Health Care Quality Challenges: A View from the IOM The U'S' Medicine Institute for Health Studies W

1
Health Care Quality Challenges A View from the
IOMThe U.S. Medicine Institute for Health
StudiesWashington, D.C.

• November 1, 2001
• Mary Wakefield Ph.D., RN, FAAN
• George Mason University

2
Crossing the Quality Chasm

• Second Report
• Committee on
• Quality of Health Care
• in America
• Executive Summary www.nap.edu

3
Five Part Agenda for Change

• Six aims for improvement
• Rules to guide the redesign of care processes
• Focus initial efforts on a set of priority
  conditions
• Implement more effective organizational supports
• Create an environment that fosters improvement

4
Six Aims for Improvement

• Safety
• Effectiveness
• Patient Centeredness
• Timeliness
• Efficiency
• Equity

5
Major Forces Influencing Health Care Quality

• Expanding Knowledge Base
• Information Technology
• Chronic Care Needs
• Payment Policies
• Professional Workforce

6
Summary

• American health care is beset by serious
  problems, but they are not intractable. A system
  is envisioned that uses the best knowledge,
  focuses intensely on patients, and works across
  health care providers and settings. Achieving
  this ideal will require crossing a large chasm
  between todays system and tomorrows
  possibilities.

IOM, 2001