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PDF VERSION
TABLE OF CONTENTS
Cover
Transmittal Letters
Acknowledgements
Commission Members
Chairman's Vision
Executive Summary

1. Introduction
2. Overview
3. Coordination of Research
4. Education & Training of Health Care Practitioners
5. Information Development & Dissemination
6. Access & Delivery
7. Coverage & Reimbursement
8. Wellness and Health Promotion
9. Coordinating Federal CAM Efforts
10.    Recommendations & Actions

•  Acronyms
APPENDICES
A.    •  Executive Order
•  Commission Charter
B.    •  10 Rules for Health Care Reform
•  Pew Task Force Recommendations
C.    Commission Meetings
D.    General & Town Hall Meeting Participants
E.    Organizations Providing Information on Education and Training
F.    Workgroup Members
G.    Statement from Commissioners




    10 Rules for Health Care Reform

    Appendix B:  Institute of Medicine, Crossing the Quality Chasm: A New Health System for the 21st Century, 10 Rules for Health Care Reform

    1. Care based on continuous healing relationships.   Patients should receive care whenever they need it and in many forms, not just face-to-face visits. This rule implies that the health care system should be responsive at all times (24 hours a day, every day) and that access to care should be provided over the internet, by telephone, and by other means in addition to face-to-face visits.

    2. Customization based on patient needs and values.   The system of care should be designed to meet the most common types of needs but have the capability to respond to individual patient choices and preferences.

    3. The patient as the source of control.   Patients should be given the necessary information and the opportunity to exercise the degree of control they choose over health care decisions that affect them. The health system should be able to accommodate differences in patient preferences and encourage shared decisionmaking.

    4. Shared knowledge and the free flow of information.   Patients should have unfettered access to their own medical information and to clinical knowledge. Clinicians and patients should communicate effectively and share information.

    5. Evidence-based decision making.   Patients should receive care based on the best available scientific knowledge. Care should not vary illogically from clinician to clinician or from place to place.

    6. Safety as a system property.   Patients should be safe from injury caused by the care system. Reducing risk and ensuring safety require greater attention to systems that help prevent and mitigate errors.

    7. The need for transparency.   The health care system should make available to patients and their families information that allows them to make informed decisions when selecting a health plan, hospital, or clinical practice or when choosing among alternative treatments. This should include information describing the system's performance on safety, evidence-based practice, and patient satisfaction.

    8. Anticipation of needs.   The health system should anticipate patient needs rather than simply reacting to events.

    9. Continuous decrease in waste.   The health system should not waste resources or patient time.

    10. Cooperation among clinicians.   Clinicians and institutions should actively collaborate and communicate to ensure an appropriate exchange of information and coordination of care.



    28 Focus Areas of Healthy People 2010
    1. Access to Quality Health Services
    2. Arthritis, Osteoporosis, and Chronic Back Conditions
    3. Cancer
    4. Chronic Kidney Disease
    5. Diabetes
    6. Disability and Secondary Conditions
    7. Educational and Community-Based Programs
    8. Environmental Health
    9. Family Planning
    10. Food Safety
    11. Health Communication
    12. Heart Disease and Stroke
    13. HIV
    14. Immunization and Infectious Diseases
    15. Injury and Violence Prevention
    16. Maternal, Infant, and Child Health
    17. Medical Product Safety
    18. Mental Health and Mental Disorders
    19. Nutrition and Overweight
    20. Occupational Safety and Health
    21. Oral Health
    22. Physical Activity and Fitness
    23. Public Health Infrastructure
    24. Respiratory Diseases
    25. Sexually Transmitted Diseases
    26. Substance Abuse
    27. Tobacco Use
    28. Vision and Hearing



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