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 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.
As a Healthcare student I keep this on my bookshelf and have referred to it often. An oldie but goodie which is rare in medicine that an older book is just as relevant today as when it was written.
This was the second book by IOM regarding Quality in health care. It is very detailed reading like the first book, but goes into what is needed in order to improve quality outcomes. The book is outdated to some extent because of the rapid advancement in IT. However, it is probably a required read for those in the health care quality arena. For those familiar with quality issues, STEEP is born here, safe, timely, effective, efficient, equitable, patient centered care. This acronym is now used regularly at health care conferences, but was reordered from the ideas in this book. The upshot in 2001 was that the quality of health care needs big improvement.
I took notes once again, had my dictionary by my side and can now return to more recent works on Quality which deal with the mandates of the health care law, new developments in IT, electronic medical records.
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.