Institute of Medicine, 5 June 2012
A Checklist which “reflect the strategies that… have proven effective and essential to improving quality and reducing costs.”
- Foundational elements
- Governance priority—visible and determined leadership by CEO and Board
- Culture of continuous improvement—commitment to ongoing, real-time learning
- Infrastructure fundamentals
- IT best practices—automated, reliable information to and from the point of care
- Evidence protocols—eff ective, effi cient, and consistent care
- Resource utilization—optimized use of personnel, physical space, and other resources
- Care delivery priorities
- Integrated care—right care, right setting, right providers, right teamwork
- Shared decision making—patient–clinician collaboration on care plans
- Targeted services—tailored community and clinic interventions for resource-intensive patients
- Reliability and feedback
- Embedded safeguards—supports and prompts to reduce injury and infection
- Internal transparency—visible progress in performance, outcomes, and costs
