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



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