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9 Next Steps
Pages 97-110

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From page 97...
... are presented, thus setting the stage for next steps in implementing the many strategies put forth by the summit participants for making real progress in crossing the quality chasm in health care. SYNOPSIS OF REACTOR PANEL AND AUDIENCE FEEDBACK After a day and a half of intense work informed by panel discussions, audience interaction, and breakout groups, the Reactor Panel was convened.
From page 98...
... Integration of Preventive Care Examples of system-level approaches that have progressed despite the lack of such a major The audience repeatedly emphasized prevention transformation include implementation of as an essential component of managing chronic automated health records, integration of disease. Ongoing preventive strategies were evidence-based guidelines into clinical practice cited as necessary to the treatment and provision settings, and the use of multidisciplinary care of high-quality care for patients with chronic teams.
From page 99...
... They channeled their support in response to key strategies identified at the Roles of National Organizations and summit for effecting the needed changes: instituting finance reform to reward evidenceCommunities based care, including care coordination and As demonstrated by the 15 communities patient self-management; simplifying participating in the summit, health care measurement to facilitate assessing and consumers are often well served by local providing continuous feedback on quality of strategies that bring together many different care; improving information and players through collaborative efforts. Al communications technology infrastructure and Charbonneau from the Rochester Health interoperability; and marshaling community Commission, representing communities on the resources for collaboration and coalition panel, made an appeal for leadership at the building.
From page 100...
... Of these eight, three developed for three of the five priority areas that provide patients and clinicians with on-line were the focus of the summit -- congestive heart access to electronic health records. Two are failure, diabetes, and asthma -- and modules for depression and pain management are under 100
From page 101...
... ACS sponsors, within the for the IOM summit communities to discuss the CoC hospital approved cancer program Improving Performance in Practice project and (1,500 hospitals) , reportable criteria and identify ways in which innovative practices measures for quality pain control.
From page 102...
... Don Nielsen AHIP's member organizations provide health www.aha.org care coverage to about 200 million people. Its health plans operate in every state, and AHIP AHA's quality agenda is directly aligned with will be pleased to serve as a gateway for the six aims of the Quality Chasm report.
From page 103...
... Allan Korn www.bcbs.com CMS hopes that the summit communities will continue to put substantial pressure on the The member health plans of BCBSA insure national champions and the IOM to keep nearly 91 million people in the United States, working together, and CMS will host and and can be of help in many ways in addressing participate in future meetings. The quality the country's health care challenges.
From page 104...
... standardized performance measures, specifically ones approved by the National Quality Forum, Institute for Healthcare Improvement (IHI) in efforts to link payment to performance.
From page 105...
... continuing, as are efforts to work with the Brian Austin psychiatric hospital community to develop www.improvingchroniccare.org measures for depression and other mental health conditions. JCAHO is committed to working For 6 years, MIHI has served as the national with key players on the ongoing development program office for The Robert Wood Johnson and maintenance of measure sets and the Foundation's program on Improving Chronic adaptation of these measures to various practice Illness Care.
From page 106...
... announcements/symptommanagement. National Business Group on Health Second, as a part of NCI's Quality of Care Helen Darling Initiative, numerous public- and private-sector www.businessgrouphealth.org collaborative efforts are under way to improve the quality of cancer care, including work on The National Business Group on Health will assessing and improving palliative care for work with IOM and other national partners to patients with cancer.
From page 107...
... Additionally, NCQA has efficiency, and care redesign at multiple levels, developed several tools and resources that are including individual physician office teams, available to communities: hospitals, larger health care organizations, and communities. The second is to coordinate local · Quality Compass®, a database derived from and national provider-focused initiatives on pay the population of nearly 90 million for performance, including private-sector Americans enrolled in health plans, coordination with CMS.
From page 108...
... To this end, Liza Greenberg SAMHSA has provided support to IOM for www.urac.org convening a workshop and producing a report on how best to apply the conceptual framework URAC is a national accreditation organization and principles of the Quality Chasm report to that has developed standards for functions the area of mental health and substance abuse. within health care systems, including disease This ongoing IOM project provides an excellent management, utilization management, and case vehicle for continuation of the summit's work in management, as well as for health plans, the area of depression.
From page 109...
... The IOM hopes to convene future summits focused on implementaitn of the vision of the Quality Chasm, and looks forward to hearing about the progress of the community participants.


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