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

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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 fundamenta 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.


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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 fundamenta 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.

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

  1. 5 out of 5

    Rhonda Sue

    This was the second book by IOM regarding Quality in health care. It is very detailed reading like the first book, but goes into what is needed in order to improve quality outcomes. The book is outdated to some extent because of the rapid advancement in IT. However, it is probably a required read for those in the health care quality arena. For those familiar with quality issues, STEEP is born here, safe, timely, effective, efficient, equitable, patient centered care. This acronym is now used reg This was the second book by IOM regarding Quality in health care. It is very detailed reading like the first book, but goes into what is needed in order to improve quality outcomes. The book is outdated to some extent because of the rapid advancement in IT. However, it is probably a required read for those in the health care quality arena. For those familiar with quality issues, STEEP is born here, safe, timely, effective, efficient, equitable, patient centered care. This acronym is now used regularly at health care conferences, but was reordered from the ideas in this book. The upshot in 2001 was that the quality of health care needs big improvement. I took notes once again, had my dictionary by my side and can now return to more recent works on Quality which deal with the mandates of the health care law, new developments in IT, electronic medical records.

  2. 5 out of 5

    Ann

    A stellar beginning to the fall of healthcare as we know it! Something must be done to curb the outrageous imbalance between consumer (patients and provdiers!) and payors! ObamaCare is at least a start.

  3. 4 out of 5

    Michael Rushnak

    EXCELLENT!! WE need to work on improving quality in healthcare as a continuous process

  4. 4 out of 5

    Kathryn

    I had to read this in graduate school but it is interesting.

  5. 4 out of 5

    Catherine Woodman

    Excellent state of the art statement about what we need to address in terms of QOL and outcome studies

  6. 5 out of 5

    Bonnie

    A good resource for quality management. However it was written in 2001 so it is a little bit dated.

  7. 5 out of 5

    Victor

  8. 4 out of 5

    Sangeeta Schroeder

  9. 4 out of 5

    Melissa

  10. 5 out of 5

    Shot Earle

  11. 5 out of 5

    Kirstyn

  12. 4 out of 5

    Kathryn

  13. 5 out of 5

    John Turley

  14. 5 out of 5

    Janine Huffman

  15. 5 out of 5

    Sarah

  16. 5 out of 5

    Meg

  17. 5 out of 5

    Gangforward

  18. 5 out of 5

    Heather

  19. 5 out of 5

    ExCEL Community In

  20. 4 out of 5

    Heather

  21. 4 out of 5

    Judy Sorio

  22. 5 out of 5

    Susan

  23. 5 out of 5

    Ozlem Yildirim

  24. 5 out of 5

    Jason

  25. 4 out of 5

    Jeff

  26. 4 out of 5

    Tom Bice

  27. 4 out of 5

    Karen

  28. 4 out of 5

    Sophia

  29. 5 out of 5

    Jess Jacobs

  30. 4 out of 5

    Ellen L First

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