently works with two indigent health care programs in Texas providing retrospective record review and consultative services that have enabled the organizations to utilize the resulting data and reports to improve the quality of care and reduce costs.
In the current year budget, $47,000 was budgeted for this review of a sampling of records from all Williamson County hospitals. The scope of work proposed is projected to cost no more than $35,000.
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