Changing the System
Institute of Medicine. (2001). Crossing the quality
chasm: A new health system for the 21st century (Report Brief). Institute of
Medicine of the National Academies [Web page]. Retrieved from http://www.iom.edu/CMS/8089/5432/27184.aspx.
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The IOM Report Brief, published in 2001, begins by stating: “The
U.S. health care delivery system does not provide consistent, high-quality
medical care to all people” (p. 1). The report discusses the problems with the
U.S. healthcare system and outlines recommendations for achieving a high quality
healthcare system in the future.
Since this report was written, how has progress been made? Provide
four specific examples that are evidence of whether or not progress has been
made in moving toward “a new health system for the 21st century.” Two
of the examples must be from your personal experience and two examples from
The examples may relate to the Six Aims for Improvement, Ten Rules
for Redesign, or the four main areas in regard to changing the environment. Some
possible areas to consider:
- One of the six aims is timely care. Do you know a hospital that has a
significant problem with patient waiting time in the emergency department? What
has the hospital done to solve the problem and what is the result.
- The first rule for redesign is: Care is based on continuous healing
relationships. Do you know an HCO that has implemented a system of electronic
communication between the patient and the provider?
- One of the four main changes discussed is: Applying evidence to health care
delivery. Do you know of a treatment process that is governed by specific
practice guidelines in many HCOs, but where physicians continue to use an
outdated treatment process?
Write a conclusion about whether progress has been made based on
your chosen examples. Present the examples and the conclusion in a 4-page paper
as a Word document formatted in APA style.
|Grading Criteria||Maximum Points|
|Wrote two examples from personal experience
describing problems, steps for improvement, and results.
|Wrote two examples from references describing
problems, steps for improvement, and results.
|Wrote a conclusion about improvement based on the
|Selected and cited reliable sources of
|Applied APA standards for writing style, spelling,
grammar, and citation of sources.