Second in a series of publications from the Institute of Medicine's Quality of Health Care in America project Today's health care providers have more research findings and more technology available to them than ever before. Yet recent reports have raised serious doubts about the quality of health care in America. Crossing the Quality Chasm makes an urgent call for fundamental change to close the quality gap. This book recommends a sweeping redesign of the American health care system and provides overarching principles for specific direction for policymakers, health care leaders, clinicians, regulators, purchasers, and others. In this comprehensive volume the committee offers: A set of performance expectations for the 21st century health care system. A set of 10 new rules to guide patient-clinician relationships. A suggested organizing framework to better align the incentives inherent in payment and accountability with improvements in quality. Key steps to promote evidence-based practice and strengthen clinical information systems. Analyzing health care organizations as complex systems, Crossing the Quality Chasm also documents the causes of the quality gap, identifies current practices that impede quality care, and explores how systems approaches can be used to implement change.

As a society, we tend to reward problem solvers, rather than those who prevent problems at their source. In other words, we focus on after-the-fact occurrences (appraisal activities) instead of trying to eliminate these occurrences (preventing activities). Discussing and evaluating the core requirements of quality efficiency and improvement, 10 Essentials for High Performance Quality in the 21st Century proposes an approach to help shift the paradigm of quality from appraisal mode to preventing mode. Identifying 10 steps readers can follow to optimize the quality of products and improve customer satisfaction, the book explains the rationale behind each of the steps in separate chapters. It addresses specific quality issues in six different sectors of the economy and provides statistics, tables, and figures from various organizations that support the need for a paradigm shift. Outlining a systematic process to guide your organization along the path toward improvement, the book covers risk and quality, multicultural management, empowerment, error analysis, team building, advanced quality planning, and quality operating systems. The accompanying downloadable resources provide tips and tools to help you implement all the necessary improvement initiatives under the umbrella of quality.

Many companies that are achieving the most significant business results today, made a shift in focus from the management of quality in the twentieth century to the quality of management in the twenty-first century. The big difference is that these companies focus on quality as a fundamental organization and market-wide strategy for their company’s competitiveness. Quality into the 21st Century: Perspectives on Quality and Competitiveness for Sustained Performance focuses on the call for a more expansive use of quality practices throughout business in the twenty-first century than in their original application in manufacturing. It also calls for a definitive emphasis on the use of quality principles throughout health care, education, technology, medicine and government. The editors complied a collection of papers that focus on the emerging themes in quality including social values, privacy, security, and software quality.

This book is a compilation of perspectives provided by several winners of the ASQ Feigenbaum Medal, which is awarded each year to an individual under the age of 35 who has made a significant contribution to the field of Quality. As such, it serves as a valuable reference book in this area. It is primarily based on the medalists’ vision to "refresh" and "re-think" the quality concepts that have been used over the past century and the future development of the topic. Maximizing readers’ understanding of the ways in which Quality is created, it provides insights from pioneers in this field from around the globe and anticipates how and what Quality will be in the future, as well as how people and organizations can benefit from it today.

An ambitious, comprehensive reimagining of 21st century higher education Improving Quality in American Higher Education outlines the fundamental concepts and competencies society demands from today's college graduates, and provides a vision of the future for students, faculty, and administrators. Based on a national, multidisciplinary effort to define and measure learning outcomes—the Measuring College Learning project—this book identifies 'essential concepts and competencies' for six disciplines. These essential concepts and competencies represent efforts towards articulating a consensus among faculty in biology, business, communication, economics, history, and sociology—disciplines that account for nearly 40 percent of undergraduate majors in the United States. Contributions from thought leaders in higher education, including Ira Katznelson, George Kuh, and Carol Geary Schneider, offer expert perspectives and persuasive arguments for the need for greater clarity, intentionality, and quality in U.S. higher education. College faculty are our best resource for improving the quality of undergraduate education. This book offers a path forward based on faculty perspectives nationwide: Clarify program structure and aims Articulate high-quality learning goals Rigorously measure student progress Prioritize higher order competencies and disciplinarily grounded conceptual understandings A culmination of over two years of efforts by faculty and association leaders from six disciplines, this book distills the national conversation into a delineated set of fundamental ideas and practices, and advocates for the development and use of rigorous assessment tools that are valued by faculty, students, and society. Improving Quality in American Higher Education brings faculty voices to the fore of the conversation and offers an insightful look at the state of higher education, and a realistic strategy for better serving our students.

The effectiveness and capacity of survival of democratic regimes has been recently and widely questioned in the public and political debate. Both democratic institutions and political actors are increasingly confronted with rapid economic and societal transformations that, at least according to some observers and commentators, they not seem to be ready or equipped to manage effectively. This book evaluates and challenges recent scholarly literature on the quality of democracy. It provides a critical assessment of the current state of the studies on the subject, identifying the key questions and discussing open issues, alternative approaches, problems and future developments. Bringing together some of the most prominent and distinguished scholars who have developed and discussed the topic of the quality of democracy during the last decade, it deals with a highly relevant topic in political science and extremely sensitive subject for our democratic societies. This text will be of key interest to scholars of democracy and democratization and more broadly to comparative politics, electoral studies, political theory, power and comparative political institutions.

This symposium was jointly organized by the United States Environmental Protection Agency and The Netherlands Ministry of Housing, Spatial Planning and the Environment. These proceedings will provide a stimulus for taking up the challenges of environmental policy development in the 21st century, and will contribute to continuing co-operation.Clean air is a basic condition for health. Air pollution aggravates respiratory problems, leading to increased sickness absenteeism, increased use of health care services and even premature mortality. Air pollution is under intensive discussion in the United States and Europe.In The Netherlands, a wide range of policy instruments have been formulated which have reduced air pollution. For example; since 1975, sulphur dioxide and lead emissions have been reduced. However, emission reduction figures for many other substances are more modest. Many air pollution problems persist because progress in countering these problems is nullified by growth in the economy and traffic. Another important target is the prevention of climate change. The international community is agreed that the increasing concentration of greenhouse gases in the atmosphere has led to a gradual increase in the earth's temperature. In terms of the environmental consequences and social implications, the greenhouse problem surpasses all other air quality problems.Across Europe, strategies are being developed to reduce acidification and photochemical air pollution. An air emission ceiling for each country in the European Union is being agreed. In the area of climate change, there is good co-operation between the United States, The Netherlands and other EU Members States in the ongoing global negotiations. This is the start of a new movement. In the last century economies and societies developed through increasing human productivity. In the next century they must develop through increasing the productivity of fuel and natural resources.