Crossing the Quality Chasm

This is the second in a series of publications from the Institute of Medicine's Quality of Health Care in America project. Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. "Crossing the Quality Chasm" makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: a set of performance expectations for the 21st century health care system; a set of 10 new rules to guide patient-clinician relationships; a suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality; and key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, "Crossing the Quality Chasm" also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

ISBN 0309072808   Pages 360 ISBN13 9780309072809 (What's this?)   Volumes 1 Publisher National Academies Press   Weight (grammes) 689 Imprint National Academies Press   Published in Washington Format Hardback   Height (mm) 229 Publication date 18 Jul 2001   Width (mm) 152 Library of Congress 01020775   Spine width (mm) 28 DEWEY 362.10973   Academic level Professional / Scholarly DEWEY edition DC21

		Executive Summary		1
1		A New Health System for the 21st Century		23
		The Quality Gap		23
		Underlying Reasons for Inadequate Quality of Care		25
		Agenda for the Future and Road Map for the Report		33
2		Improving the 21st-Century Health Care System		39
		Six Aims for Improvement		41
		A Vision of Future Care		54
3		Formulating New Rules to Redesign and Improve Care		61
		Health Care Organizations as Complex Adaptive Systems		63
		Ten Simple Rules for the 21st-Century Health Care System		66
4		Taking the First Steps		89
		The Value of Organizing Around Priority Conditions		92
		Applications of Priority Conditions		96
		Criteria for Identifying Priority Conditions		103
		Providing the Resources Needed to Initiate Change		103
5		Building Organizational Supports for Change		111
		Stages of Organizational Development		112
		Key Challenges for the Redesign of Health Care Organizations		117
		Leadership for Managing Change		137
6		Applying Evidence to Health Care Delivery		145
		Background		147
		Synthesizing Clinical Evidence		148
		Using Computer-Based Clinical Decision Support Systems		152
		Making Information Available on the Internet		155
		Defining Quality Measures		157
7		Using Information Technology		164
		More...

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