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

Crossing Quality Chasm : A New Health System for the 21st Century - 01 edition

ISBN13: 978-0309072809

Cover of Crossing Quality Chasm : A New Health System for the 21st Century 01 (ISBN 978-0309072809)
ISBN13: 978-0309072809
ISBN10: 0309072808
Cover type: Hardback
Edition: 01
Copyright: 2001
Publisher: National Academy Press
Published: 2001
International: No

List price: $54.95

Crossing Quality Chasm : A New Health System for the 21st Century - 01 edition

ISBN13: 978-0309072809

National Academies Press Staff

ISBN13: 978-0309072809
ISBN10: 0309072808
Cover type: Hardback
Edition: 01
Copyright: 2001
Publisher: National Academy Press
Published: 2001
International: No
Summary

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.
  • 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.

Table of Contents

A NEW HEALTH SYSTEM FOR THE 21ST CENTURY
The Quality Gap
Underlying Reasons for Inadequate Quality of Care
Agenda for the Future and Road Map for the Report

IMPROVING THE 21ST CENTURY HEALTH CARE
SYSTEM
Six Aims for Improvement
A Vision of Future Care

FORMULATING NEW RULES TO REDESIGN AND
IMPROVE CARE
Health Care Organizations as Complex Adaptive Systems
Ten Simple Rules for the 21st Century Health Care System

TAKING THE FIRST STEP
The Value of Organizing Around Priority Conditions
Applications of Priority Conditions
Criteria for Identifying Priority Conditions
Providing the Resources Needed to Initiate Change

BUILDING ORGANIZATIONAL SUPPORTS FOR
CHANGE
Stages of Organizational Development
Key Challenges for the Redesign of Health Care Organizations
Leadership for Managing Change

APPLYING EVIDENCE TO HEALTH CARE DELIVERY
Background
Synthesizing Clinical