IOM Reports

1999: To Err is Human

At least 44,000 and perhaps as many as 98,000
Americans die in hospitals each year as a result of
medical errors
 2001: Crossing the Quality Chasm
- The report described America's
health system as "a tangled, highly
fragmented web that often wastes
resources by duplicating efforts.“

- Should create new methods to

monitor and track quality in six key
areas (IOM aims or attributes of
care).
 Six key areas (IOM aims or attributes of
care)
STEEEP
1. Safe care.
2. Timely care.
3. Effective care.
4. Efficient care.
5. Equitable care.
6. Patient-centered care.
The report challenges
private and public
purchasers, healthcare
organizations, clinicians,
and patients to work
together to redesign
healthcare processes
according to these rules:
 Core Competencies for Performance
Improvement Managers in Public Health

• Another non-profit organization, strengthens the

quality and performance of public health practice.
• Since 1970, PHF has developed effective
resources, tools, information, and training
for health agencies, organizations, and
individuals to help improve performance and
community health outcomes.
 Redesigning the Organization
1. Reengineering (fundamental
change): ‫تغيير تام بالمنشأة‬

• Change is done through

redesigning the entire business
to gain competitive advantage
and create Future markets and
growth for the long-term.
3. Restructuring = right sizing:
- It usually refers to a process of
contracting and expanding
simultaneously.

- The competition by both correcting

mistakes and identifying
opportunities for growth through
strategic planning.

4. Paradigm shift:
• a radical change.