Leadership by Example: Coordinating Government Roles in Improving Health Care Quality (Quality Chasm)

The federal government operates six major health care programs that serve nearly 100 million Americans. Collectively, these programs significantly influence how health care is provided by the private sector.

Leadership by Example explores how the federal government can leverage its unique position as regulator, purchaser, provider, and research sponsor to improve care - not only in these six programs but also throughout the nation’s health care system.

The book describes the federal programs and the populations they serve: Medicare (elderly), Medicaid (low income), SCHIP (children), VHA (veterans), TRICARE (individuals in the military and their dependents), and IHS (native Americans). It then examines the steps each program takes to assure and improve safety and quality of care.

The Institute of Medicine proposes a national quality enhancement strategy focused on performance measurement of clinical quality and patient perceptions of care. The discussion on which this book focuses includes recommendations for developing and pilot-testing performance measures, creating an information infrastructure for comparing performance and disseminating results, and more. Leadership by Example also includes a proposed research agenda to support quality enhancement.

The third in the series of books from the Quality of Health Care in America project, this well-targeted volume will be important to all readers of To Err Is Human and Crossing the Quality Chasm - as well as new readers interested in the federal government’s role in health care.

• Front Matter
• Executive Summary
• 1 Introduction
• 2 Overview of the Government Health Care Programs
• 3 Coordinating the Roles of the Federal Government to Enhance Quality of Care
• 4 Performance Measures
• 5 Building Stronger Information Capabilities
• 6 A Research Agenda to Support Quality Enhancement Processes
• Appendix A: List of Acronyms, Abbreviations, and Web Addresses
• Appendix B: Adult Diabetes Care: Performance Measurement Set for 18- to 75-Year-Olds
• Appendix C: Technical Overview: Health Information Systems of VHA and DOD
• Appendix D: Selected Agency Websites
• Index