9780309072809

Crossing the Quality Chasm: A New Health System for the 21st Century

by ;
  • ISBN13:

    9780309072809

  • ISBN10:

    0309072808

  • Format: Hardcover
  • Copyright: 2001-07-01
  • Publisher: Natl Academy Pr

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Summary

(Institute of Medicine) The second in a series of texts from the Institute of Medicine's Quality of Health Care in America project, making an urgent call for fundamental change to close the gap in quality of health care. Documents the causes of the quality gap, identifying current practices impeding quality health care today. DNLM: Health Care Reform--methods--United States.

Table of Contents

Executive Summary 1(22)
A New Health System for the 21st Century
23(16)
The Quality Gap
23(2)
Underlying Reasons for Inadequate Quality of Care
25(8)
Agenda for the Future and Road Map for the Report
33(6)
Improving the 21st-Century Health Care System
39(22)
Six Aims for Improvement
41(13)
A Vision of Future Care
54(7)
Formulating New Rules to Redesign and Improve Care
61(28)
Health Care Organizations as Complex Adaptive Systems
63(3)
Ten Simple Rules for the 21st-Century Health Care System
66(23)
Taking the First Steps
89(22)
The Value of Organizing Around Priority Conditions
92(4)
Applications of Priority Conditions
96(7)
Criteria for Identifying Priority Conditions
103(1)
Providing the Resources Needed to Initiate Change
103(8)
Building Organizational Supports for Change
111(34)
Stages of Organizational Development
112(5)
Key Challenges for the Redesign of Health Care Organizations
117(20)
Leadership for Managing Change
137(8)
Applying Evidence to Health Care Delivery
145(19)
Background
147(1)
Synthesizing Clinical Evidence
148(4)
Using Computer-Based Clinical Decision Support Systems
152(3)
Making Information Available on the Internet
155(2)
Defining Quality Measures
157(7)
Using Information Technology
164(17)
Potential Benefits of Information Technology
166(4)
Automated Clinical Information
170(6)
Need for a National Health Information Infrastructure
176(5)
Aligning Payment Policies with Quality Improvement
181(26)
Incentives of Current Payment Methods
184(7)
Barriers to Quality Improvement in Current Payment Methods
191(8)
Adapting Existing Payment Methods to Support Quality Improvement
199(2)
Need for a New Approach
201(6)
Preparing the Workforce
207(116)
Clinical Education and Training
208(6)
Regulation of the Professions
214(4)
Legal Liability Issues
218(1)
Research Agenda for the Future Health Care Workforce
219(6)
APPENDIXES
A Report of the Technical Panel on the State of Quality to the Quality of Health Care in America Committee
225(84)
B Redesigning Health Care with Insights from the Science of Complex Adaptive Systems
309(14)
Index 323

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