Which of the following activities are consistent with the conclusions of the report Crossing the Quality Chasm? (Select all that apply.)
a. Increased emphasis on evidence-based practice
b. Improved reimbursement schedules that allow primary care providers to spend more time with each individual client
c. Increased attention to patients' needs for health education and self-management
d. Increased communication, cooperation, and collaboration between various components of the health care system
e. Increased use of information technology (electronic medical records and data management)
f.
Improved organization of the health care system
ANS: A, C, E
The report suggested the following changes: need for evidence-based planned care; reorganization of practices to meet needs of patients who require more time; attention to patients' need for information and behavioral change; ready access to clinical expertise needed; and supportive information systems. Current trends, which reflect these suggestions, are the focus on evidence-based care; more patient education; need for accepting self-management responsibility; and expansion of electronic medical records and other information technologies. Health care may be improving its organization, but it is not an obvious trend with obvious change, nor are reimbursement schedules allowing care providers more time to spend with clients. Cost containment is decreasing the time care providers can spend with clients.
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