SOURCE: Adapted from Berwick, 2002.
Figure H-1 depicts how the health care environment (i.e., policies, regulation, financing [Level D]), the organizational setting (i.e., health plans
and health systems [Level C]), and the delivery of care (i.e., clinics [Level B]) combine to affect patient care (i.e., the patient experience [Level A]). The committee suggests that these four levels of care provide a blueprint applicable to the development of a 21st-century system of substance use disorder (SUD) prevention and treatment services within the U.S. military.
Berwick, D. M. 2002. A user’s manual for the IOM’s “quality chasm” report. Health Affairs 21(3):80-90.