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Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: -- A set of performance expectations for the 21st century health care system. -- A set of 10 new rules to guide patient-clinician relationships. -- A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. -- Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

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Riverside Health System - Riverside Health System is Eastern Virginia's premiere health care system. It's medical centers are located in Tappahannok, VA, Glouster, VA, and it's main facility in Newport News, VA.

Providence Health System - Providence Health System is a network of 17 hospitals (and other healthcare related facilities) spanning the 4 states of Alaska, Washington, Oregon, and California on the United States west coast. Although headquartered in Seattle, Washington, the health system's most dense region is Portland, Oregon and the surrounding area.

Geisinger Health System - The Geisinger Health System (GHS) is a physician-led health care system with headquarters in Danville, Pennsylvania. Danville resident Abigail Geisinger, widow of iron magnate George Geisinger, used her fortune to build a hospital intended to be a regional medical center modeled on the Mayo Clinic.

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