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Crossing the Quality Chasm: A New Health System for the 21st Century
Evidence-Based Practice Centers, 14 , 145 , 150–151
Integrated Delivery System Research Network, 105
National Guideline Clearinghouse, 151 , 157
recommendations to, 10 , 12 , 19–20 , 90–91 , 182 , 184 , 208
Translating Research into Practice, 155
Agenda for crossing the chasm, 5–20
building organizational supports for change, 11–12
establishing a new environment for care, 13–20
establishing aims for the 21st-century health care system, 5–7
formulating new rules to redesign and improve care, 7–9
taking the first steps, 9–11
Agenda for the future, 33–35
Aging of the population, 26
Aims for the 21st-century health care system, 5–6 , 39–54
conflicts among, 53–54
effectiveness, 6 , 46–48
efficiency, 6 , 52–53
equity, 6 , 53
establishing, 5–7
patient-centeredness, 6 , 48–51
safety, 5 , 44–46
timeliness, 6 , 51–52
Alzheimer’s disease and other dementias, 91 , 103
American Academy of Physicians, 158
American Association of Colleges of Nursing, 214
American Association of Colleges of Osteopathic Medicine, 214
American Association of Health Plans, 151 , 157
American Board of Medical Specialties, 214
American College of Physicians, 150 , 158
American College of Physicians’ Journal Club , 150
American Customer Satisfaction Index, 46
American Diabetes Association, 158
American Medical Association, 151 , 157 , 159 , 214
Code of Ethics, 45
American National Standards Institute, Healthcare Informatics Standards Board, 172
American Nurses Association, 214
American Nurses Credentialing Center, 214
American Osteopathic Association, 214
American Society for Testing and Material, 172
American Standards Committee, 172
American Thoracic Society, 192
Annual contracting arrangements, blocking quality improvement in current payment methods , 197
Antibiotic use, inappropriate acute care involving, 292–295
Anticipation of needs, 8 , 62 , 80–81
current approach—react to needs, 81
new rule—anticipate needs, 81
Anxiety. See also Depression and anxiety disorders
relieving, 50
Applications of priority conditions, 96–103
organize and coordinate care around patient needs, 98–100
provide a common base for the development of information technology, 101
reduce suboptimization in payment, 101–102
simplify quality measurement, evaluation of performance, and feedback, 102–103
synthesize the evidence base and delineate practice guidelines, 97–98
Arthritis, 91 , 103
Assets, providing for positive change, 13
Association of American Medical Colleges, 214
Asthma, 91 , 103
chronic care of, 264–265
inappropriate acute care of, 296
Automated clinical information, 170–176
financial requirements, 174–175
human factors issues, 175–176
privacy concerns and need for standards, 171–174
B
Back problems, 91 , 103
Balanced Budget Act, 174
Baldrige Award. See Malcolm Baldrige National Quality Award
Barriers to quality improvement in current payment methods, 191–199
adverse risk selection, 195–197
annual contracting arrangements, 197
perverse payment mechanisms, 191–195