THE STATE OF QUALITY IMPROVEMENT AND IMPLEMENTATION RESEARCH
EXPERT VIEWS
WORKSHOP SUMMARY
Samantha Chao, Rapporteur
THE NATIONAL ACADEMIES PRESS
Washington, D.C.
www.nap.edu
THE NATIONAL ACADEMIES PRESS
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NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.
This project was supported by Award No. 691-D68159 between the National Academy of Sciences and the Department of Veterans Affairs and a grant from the Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project.
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Institute of Medicine (IOM). 2007. The state of quality improvement and implementation research: Expert views. Workshop summary. Washington, DC: The National Academies Press.
THE NATIONAL ACADEMIES
Advisers to the Nation on Science, Engineering, and Medicine
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.
The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Charles M. Vest is president of the National Academy of Engineering.
The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.
The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. Charles M. Vest are chair and vice chair, respectively, of the National Research Council.
PLANNING COMMITTEE FOR THE WORKSHOP ON THE CONDUCT OF HEALTH CARE QUALITY IMPROVEMENT AND IMPLEMENTATION RESEARCH
THOMAS F. BOAT, Chair,
Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, OH
CAROLYN M. CLANCY, Director,
Agency for Healthcare Research and Quality, Rockville,
MD
DENISE DOUGHERTY, Senior Advisor,
Child Health and Quality Improvement, Agency for Healthcare Research and Quality, Rockville,
MD
JEREMY GRIMSHAW, Director,
Clinical Epidemiology Program, Ottawa Health Research Institute, Ontario, Canada
BRIAN S. MITTMAN, Co-Editor-in-Chief,
Implementation Science and VA Greater Los Angeles Healthcare System, Sepulveda,
CA
PAUL H. O’NEILL, Former U.S. Secretary of the Treasury,
Pittsburgh,
PA
FORUM ON THE SCIENCE OF HEALTH CARE QUALITY IMPROVEMENT AND IMPLEMENTATION
THOMAS F. BOAT (Co-Chair), Chair,
Department of Pediatrics, University of Cincinnati College of Medicine, OH
PAUL H. O’NEILL (Co-Chair),
Former U.S. Secretary of the Treasury, Pittsburgh, PA
PAUL B. BATALDEN, Director,
Health Care Improvement Leadership Development, Dartmouth Medical School, Hanover, NH
IGNATIUS BAU, Program Director,
The California Endowment, San Francisco, CA
JAY E. BERKELHAMER, Senior Vice President of Medical Affairs,
Children’s Healthcare of Atlanta, GA
MARSHALL H. CHIN, Associate Professor of Medicine and Co-Director,
General Internal Medicine Research, University of Chicago, IL
CATHERINE D. DEANGELIS, Editor-in-Chief,
Journal of the American Medical Association Scientific Publications and Multimedia Applications, Chicago, IL
JULIE L. GERBERDING,* Director,
Centers for Disease Control and Prevention, Atlanta, GA
JEREMY GRIMSHAW, Director,
Clinical Epidemiology Program, Ottawa Health Research Institute, Ontario, Canada
JEROME H. GROSSMAN, Senior Fellow,
John F. Kennedy School of Government, Harvard University, Cambridge, MA
JUDITH GUERON, Scholar in Residence,
Manpower Demonstration Research Corporation, New York
ANDREA KABCENELL, Executive Director for Pursuing Perfection,
Institute for Healthcare Improvement, Cambridge, MA
RICHARD KAHN, Chief Scientific and Medical Officer,
American Diabetes Association, Alexandria, VA
RAYNARD S. KINGTON,* Deputy Director, Office of the Director,
National Institutes of Health, Bethesda,
MD
JOEL KUPERSMITH,* Chief Research and Development Officer,
Veterans Health Administration, Washington, DC
LAURA C. LEVITON, Senior Program Officer,
The Robert Wood Johnson Foundation, Princeton, NJ
BRIAN S. MITTMAN, Co-Editor-in-Chief,
Implementation Science and VA Greater Los Angeles Healthcare System, Sepulveda, CA
LESLIE NORWALK,* Acting Administrator,
Centers for Medicare and Medicaid Services, Washington, DC
STEPHEN M. SHORTELL,
Blue Cross of California Distinguished
Professor of Health Policy and Management,
University of California, Berkeley
MARITA G. TITLER, Director,
Institute for Translational Practice, University of Iowa City Health Care System and University of Iowa, Department of Nursing Services and Patient Care, Iowa City
IOM Forum Staff
SAMANTHA CHAO, Forum Director
MICHELLE BAZEMORE, Senior Program Assistant
MICHELE ORZA, Acting Board Director, Board on Health Care Services
Reviewers
This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the NRC’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report:
IGNATIUS BAU, The California Endowment, San Francisco, CA
DENISE M. CARDO, Centers for Disease Control and Prevention, Atlanta, GA
RICHARD KAHN, American Diabetes Association, Alexandria, VA
JOHN OVRETVEIT, Medical Management Centre, The Karolinska Institutet, Stockholm and Bergen University, Norway
Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the final draft of the report before its release. The review of this report was overseen by coordinator JACK C. EBELER, of Ebeler Consulting. Appointed by the Institute of Medicine, he was responsible for
