The Health Care Quality Challenge and the Clinical Nurse Leader Role (CNL)

Authors

  • Marietta Stanton

DOI:

https://doi.org/10.14574/ojrnhc.v6i1.157

Abstract

In 2001, the Institute of Medicine (IOM) released the report Crossing the Quality Chasm: A New Health System for the 21st Century (Institute of Medicine 2001). Based on a large body of evidenced documenting severe problems in the American health care system, the report identifies six aims for quality improvement. These are that health care should be:
1. Safe-prevents harm to patients (Institute of Medicine, 2004).
2. Effective-refers to care that is evidence-based (Institute of Medicine, 2001).
3. Patient-centered-addresses care that reflects the qualities of compassion, empathy and responsiveness to the needs values, and expressed preferences of the individual patient (Institute of Medicine, 2001).
4. Timely-considers access to care as a critical factor influencing the quality of rural health care (Institute of Medicine, 2001).
5. Efficient-refers to optimizing resources and minimizing waste to obtain the best value for investments in health care services and administration (Institute of Medicine, 2001).
6. Equitable- ensures that the availability of care and quality services are based on an individual’s health care needs and not on personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status (Institute of Medicine, 2001).

Downloads

Issue

Vol. 6 No. 1 (2006)

Section

Columns

License

Authors who publish with this journal agree to the following terms:

  1. Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Creative Commons Attribution License that allows others to share (for non-commerical purposes) the work with an acknowledgement of the work's authorship and initial publication in this journal.
  2. Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
  3. Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).