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Study: Few Health Care Organizations Have ’Crossed the Quality Chasm’

Published: Monday, February 14, 2005 - 23:00

A new study shows that most health care providers support the idea of improving the quality of their services, but few have adopted initiatives to do it. The study, performed by health care quality organization URAC, sought to discover how medical management organizations have responded to a 2001 report by the Institute of Medicine entitled “Crossing the Quality Chasm.” The report challenged health care organizations to pursue six major aims: that health care delivery be safe, effective, patient-centered, timely, efficient and equitable.

Over all, the study found that medical management organizations were supportive of the IOM’s goals. Respondents largely acknowledged that they’d failed to adopt specific initiatives that would support them, although many of their routine activities support practices consistent with the recommendations.

“The study was designed to support medical management leaders in making the connection between their programs and the IOM aims, and to identify priority areas that could strengthen the role of medical management in promoting them,” says Gary Carneal, URAC president and CEO. “’Crossing the Quality Chasm’ was a compass pointing to a future health care system that is more quality-centered. This report measures how far medical management companies have traveled on the quality journey, and how far they still need to go.”

Respondents indicated three “next steps” to implement initiatives to support the IOM’s recommendations: the need for medical management performance measures, the need for greater/faster adoption of technology and the need for more reliance on evidence-based medicine and more evidence in general.

Five interactive focus groups, comprised of 84 medical management professionals, were surveyed for the study. For complete study results, visit www.urac.org.


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For 40 years Quality Digest has been the go-to source for all things quality. Our newsletter, Quality Digest, shares expert commentary and relevant industry resources to assist our readers in their quest for continuous improvement. Our website includes every column and article from the newsletter since May 2009 as well as back issues of Quality Digest magazine to August 1995. We are committed to promoting a view wherein quality is not a niche, but an integral part of every phase of manufacturing and services.