Dr. Farzad Mostashari | November 8, 2011 Show
New Institute of Medicine Report: Health IT and Patient Safety
HHS agrees with IOM that more can and should be done to capture safety issues unique to EHRs when and if they arise. ONC will lead an HHS planning initiative to develop a comprehensive EHR safety action and surveillance plan well within the 12-month period recommended by IOM. In formulating this plan, ONC will work with the FDA, AHRQ, NIH, and CMS as well as the broader health care community and industry. Regulators, payers, health care providers, and patients each have a role in ensuring that patients are not harmed. The safety of health IT is one critical element in a larger and longstanding patient safety discussion that includes medical errors, hospital acquired conditions, readmissions, and a host of other issues. HHS is working to address these risks through several Affordable Care Act initiatives including the Partnership for Patients and accountable care organizations. Health IT will help make these patient safety programs and others like it work by providing health care professionals and patients with the real-time information they need to avoid injury and death. We are hopeful that today’s report will serve to strengthen health IT systems and enable EHRs to make their full contribution toward safer, better quality care for Americans. A handful of analytic frameworks for quality assessment have guided measure development initiatives in the public and private sectors. One of the most influential is the framework put forth by the Institute of Medicine (IOM), which includes the following six aims for the health care
system.[1] Existing measures address some domains more extensively than others. The vast majority of measures address effectiveness and safety, a smaller number examine timeliness and patient-centeredness, and very few assess the efficiency or equity of care.[2] Frameworks like the
IOM domains also make it easier for consumers to grasp the meaning and relevance of quality measures. Studies have shown that providing consumers with a framework for understanding quality helps them value a broader range of quality indicators. For example, when consumers are given a brief, understandable explanation of safe, effective, and patient-centered care, they view all three categories as important. Further, when measures are grouped into user-friendly versions of those three IOM
domains, consumers can see the meaning of the measures more clearly and understand how they relate to their own concerns about their care.[3] To learn more about grouping measures into categories, go to Organizing Measures To Reduce Information Overload. To learn more about selecting and reporting measures within categories that consumers understand, refer to:
[1] Institute of Medicine (IOM). Crossing the Quality Chasm: A New Health System for
the 21st Century. Washington, D.C: National Academy Press; 2001. Also in "Select Measures to Report"
Page last reviewed November 2018 Page originally created February 2015 Internet Citation: Six Domains of Health Care Quality. Content last reviewed November 2018. Agency for Healthcare Research and Quality, Rockville, MD. What did the IOM Health Professions Education report highlight?The IOM Health Professions Education report highlighted patient safety concerns as: A result of disciplinary silos. If you are supporting the steps in the AHRQ document “Five Steps to Safer Health Care,” you would ensure that: Patients are actively encouraged to make decisions related to care.
Which items are included in the IOM six aims for improvement quizlet?Which items are included in the IOM six aims for improvement? (Select all that apply.) The six aims for improvement are safe, effective, patient-centered, timely, efficient, and equitable.
What is the core message of the IOM report Crossing the Quality Chasm?Overview. Crossing the Quality Chasm identifies and recommends improvements in six dimensions of health care in the U.S.: patient safety, care effectiveness, patient-centeredness, timeliness, care efficiency, and equity. Safety looks at reducing the likelihood that patients are harmed by medical errors.
What are the focus areas of the To Err is Human recommendations?What are the 4 focus areas of recommendations made by "To Err is Human" to decrease Human errors by 50% in 5 years:. Enhance knowledge and leadership regarding safety.. Identify and learn from errors.. Set performance standards and expectations for safety.. Implement safety systems within health-care organizations.. |