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Consensus/Advisory Activity

An activity carried out by an appropriately knowledgeable and balanced ad hoc committee, the purpose of which is to provide formal advice on the matters posed in the statement of task for the activity. These activities follow institutional policies and procedures to adhere to Section 15 of the Federal Advisory Committee Act (FACA).

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The Quality of Health Care in America

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In 1996, the Institute of Medicine launched a concerted, ongoing effort focused on assessing and improving the nation's quality of care.

The Committee on Quality of Health Care in America laid out a vision for how the health care system and related policy environment must be radically transformed in order to close the chasm between what we know to be good quality care and what actually exists in practice. The reports released stress that reform around the margins is inadequate to address system ills.

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Consensus

·

2001

Second in a series of publications from the Institute of Medicine's Quality of Health Care in America projectToday'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 ca...

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Description

The committee will conduct a 2-year study that will incorporate the following tasks. These will be completed in two phases, with the first component started and completed in the first phase, and result in the issuance of an interim report. The remaining components will be undertaken in the first phase and completed in the second phase.

  • Review and synthesis of findings in the literature pertaining to the quality of care provided in the health care system;
  • Development of a communications strategy for raising the awareness of the general public and key stakeholders of quality of care concerns and opportunities for improvement;
  • Articulation of a framework through which to foster accountability for quality and identification of strategies for encouraging development of such a framework;
  • Identification of key characteristics and factors that enable or encourage providers, health care organizations, health plans and communities to continuously improve the quality of care; and
  • Development of a research agenda in areas of continued uncertainty.

Contributors

Staff

Clyde Behney

Lead

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Crossing the Quality Chasm: A New Health System for the 21st Century
2001

Consensus Study Report

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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 Chasmalso 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.

Publication information

360 pages· 6 x 9· hardcover, paperback
ISBN Paperback: 0-309-46561-3
ISBN Ebook: 0-309-51193-3
DOI: https://doi.org/10.17226/10027

Suggested citation

Institute of Medicine. 2001.Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: The National Academies Press.

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