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Leadership by Example
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In response to a request from Congress, the Institute of Medicine (IOM) convened a committee to conduct an analysis of the federal government’s quality enhancement processes in six government programs—Medicare, Medicaid, the State Children’s Health Insurance Program, the Department of Defense TRICARE and TRICARE for Life programs, the Veterans Health Administration program, and the Indian Health Services program. About one-third of Americans are beneficiaries of and the majority of health care providers participate in one or more of these programs. The IOM committee encourages the federal government to take full advantage of its influential position to set the quality standard for the health care sector. Specifically, regulatory processes should be used to establish clinical data reporting requirements; purchasing strategies should provide rewards to providers who achieve higher levels of quality; health care de- livery systems operated by public programs should serve as laboratories for the development of 21st-century care delivery models; and applied health services research should be expanded to accelerate the development of knowledge and tools in support of quality enhancement. A strong quality infrastructure consisting of three components should be built. First, the Quality Interagency Coordinating Task Force, working with the private sector, should establish standardized performance mea- sures to be applied in each of the government programs. Second, Congress and each of the six government programs should provide financial support and other incentives to providers to facilitate the development of informa- tion technology infrastructures. Finally, each government program should make quality reports available in the public domain for use by consumers, health care professionals, accreditation and certification bodies, and other stakeholders.
Janet M. Corrigan, Jill Eden, and Barbara M. Smith - Personal Name
0-309-51693-5
NONE
Leadership
English
2002
1-207
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