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APPENDIX B Letter of Invitation Date Internal Address Dear Participant, I am writing to ask you to participate in a study to analyze characteristics of exemplary health care micro-systems. By the term micro-system, I mean a small, organized unit with a specific clinical purpose, set of patients, technologies and practitioners who work directly with these patients. A micro-system may be part of a larger organization and is embedded in a legal, financial, and regulatory environment. This study is part of the Institute of Medicineâs Quality of Health Care in America Project, which began in June 1998. The goal of the QHCA Project is to provide leadership, strategic direction and analytic tools that will contribute to a major improvement in quality in the health care industry during the next decade. Within the QHCA Project, The Subcommittee on Building the 21st Century Health Care System, which I chair, has been assembled to identify key characteristics and factors that enable or encourage providers, health care organizations, health plans and communities to continuously improve the quality of care. The Survey of Health Care Micro-systems is funded by a grant from the Robert Wood Johnson Foundation. The Steering Group for this study includes Paul Batalden, M.D.; Gene Nelson, D.Sc.; Tom Nolan, Ph.D.; Steve Shortell, Ph.D.; and me. Over the next two months we will be asking a carefully selected group of micro-systems about their level of performance, patient experience, use of information and information technology, investment in improvement, and leadership and management. We would like to include your micro-system in our study. Your participation will involve completing the attached pre-interview survey and taking part in a 90-minute telephone interview. Someone from the IOM staff will be calling you in the next few days to determine if you are interested in participating in the study and, if so, to schedule a telephone interview. I hope you will agree to join our study. Responses to the interview will be confidential. The committee will use the information from the study to make recommendations in its final report. Sincerely, 67
68 INNOVATION AND QUALITY IMPROVEMENT IN MICRO-SYSTEMS Donald M. Berwick, M.D., M.P.P. Enclosures: Pre-interview survey IOM Brochure Roster of members: Committee on Quality of Health Care in America Subcommittee on Building the 21st Century Health Care System
APPENDIX C Rosters COMMITTEE ON QUALITY OF HEALTH CARE IN AMERICA WILLIAM C. RICHARDSON (Chair), President and CEO, W. K. Kellogg Foundation, Battle Creek, MI DONALD M. BERWICK, President and CEO, Institute for Healthcare Improvement, Bos- ton J. CRIS BISGARD, Director, Health Services, Delta Air Lines, Inc., Atlanta LONNIE R. BRISTOW, Past President, American Medical Association, Walnut Creek, CA CHARLES R. BUCK, Program Leader, Health Care Quality and Strategy Initiatives, Gen- eral Electric Company, Fairfield, CT CHRISTINE K. CASSEL, Professor and Chairman, Department of Geriatrics and Adult Development, Mount Sinai Medical Center, New York City MARK R. CHASSIN, Professor and Chairman, Department of Health Policy, The Mount Sinai School of Medicine, New York City MOLLY JOEL COYE, Pricewaterhouse Coopers Senior Fellow, Institute for the Future, Menlo Park, CA DON E. DETMER, Dennis Gillings Professor of Health Management, University of Cam- bridge, UK JEROME H. GROSSMAN, Chairman and CEO, Lion Gate Management, Boston BRENT JAMES, Executive Director, Intermountain Health Care, Institute for Health Care Delivery Research, Salt Lake City, UT DAVID McK. LAWRENCE, Chairman and CEO, Kaiser Foundation Health Plan, Inc., Oakland, CA LUCIAN LEAPE, Adjunct Professor, Harvard School of Public Health ARTHUR LEVIN, Director, Center for Medical Consumers, New York City RHONDA ROBINSON-BEALE, Executive Medical Director, Managed Care Management and Clinical Programs, Blue Cross Blue Shield of Michigan, Southfield JOSEPH E. SCHERGER, Associate Dean for Clinical Affairs, University of California at Irvine College of Medicine ARTHUR SOUTHAM, Partner, 2C Solutions, Northridge, CA MARY WAKEFIELD, Director, Center for Health Policy and Ethics, George Mason Uni- versity GAIL L. WARDEN, President and CEO, Henry Ford Health System, Detroit 69