Changing the System
Institute of Medicine. (2001). Crossing the qualitychasm: A new health system for the 21st century (Report Brief). Institute ofMedicine of the National Academies [Web page]. Retrieved from http://www.iom.edu/CMS/8089/5432/27184.aspx.
The IOM Report Brief, published in 2001, begins by stating: “TheU.S. health care delivery system does not provide consistent, high-qualitymedical care to all people” (p. 1). The report discusses the problems with theU.S. healthcare system and outlines recommendations for achieving a high qualityhealthcare system in the future.
Since this report was written, how has progress been made? Providefour specific examples that are evidence of whether or not progress has beenmade in moving toward “a new health system for the 21st century.” Twoof the examples must be from your personal experience and two examples fromdocumented references.
The examples may relate to the Six Aims for Improvement, Ten Rulesfor Redesign, or the four main areas in regard to changing the environment. Somepossible areas to consider:
One of the six aims is timely care. Do you know a hospital that has asignificant problem with patient waiting time in the emergency department? Whathas the hospital done to solve the problem and what is the result.The first rule for redesign is: Care is based on continuous healingrelationships. Do you know an HCO that has implemented a system of electroniccommunication between the patient and the provider?One of the four main changes discussed is: Applying evidence to health caredelivery. Do you know of a treatment process that is governed by specificpractice guidelines in many HCOs, but where physicians continue to use anoutdated treatment process?
Write a conclusion about whether progress has been made based onyour chosen examples. Present the examples and the conclusion in a 4-page paperas a Word document formatted in APA style.
Grading CriteriaMaximum PointsWrote two examples from personal experiencedescribing problems, steps for improvement, and results.12Wrote two examples from references describingproblems, steps for improvement, and results.12Wrote a conclusion about improvement based on theexamples.8Selected and cited reliable sources ofinformation.4Applied APA standards for writing style, spelling,grammar, and citation of sources.4Total40
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