1st Annual Crossing the Quality Chasm Summit by Institute of Medicine, Board on Health Care Services,

By Institute of Medicine, Board on Health Care Services, Committee on the Crossing the Quality Chasm: Next Steps Toward a New Health Care System, Janet M. Corrigan, Ann C. Greiner, Karen Adams

Provides a record on a sequence of stories generated by way of the Institute of drugs devoted to bettering the standard and safeguard of healthiness care. Discusses in-depth the transformation of our present healthcare supply procedure, with specific emphasis on safeguard, effectiveness, patient-centeredness, timeliness, potency, and fairness. Softcover.

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These measures would then be incorporated into the Agency for Healthcare Research and Quality’s (AHRQ) annual National Health Care Quality Report (AHRQ, 2003) and the National Committee for Quality Assurance’s Health Plan Employer Data and Information Set (HEDIS®) report (NCQA, 2004). The group also proposed taking a patientcentered approach to measuring pain control. Strategies to achieve this goal include (1) providing cancer patients with multiple ways to record their pain outside the clinician encounter, such as over the Internet or by phone, so that results can be reviewed regularly and acted on in a timely way; and (2) establishing measures of family/caregiver experience as part of a performance measures set, for example, adding a question to the death certificate—which is often completed by a caregiver/family member—asking how effective the care team was in treating end-oflife pain.

Powerpoint Presentation. Washington, DC: Chapter 2 Measurement DEFINITION AND OVERARCHING THEMES The aim of the cross-cutting session on measurement was to identify strategies communities might pursue for using performance measures to assess and improve quality of care, further the accountability of health care organizations, and inform payer and consumer purchasing and decision making. All of the communities participating in the summit had been involved in measuring the effectiveness of their efforts, although their objectives—whether for quality improvement purposes or public reporting—may have differed.

JCAHO (Joint Commission on Accreditation of Healthcare Organizations). 2004. JCAHO Welcome Page. [Online]. org/ [accessed April 5, 2004]. Leatherman S, McCarthy D. 2002. Quality of Health Care in the United States: A Chartbook. New York, NY: The Commonwealth Fund. McGinnis MJ, Williams-Russo P, Knickman JR. 2002. The case for more active policy attention to health promotion: To succeed, we need leadership that informs and motivates, economic incentives that encourage change, and science that moves the frontiers.

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