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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 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. The Health System Dynamics Framework: The introduction of The Health System Dynamics Framework: The introduction of an analytical model for health system analysis and its application to two case-studies Across the Chasm Aim 1: Health Care Must Be Safe Making safety a fundamental system property is one of the chief aims outlined in the Institute of Medicine report Crossing the Quality Chasm: A New Health System for Who Is at Greatest Risk for Receiving Poor-Quality Health Special Article Who Is at Greatest Risk for Receiving Poor-Quality Health Care? Steven M Asch MD MPH Eve A Kerr MD MPH Joan Keesey BA John L Health Policy Briefs What's the issue? A shocking reality is that although the US spends more than any other nation per person on health care the quality of care provided frequently health care quality - NCQA A decade ago The Essential Guide to Health Care Qualitycould not have been written Then as now the issues of rising medical costs and swelling numbers of Across the Chasm: Six Aims for Changing the Health Care System The Institute of Medicine report Crossing the Quality Chasm: A New Health System for the 21st Century examines the immense divide between what we know to be good Health and Medicine Division (HMD) : Health and Medicine HMD; IOM; Health and Medicine Division; Institute of Medicine; The Academies The National Academies of Sciences Engineering and Medicine; NASEM OBSSR e-Source Evaluating the Quality of Health Care 3 Evaluating the Quality of Health Care 3 Defining Quality of Care There are many definitions of quality of care but the Institute of Medicine (IOM) has proposed one The Six Domains of Health Care Quality Agency for Internet Citation: The Six Domains of Health Care Quality Content last reviewed March 2016 Agency for Healthcare Research and Quality Rockville MD www Crossing the Quality Chasm: A New Health System for the Crossing the Quality Chasm: A New Health System for the 21st Century
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