Crossing the Quality Chasm: A New Health System for the 21st Century (Google eBook)

Front Cover
National Academies Press, Aug 2, 2001 - Medical - 316 pages
5 Reviews
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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Review: Crossing the Quality Chasm: A New Health System for the 21st Century

User Review  - Ann - Goodreads

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. Read full review

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

User Review  - Kathryn - Goodreads

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

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Contents

Executive Summary
1
1 A New Health System for the 21st Century
23
2 Improving the 21stCentury Health Care System
39
3 Formulating New Rules to Redesign and Improve Care
61
4 Taking the First Steps
89
5 Building Organizational Supports for Change
111
6 Applying Evidence to Health Care Delivery
145
7 Using Information Technology
164
8 Aligning Payment Policies with Quality Improvement
181
9 Preparing the Workforce
207
Appendix A Report of the Technical Panel on the State of Quality to the Quality of Health Care in America Committee
225
Appendix B Redesigning Health Care with Insights from the Science of Complex Adaptive Systems
309
Index
323
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