Priority Areas for National Action: Transforming Health Care Quality / Edition 1

Priority Areas for National Action: Transforming Health Care Quality / Edition 1

by Karen Adams, Committee on Identifying Priority Areas for Quality Improvement
     
 

ISBN-10: 0309085438

ISBN-13: 9780309085434

Pub. Date: 03/10/2003

Publisher: National Academies Press

A new release in the Quality Chasm Series, Priority Areas for National Action recommends a set of 20 priority areas that the U.S. Department of Health and Human Services and other groups in the public and private sectors should focus on to improve the quality of health care delivered to all Americans. The priority areas selected represent the entire spectrum

Overview

A new release in the Quality Chasm Series, Priority Areas for National Action recommends a set of 20 priority areas that the U.S. Department of Health and Human Services and other groups in the public and private sectors should focus on to improve the quality of health care delivered to all Americans. The priority areas selected represent the entire spectrum of health care from preventive care to end of life care. They also touch on all age groups, health care settings and health care providers. Collective action in these areas could help transform the entire health care system. In addition, the report identifies criteria and delineates a process that DHHS may adopt to determine future priority areas.

Product Details

ISBN-13:
9780309085434
Publisher:
National Academies Press
Publication date:
03/10/2003
Edition description:
New Edition
Pages:
160
Product dimensions:
8.50(w) x 11.00(h) x 0.40(d)

Table of Contents

Executive Summary1
Study Purpose and Scope2
Guiding Principles2
Criteria4
Final List of Priority Areas5
Process for Identifying Priority Areas8
Next Steps10
1Introduction15
Study Approach17
How Might the List of Priority Areas Be Used?19
What Can Be Expected from Those in the Field?23
Organization of the Report25
2Criteria for Selection29
General Considerations in Determining Criteria30
Criteria for Selecting the Priority Areas32
Impact: How Big Is the Problem?34
Improvability: Can the Problem Be Fixed?35
Cost-Effectiveness Analysis in Priority Setting36
Inclusiveness: Breadth, Reach, and Equity37
Transformative Potential37
3Priority Areas for Quality Improvement41
Breadth of Opportunities Represented by Priority Areas42
Three Types of Priority Areas46
Cross-Cutting Areas46
Specific Priority Conditions46
Emerging Areas47
Priority Areas: Detailed Descriptions48
Care Coordination49
Self-Management/Health Literacy52
Appropriate Treatment for Persons with Mild/Moderate Persistent Asthma54
Cancer Screening That Is Evidence-Based56
Children with Special Health Care Needs58
Diabetes60
End of Life with Advanced Organ System Failure62
Frailty Associated with Old Age64
Hypertension66
Immunization (Children)69
Immunization (Adult)70
Ischemic Heart Disease72
Major Depression74
Medication Management76
Nosocomial Infections79
Pain Control in Advanced Cancer81
Pregnancy and Childbirth83
Severe and Persistent Mental Illness85
Stroke87
Tobacco Dependence Treatment in Adults89
Obesity92
4Process for Identifying Priority Areas115
Guiding Principles115
Process Use by the Committee116
Recommended Process for Determining Priority Areas120
Discussion of Limitations124
Appendix A127
Appendix B135
Appendix C139

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