The 1st Annual Crossing the Quality Chasm Summit A Focus on Communities: Report of a Summit (2004) / Chapter Skim
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1 Introduction
1 Introduction
Pages 13-26
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From page 13... ...
Patients are needlessly suffering and dying as a result of a faulty system that undermines clinicians' best efforts or does not help them succeed. To address this urgent national issue, the Quality Chasm report challenges the country to undertake a comprehensive reform of the health care delivery system and the policy environment that shapes and 13
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From page 14... ...
. · Patient-centered -- providing care that is respectful of and responsive to individual patient preferences, needs, and values and ensuring that patient values guide all clinical decisions.
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reports helped lay the foundation for the summit, with two of them being particularly germane: Priority Areas for National Action: Goal and Objectives Transforming Health Care Quality (IOM, At the start of the summit, Reed Tuckson, chair 2003c) and Fostering Rapid Advances in Health of the IOM organizing committee, asked Care: Learning from System Demonstrations participants to "envision this summit as a (IOM, 2002a)
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From page 16... ...
· To describe measurable aims and appropriate strategies for improving care in the five targeted priority areas, including endorsing performance measures necessary to assess progress over 3 to 5 years.1 · To stimulate supportive interrelationships and synergies between locally based efforts and resources at the national level, and to make highly visible the resulting commitments. The summit participants included approximately champions" (see Box 1-4)
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From page 17... ...
- The Pediatric/Adult Asthma Coalition of New Jersey - Philadelphia Department of Health · Depression communities - Intermountain Health CareDepression in Primary Care Initiative - Mid-America Coalition on Health Care Community Initiative on Depression · Diabetes communities - The Asheville Project - County of Santa Cruz, California - Madigan Army Medical Center - The Washington State Diabetes Collaborative · Heart failure communities - Grand Rapids Medical Education and Research Center - Greater Flint Health Coalition - The Oregon Heart Failure Project · Pain control in advanced cancer communities - Kaiser-Bellflower - Rochester Health Commission 17
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From page 18... ...
1ST ANNUAL CROSSING THE QUALITY CHASM SUMMIT Box 1-4. National Champions · Agency for Healthcare Research and Quality · Alliance of Community Health Plans · American Association of Retired Persons · American Board of Internal Medicine · American Cancer Society · American Diabetes Association · American Heart Association · American Hospital Association · American Pain Foundation · America's Health Insurance Plans · Blue Cross and Blue Shield Association · Bridges to Excellence · Centers for Disease Control and Prevention · Centers for Medicare and Medicaid Services · General Electric Company · Grantmakers in Health · Institute for Healthcare Improvement · Institute of Medicine · Joint Commission on Accreditation of Healthcare Organizations · Leapfrog Group · MacColl Institute for Healthcare Innovation at Group Health Cooperative · National Association of Community Health Centers · National Business Coalition on Health · National Business Group on Health · National Cancer Institute · National Center for Healthcare Leadership · National Committee for Quality Assurance · National Quality Forum · Pacific Business Group on Health · Substance Abuse and Mental Health Services Administration · The Robert Wood Johnson Foundation · UnitedHealth Group · URAC · VHA, Inc.
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From page 19... ...
the habits and spirits of the people we developing community-based approaches to serve." improving quality that hold promise for making a real difference. Henry Gaines of the Greater Flint Health Coalition in Genesee County, Michigan, Patients at the Center, with provided an example of how one community put a program in place to change the culture for Community as a Focus the delivery of maternal and child health care Reed Tuckson opened the 2-day summit by services.
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Given that enough payers in the room." A community health care outcomes are determined by both focus allows for a multiple-stakeholder health- and non-health-related factors -- with approach to the complex set of issues posed by behavioral patterns, social circumstances, comprehensive redesign of the American health environmental exposures and genetics playing care system. John Lumpkin concurred, "If substantial roles (McGinnis et al., 2002)
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From page 21... ...
Chasm at both the community and national levels. Armed with the results of this Sustaining Community Innovators substantial advance work, summit participants were able to minimize the time spent reviewing Throughout the course of the summit, IOM past accomplishments and focus more on shared committee members, speakers, participants, and learning and cooperative strategizing about others offered ideas about the best ways to future opportunities for improving care.
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From page 22... ...
This management efforts by their families and other approach also provided a way to consider the key nonprofessionally trained caregivers who interface between the health system and may be involved with the patient, as well as a community resources so that, in the words of proactive and well-prepared team of clinicians Reed Tuckson, public health is considered "not who provide regular follow-up. a competitive but a synergistic activity." The centerpiece of the CCM is facilitation of During the summit, Don Berwick described "productive interactions" between patients and such evidence-based approaches to quality their providers.
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From page 23... ...
(See Colorado Appendix H for the full summit agenda.) The consumer panel was chaired by Allen Daniels, · Finance, with facilitators Peter Lee, Pacific an IOM committee member and CEO of Business Group on Health, and Steve Alliance Behavioral Care, and included Martha Udvarhelyi, Independence Blue Cross Whitecotton, R.N., Carolinas Medical Center; · Community Coalition Building, with William Bruning, J.D., Mid-America Coalition facilitators Shoshanna Sofaer, Baruch on Health Care Community Initiative on College, and David Stevens, Agency for Depression; Henry Gaines, Greater Flint Health Healthcare Research and Quality Coalition; and Jay Portnoy, M.D., Children's Mercy Hospital/Kansas City Asthma Coalition.
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From page 24... ...
A diverse reactor panel -- clinicians, particularly physicians, can be including moderator Bruce Bradley, an IOM engaged in quality improvement efforts. committee member and Director of Health Plan Strategy and Policy, General Motors In summarizing the summit outcomes, this Corporation; Al Charbonneau, Rochester Health report offers a vision, emerging from the Commission; Helen Darling, National Business summit deliberations, for how care for a Group on Health; Sylvia Drew Ivie, The Help targeted set of conditions can be improved by Everyone Clinic; and George J
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leadership that informs and motivates, economic incentives that encourage change, and science Improving Chronic Illness Care.
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Effective Clinical Practice 1(1)
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