What is health care quality? Leading complementary definitions/frameworks
- 1990—"The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge."1
- 1999 - "Doing the right thing for the right person at the right time in the right way."2
- 2001—A high quality health care system is one in which care is reliably Safe, Timely, Effective, Efficient, Equitable and Patient-centered (STEEP).3
— Bullets one and two are clinician-focused; by 2001—explicitly system-focused.
— All are aspirational.
1 Institute of Medicine (IOM), Medicare: A Strategy for Quality Assurance, 1990, p. 21
2 Eisenberg, Testimony to Congress, 1999.
3 IOM, Crossing the Quality Chasm, 2001.