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Crossing the Quality Chasm: A New Health System for the 21st Century

This report focuses on closing the quality gap between what we know to be good healthcare and the healthcare that people actually receive, and recommends six "Aims for Improvement": safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity.

Committee on Quality of Healthcare in America, Institute of Medicine. Crossing the Quality Chasm: A New Health System for the 21st Century. Washington, DC: National Academies Press; 2001.

This report focuses on closing the quality gap between what we know to be good healthcare and the healthcare that people actually receive. The report recommends a redesign of the American healthcare system by providing six "Aims for Improvement": 

  • Safety
  • Effectiveness
  • Patient-Centeredness
  • Timeliness
  • Efficiency
  • Equity

These principles set forth a specific direction for policymakers, healthcare leaders, clinicians, regulators, purchasers, and others to improve the US healthcare system.

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