Priority Areas for National Action Transforming Health Care Quality (2003) / Chapter Skim
Currently Skimming:
1 Introduction
1 Introduction
Pages 15-28
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 15... ...
In 1998, the President's Advisory Commission on Consumer Protection and Quality in the Health Care Industry offered major recommendations for improving the quality of care for Americans. These recommendations included establishing public-pr~vate partnerships to provide national leadership in health care quality improvement, promoting the measurement and reporting of the quality of care delivered, and investing in information technology infrastructure to support decision making and the delivery of quality care (Presidents Advisory Commission on Consumer Protection and Quality in the Health Care Industry, 1998~.
|
From page 16... ...
In addition, since many conditions are treated in more than one health care setting, a focus on priority conditions might be expected to encompass care provided in physicians' offices, hospitals, and nursing homes, as well as home care settings. The Quality Chasm report therefore recommends that the Agency for HeaTthcare Research and Quality (AHRQ)
|
From page 17... ...
For several decades, the health care needs of the American people have been shifting from predominately acute care to chronic care. Today, chronic conditions are the leading cause of illness, disability, and death in the United States.
|
From page 18... ...
Thus, the scope of the study was broadened from the original focus on "priority conditions" as suggested in the Quality Chasm report to include other essential "priority areas" of health care, such as preventive care and behavioral health. Indeed, one of the committee's main conclusions was that a purely disease-based approach to health care would not accomplish the needed transformation that is the intent of the recommended list of priority areas.
|
From page 19... ...
These applications are likely to include the full range of health care system improvements and policy changes outlined in the Quality Chasm report, including applying evidence to health care, redesigning care processes around patient needs, making better use of information technology in the area of decision support, promoting accountability through measurement and performance feedback, and realigning payment incentives with quality care (Institute of Medicine, 2001a)
|
From page 20... ...
provides one example of a multidimensional solution to the often chaotic structure found at the microsystem level (Improving Chronic Illness Care, 2002; Wagner, 2001; Wagner et al., 2001; Wagner et al., 1996~. Developed at Group Health Cooperative of Puget Sound in the midl990s under the Improving Chronic Iliness Care program of The Robert Wood Johnson Foundation, this mode]
|
From page 21... ...
An example of the Chronic Care Model in action is the Health Disparities Coliaboratives, spearheaded by the Bureau of Primary Health Care within DHHS (Health Disparities Coliaboratives, 20021. The goal of these initiatives is to develop programs that expand access to high-quaTity, culturally and linguistically competent health care—both primary and preventive for underserved, uninsured, and underinsured Americans, as well as those in traditionally underserved minority,
|
From page 22... ...
The first collaborative, focused on diabetes, started in January 2000. Many of the priority conditions identified in this report could benefit from application of the Chronic Care Model.
|
From page 23... ...
4 Cancer; diabetes; health communication; heart disease and stroke; immunization; maternal, infant, and child health; mental health; overweight; respiratory disease; and tobacco use. s Antidepressant medication management, beta blocker treatment after heart attack, cervical cancer screening, childhood immunization status, cholesterol management after a heart attack, comprehensive diabetes care, controlling high blood pressure, follow-up after hospitalization for mental illness n~f~n_tA1 onA nnctnA~rtil~ Harm ASIA ,,A,^ BEAT ;A+~ _AA~ BAN ADA En_ people with asthma.
|
From page 24... ...
The recently released TOM report Leadership by Example: Coordinating Government Roles in Improving Health Care Quality calls for the government to take the lead in promulgating standardized performance measures and points to the priority areas as the springboard for this effort (Institute of Medicine, 2002b)
|
From page 25... ...
If quality improvement in the priority areas is to succeed, the collective-efforts of all the aforementioned individuals and groups will need to be channeled into the effort. The Quality Chasm report recommends identification of the priority areas under the heading "Taking the First Steps" (Institute of Medicine, 2001a)
|
From page 26... ...
2001. Does the Chronic Care Model serve also as a template for improving prevention?
|
From page 27... ...
2001. Improving chronic illness care: Translating evidence into action.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.