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