This report provides a synthesis of the outcomes of the summit, and is not intended to contain an exhaustive review of the literature for all of the topics discussed. Its content reflects the committee's commitment to carrying out its charge, which was to plan and execute a national summit focused on the vision of the Quality Chasm report for improving quality of care for a targeted set of conditions at both the community and national levels. A number of additional issues beyond this charge were discussed by the committee during its deliberations and by some summit participants, but are not captured in this follow-up report. Among others, these include how to enhance public health infrastructure and integrate it effectively into the personal health care system; how clinical education must be transformed so that health care professionals are best prepared to practice in a transformed system; and how clinicians, particularly physicians, can be engaged in quality improvement efforts.

Contents

• THE NATIONAL ACADEMIES
• COMMITTEE ON CROSSING THE QUALITY CHASM: NEXT STEPS TOWARD A NEW HEALTH CARE SYSTEM
• Reviewers
• Preface
• Foreword
• Acknowledgments
• Executive Summary
  • PRIORITY AREAS FOR FOCUSING AND IMPLEMENTING THE QUALITY CHASM VISION
  • 1^ST ANNUAL CROSSING THE QUALITY CHASM SUMMIT
  • SETTING THE CONTEXT FOR THE SUMMIT
  • CROSS-CUTTING SESSIONS
  • CONDITION-SPECIFIC ACTION PLANS
  • NEXT STEPS
  • REFERENCES
• Chapter 1. Introduction
  • BACKGROUND
  • THE QUALITY CHASM SUMMIT
  • SCOPE AND ORGANIZATION OF THE REPORT
  • REFERENCES
• Chapter 2. Measurement
  • DEFINITION AND OVERARCHING THEMES
  • KEY STRATEGIES
  • CLOSING STATEMENT
  • REFERENCES
• Chapter 3. Information and Communications Technology
  • DEFINITION AND OVERARCHING THEMES
  • KEY STRATEGIES
  • CLOSING STATEMENT
  • REFERENCES
• Chapter 4. Care Coordination
  • DEFINITION AND OVERARCHING THEMES
  • KEY STRATEGIES
  • CLOSING STATEMENT
  • REFERENCES
• Chapter 5. Patient Self-Management Support
  • DEFINITION AND OVERARCHING THEMES
  • KEY STRATEGIES
  • CLOSING STATEMENT
  • REFERENCES
• Chapter 6. Finance
  • DEFINITION AND OVERARCHING THEMES
  • KEY STRATEGIES
  • CLOSING STATEMENT
  • REFERENCES
• Chapter 7. Coalition Building
  • DEFINITION AND OVERARCHING THEMES
  • KEY STRATEGIES
  • CLOSING STATEMENT
  • REFERENCES
• Chapter 8. Condition-Specific Action Plans
  • ASTHMA
  • DEPRESSION
  • DIABETES
  • HEART FAILURE
  • PAIN CONTROL IN ADVANCED CANCER
  • REFERENCES
• Chapter 9. Next Steps
  • SYNOPSIS OF REACTOR PANEL AND AUDIENCE FEEDBACK
  • COMMITMENTS OF NATIONAL CHAMPIONS
  • CLOSING STATEMENT
  • REFERENCES
• Appendix A Biographical Sketches of Committee Members
• Appendix B Quality Chasm Selected Bibliography
• Appendix C Descriptions of Summit Communities
• Appendix D Community Selection Criteria
• Appendix E Summit Attendees
• Appendix F Conference Prework and Sample Matrices
• Appendix G Summit Planning
• Appendix H Summit Agenda
• Appendix I Facilitating the Summit Working Groups
• Appendix J Condition-Specific Working Group Questions

This study was supported by Contract No. 046718 between the National Academy of Sciences and The Robert Wood Johnson Foundation. It was also supported by a subcontract from The Johns Hopkins Bloomberg School of Public Health with funds provided by Grant No. 037049 from the Robert Wood Johnson Foundation. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project.

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance.