Crossing the Quality Chasm: A New Health System for the 21st Century / Edition 1

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Overview

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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Editorial Reviews

Institute for Healthcare Improvement
committee has done an excellent job... [This book] identifies and analyzes with great insight and clarity deficiencies in the quality of our present medical care delivery system, and it is persuasive in outlining how the system ought to work. ... The report is thoughtful, painstaking, and totally reasonable."
-- New England Journal of Medicine, August 30, 2001

"...even bolder and farther-reaching than To Err Is Human, the Chasm report essentially extends the findings of the patient safety report to other important dimensions of quality of care. ... The Committee's strong findings and bold vision will give new momentum to the processes of change in American health care.

Bernard S. Bloom
Crossing the Quality Chasm is the state-of-the-art report on redesigning our health care system. It is required reading for all of us in health care.
Journal of American Medical Association
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Product Details

  • ISBN-13: 9780309072809
  • Publisher: National Academies Press
  • Publication date: 7/18/2001
  • Edition description: New Edition
  • Edition number: 1
  • Pages: 360
  • Sales rank: 138,913
  • Product dimensions: 6.10 (w) x 9.10 (h) x 1.00 (d)

Table of Contents

Contents                                    xix-xxii
Executive Summary 1-23
A New Health System for the 21st Century 24-40
Improving the 21st Century Health Care System 41-64
Formulating New Rules to Redesign and Improve Care 65-94
Taking the First Steps 95-118
Building Organizational Supports for Change 119-154
Applying Evidence to Health Care Delivery 155-174
Using Information Technology 175-192
Aligning Payment Policies with Quality Improvement 193-219
Preparing the Workforce 220-236
Appendix A: Report of the Technical Panel on the State of Quality to the Quality of Health Care in America Committee 237-321
Appendix B: Redesigning Health Care with Insights from the Science of Complex Adaptive Systems
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