Crossing the Quality Chasm: A New Health System for the 21st Century
This is the 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; and 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.
This book will not get you there
By George Dawson - December 9, 2001
This book is written as the product of an Institute of Medicine initiative to reduce the mortality and morbidity from errors in the American healthcare system. The Institute of Medicine is a private organization created by congressional charter to advise the federal government on specific matters. Their mission statement is to "advance and disseminate knowledge to improve human health." This book is the final report of the Committee on the Quality of Health Care in America. Their homepage is available by searching the Internet using the full committee name. Membership of the committee and sponsors of the project are available at that web site.The format of the book is to present evidence for quality problems in healthcare in America and make recommendations. The operational definition of quality used in the book is "The degree to which health care services for individuals and populations increase the likelihood of desired health outcomes and are consistent with... read more
Understand the US Healthcare System better, especially if you work in it
By Russ Emrick - February 27, 2013
The IOH, Institute of Health, published two exhaustive reports on healthcare: To Err is Human and Crossing the Quality Chasm. They are dry, academic, ponderous and difficult to read. However they are two of the most important books written about healthcare in the United States and mandatory reading for anyone in the field of medicine. Virtually every other book on improving healthcare quotes or uses the research from these two books.
Healthcare is under a radical transformation based on enormous economic and demand pressures. In order to be successful we have to understand the system, warts and all. We have to have solutions based on empirical peer reviewed data. These IOH reports do just that. While they may seem dated and many of the initiatives advocated by these books are well underway, these books remain 'bibles' of a sort for understanding the US medical system. I strongly recommend reading this books because so much of the current reform, language, and subsequent... read more
By Lucas Schukei - January 2, 2013
The healthcare challenge is one that will take a lot to change. I think the book outlines the issues really well and makes you think about what is required to change the healthcare system. The question now is how do undertake such a massive overhaul?
5S A Visual Control System for the Workplace gives a self study program for a commonsense low-cost approach to process management by providing a method for organizing a workplace, especially a shared ...