Which legislation established the concept of Professional Standards Review Organizations?

The legislation that established the concept of Professional Standards Review Organizations is indeed the Social Security Act of 1972. This act aimed to improve the quality of care provided to patients under the Medicare program by introducing the idea of peer review through these organizations. Professional Standards Review Organizations (PSROs) were created to ensure that the care provided was necessary, appropriate, and of high quality. These organizations were responsible for conducting reviews of patient care and medical records to assess compliance with established standards, effectively working towards quality assurance in healthcare services.

The Affordable Care Act primarily focuses on expanding healthcare access and improving health equity, rather than establishing foundations for professional standards review. The Health Insurance Portability and Accountability Act mainly addresses patient health information privacy and security. The Medicare Modernization Act introduced new Medicare benefits but did not establish PSROs or their foundational concepts. Understanding the origins and regulatory framework of PSROs is essential for grasping the evolution of quality assurance practices in healthcare.