Quality Chasm Report

Quality Chasm Report

How the Quality Chasm Report has and is used to direct US Health Care

Typically, human beings are known to make occasional errors in the field of medicine. The scenario has resulted in thousand recorded fatalities of American citizens. In effect, the occurrence has had the issue of patient quality and care put on under the lens of both private and public policymakers. Consequently, the Quality Chasm report is developed with the aim of describing broader quality health issues (Board on Health Care Services, Committee on the Crossing the Quality Chasm & Institute of Medicine, 2004). The report defines six broad goals of health care issues such as effectiveness, safety, patient-oriented, equitable, efficiency and timeliness. Moreover, the report recommends that the starting point in the process of restructuring patient care should be based on shared conditions (Rise, 2006)

At the request of Health Care Quality and Research Agency, there were about twenty priority areas that were recommended by IOM in a report provided in January 2003 for national action (Board on Health Care Services et al., 2004). Besides, leaders from exemplary national organizations as well as from communities found it necessary to design strategic plans that were community-focused during a Quality Chasm Summit held in January 2004. The strategies were to be implemented in all priority areas under community levels (Board on Health Care Services et al., 2004).

Agency for Health Research and Quality and Review the 2015 Health

The organization seeks to integrate healthcare disparities, quality and the national quality strategy, to describe the overall national progress in efforts of improving healthcare access, quality as well as disparities (Board on Health Care Services et al., 2004). In a review of the 2015 report, it was established that healthcare had improved significantly due to most Americans having a source of medical care and only a few reported to have no health insurance. Besides, the report indicated that the quality of health care was improving with a few wide variations across the priorities of National Quality Strategy. The scenario means that the overall efforts aimed at reducing disparities were growing because of effective treatment (Committee on Quality of Health Care in America & Institute of Medicine, 2001).

Measures designed to addressing personally centered care, patient safety including healthy living had also improved. However, it is imperative to note that the report also indicated that there were limited measures as far as care affordability was concerned which resulted to inadequate data for quantifying disparities and performance (Board on Health Care Services et al., 2004). In this case, variations included factors such as social-economic and races that remain an encumbrance towards access as well as the quality of healthcare. Moreover, it was noted that disparities concerning access were seen to be more common as relative to differences in quality. However, the 2005 report pointed out that there was some progress in the efforts of addressing the disparities in some areas.

The information provides me with valuable information about seeking to discover new ways of proving patient-centered care. The initiative will eventually help in the delivery of primary care instead of specialty care as well as put more focus in community settings as opposed to acute care facilities (Committee on Quality of Health Care in America & Institute of Medicine, 2001).

How the Institutes of Medicine 2010 and 2016 Report on Nursing will influence my role as an APN (family nurse practitioner)

The institute of medicine indicated in 2010 and 2016 is more likely to impact my role as a nurse in the process of meeting the rising demand for quality, safety, and affordable healthcare. The undertaking will require a profound rethinking of my roles as a professional family nurse practitioner (Board on Health Care Services et al., 2004). It is worth noting that the reports cover the introduction and development of Medicaid and Medicare programs. Formerly, nurses at all levels could not participate in the evolution process of the systems in the United States (Rise, 2006). Therefore, I would be propelled to help remove any regulatory, cultural as well as historical barriers that hinder nurses’ participation in bringing meaningful change in the healthcare systems.


Board on Health Care Services, Committee on the Crossing the Quality Chasm, Institute of Medicine. (2004). 1st Annual Crossing the Quality Chasm Summit: A Focus on Communities. Washington D. C. National Academies Press.

Committee on Quality of Health Care in America, Institute of Medicine. (2001). Crossing the Quality Chasm: A New Health System for the 21st Century. Washington D.C. National Academies Press.

Rise R. (2006). Home Care Nursing Practice: Concepts and Application. New York. Wiley & Sons Publishers.

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