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Table 2-1: Overview of Priority Areas for Improving Health Care Identi

Future Directions for the National Healthcare Quality and Disparities

Table 2-1. Overview of Priority Areas for Improving Health Care Identified by Leading Organizations, Initiatives, and Reports

National Priorities Partnership (NPP, 2008)Institute for Health Care Improvement Triple Aim (IHI, 2009)HHS Strategic Plan—FY 2007�2011 (HHS, 2008)Centers for Medicare and Medicaid Services Roadmap for Quality Measurement (CMS, 2008)HHS Meaningful Use Matrix (HHS, 2009b)The Commonwealth Fund (Commission on a High Performance Health System, 2008)
Increase patient and family engagementImprove patient experience of care (quality, access, and reliability) Confident, informed consumers; transparencyPatient engagement 
Improve population health (Reducing disease burden)Improve population healthPublic health promotion and protection (including promotion of preventive health care) Improved population healthHealthy lives; prevention and treatment
Improve safety and reliability of health system (Eliminating harm) Improve safety of health careSafety, transparencyImproved safetySafe and quality care
Guarantee compassionate care for persons with lifelimiting illnesses     
Ensure well coordinated care  Smooth transitions of careCoordination of care 
Eradicating disparities  Eliminating disparities (geography, race, income, language, diagnosis)Reduction of racial disparitiesEquity for all
 Improve patient experience of care (access)Improve quality, affordability and accessibility to health care  Access for all
Eliminating overuse and ensure appropriate careReduce the per capita costs of health care Efficiency; effectiveness; highvalue health careIncreased efficiencyEfficient care; avoidable hospital use and cost
   Effectiveness (ensuring care is evidence-based)  
    Ensure adequate privacy and security protections for personal health informationSystem capacity

IOM State of USA Health Indicators (IOM, 2008)Robert Wood Johnson Foundation Aligning Forces for Quality (RWJF, 2009a)Quality Alliance Steering Committee (QASC, 2009)IOM Priority Areas for National Action (IOM, 2003a)IOM Crossing the Quality Chasm (IOM, 2001a)
 Increasing consumer engagementHelp consumers make informed choicesSelf-management/ health literacyPatient-centered health care
Improve population health outcomes and reduce risky behaviors  Immunization for children and adults; pregnancy and childbirth; tobacco dependence; obesity 
 Safer care Medication management; nosocomial infectionsSafe health care
   End-of-life care; frailty with old age; pain control in advanced cancer 
 Well coordinated care Care coordination 
 Addressing equity and recognizing that language mattersHelp reduce large racial and ethnic disparities in care Equitable health care (e.g., gender, race, ethnicity, geographic location, and socioeconomic status)
 Access (insurance coverage)  Timely health care
Cost (per capita expenditures; preventable hospitalizations)More effective careStructure payment to improve quality and efficiency Efficient health care
 Improving the "how to" of quality improvement; increasing public reportingHelp providers improve quality of care  
Indicators for health outcomes, health-related behaviors, and health systems  Priority conditions: asthma, cancer screening, diabetes, hypertension, ischemic heart disease, major depression, severe and persistent mental illness, stroke, children with special needsPriority conditions: cancer, diabetes, emphysema, high cholesterol, HIV/AIDS, hypertension, ischemic heart disease, stroke, arthritis, asthma, gall bladder disease, stomach ulcers, back problems, Alzheimer's disease and other dementias, depression and anxiety disorders

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Page last reviewed October 2014
Internet Citation: Table 2-1: Overview of Priority Areas for Improving Health Care Identi: Future Directions for the National Healthcare Quality and Disparities . October 2014. Agency for Healthcare Research and Quality, Rockville, MD.