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

ISBN-10: 0309072808
ISBN-13: 9780309072809
Edition: 2001
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Description: Studying health care organizations as complex systems, this book identifies practices impeding quality medical care and recommends principles and systems approaches for implementing change. The book calls on policy makers, health care leaders,  More...

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Book details

List price: $54.95
Copyright year: 2001
Publisher: National Academies Press
Publication date: 8/19/2001
Binding: Hardcover
Pages: 360
Size: 6.25" wide x 9.50" long x 1.00" tall
Weight: 1.496
Language: English

Studying health care organizations as complex systems, this book identifies practices impeding quality medical care and recommends principles and systems approaches for implementing change. The book calls on policy makers, health care leaders, clinicians, and regulators to radically change the American health care system so as to reduce the occurrences of medical errors. Guidelines for patient- clinician relationships, performance expectations, organization frameworks emphasizing accountability, and steps to promoting evidence-based practice are all included. c. Book News Inc.

Executive Summary
A New Health System for the 21st Century
The Quality Gap
Underlying Reasons for Inadequate Quality of Care
Agenda for the Future and Road Map for the Report
Improving the 21st-Century Health Care System
Six Aims for Improvement
A Vision of Future Care
Formulating New Rules to Redesign and Improve Care
Health Care Organizations as Complex Adaptive Systems
Ten Simple Rules for the 21st-Century Health Care System
Taking the First Steps
The Value of Organizing Around Priority Conditions
Applications of Priority Conditions
Criteria for Identifying Priority Conditions
Providing the Resources Needed to Initiate Change
Building Organizational Supports for Change
Stages of Organizational Development
Key Challenges for the Redesign of Health Care Organizations
Leadership for Managing Change
Applying Evidence to Health Care Delivery
Background
Synthesizing Clinical Evidence
Using Computer-Based Clinical Decision Support Systems
Making Information Available on the Internet
Defining Quality Measures
Using Information Technology
Potential Benefits of Information Technology
Automated Clinical Information
Need for a National Health Information Infrastructure
Aligning Payment Policies with Quality Improvement
Incentives of Current Payment Methods
Barriers to Quality Improvement in Current Payment Methods
Adapting Existing Payment Methods to Support Quality Improvement
Need for a New Approach
Preparing the Workforce
Clinical Education and Training
Regulation of the Professions
Legal Liability Issues
Research Agenda for the Future Health Care Workforce
Appendixes
Report of the Technical Panel on the State of Quality to the Quality of Health Care in America Committee
Redesigning Health Care with Insights from the Science of Complex Adaptive Systems
Index

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