The National Roundtable on Health Care Quality's Books

Measuring the Quality of Health Care

By: The National Roundtable on Health Care Quality,Institute of Medicine

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Measuring the Quality of Health Care

By: The National Roundtable on Health Care Quality,Institute of Medicine

The National Roundtable on Health Care Quality was established in 1995 by the Institute of Medicine. The Roundtable consists of experts formally appointed through procedures of the National Research Council (NRC) who represent both public and private-sector perspectives and appropriate areas of substantive expertise (not organizations). From the public sector, heads of appropriate Federal agencies serve. It offers a unique, nonadversarial environment to explore ongoing rapid changes in the medical marketplace and the implications of these changes for the quality of health and health care in this nation. The Roundtable has a liaison panel focused on quality of care in managed care organizations. The Roundtable convenes nationally prominent representatives of the private and public sector (regional, state and federal), academia, patients, and the health media to analyze unfolding issues concerning quality, to hold workshops and commission papers on significant topics, and when appropriate, to produce periodic statements for the nation on quality of care matters. By providing a structured opportunity for regular communication and interaction, the Roundtable fosters candid discussion among individuals who represent various sides of a given issue.

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National Academies Press

Published Date

ISBN 10

0309570689

ISBN 13

9780309570688

Collaboration Among Competing Managed Care Organizations for Quality Improvement

By: Institute of Medicine,The National Roundtable on Health Care Quality

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Collaboration Among Competing Managed Care Organizations for Quality Improvement

By: Institute of Medicine,The National Roundtable on Health Care Quality

In November, 1997, The Institute of Medicine convened a one-day conference to explore areas for potential collaboration to improve quality among competing health plans consistent with antitrust and other legal requirements. The conference was convened to clarify the limits of such potential activities and to explore ways to stimulate collaboration; in short, to explore permissible and promising areas for collaboration for competing health plans. Competition has existed at the provider level in the pre-managed care era and continues among physicians, physician groups and hospitals today. What is new is the extent of competition at the managed care organization level in individual regional markets. As large numbers of individuals are enrolled in health plans, the potential for new forms of cooperation for improving quality of care becomes possible. Along with these new possibilities, however, come questions about whether they bring the potential for antitrust violation.

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National Academies Press

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ISBN 10

0309063868

ISBN 13

9780309063869

Measuring the Quality of Health Care

By: Institute of Medicine,The National Roundtable on Health Care Quality

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Measuring the Quality of Health Care

By: Institute of Medicine,The National Roundtable on Health Care Quality

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National Academies Press

Published Date

ISBN 10

0309173264

ISBN 13

9780309173261

The 1st Annual Crossing the Quality Chasm Summit

A Focus on Communities: Report of a Summit

By: Institute of Medicine,Board on Health Care Services,Committee on the Crossing the Quality Chasm: Next Steps Toward a New Health Care System

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The 1st Annual Crossing the Quality Chasm Summit

A Focus on Communities: Report of a Summit

By: Institute of Medicine,Board on Health Care Services,Committee on the Crossing the Quality Chasm: Next Steps Toward a New Health Care System

In January 2004, the Institute of Medicine (IOM) hosted the 1st Annual Crossing the Quality Chasm Summit, convening a group of national and community health care leaders to pool their knowledge and resources with regard to strategies for improving patient care for five common chronic illnesses. This summit was a direct outgrowth and continuation of the recommendations put forth in the 2001 IOM report Crossing the Quality Chasm: A New Health System for the 21st Century. The summit's purpose was to offer specific guidance at both the community and national levels for overcoming the challenges to the provision of high-quality care articulated in the Quality Chasm report and for moving closer to achievement of the patient-centerd health care system envisioned therein.

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177

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National Academies Press

Published Date

ISBN 10

0309093031

ISBN 13

9780309093033

Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services

By: National Research Council,Division on Engineering and Physical Sciences,Computer Science and Telecommunications Board,Committee on Future Information Architectures, Processes, and Strategies for the Centers for Medicare and Medicaid Services

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Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services

The Centers for Medicare and Medicaid Services (CMS) is the agency in the Department of Health and Human Services responsible for providing health coverage for seniors and people with disabilities, for limited-income individuals and families, and for children-totaling almost 100 million beneficiaries. The agency's core mission was established more than four decades ago with a mandate to focus on the prompt payment of claims, which now total more than 1.2 billion annually. With CMS's mission expanding from its original focus on prompt claims payment come new requirements for the agency's information technology (IT) systems. Strategies and Priorities for Information Technology at the Centers for Medicare and Medicaid Services reviews CMS plans for its IT capabilities in light of these challenges and to make recommendations to CMS on how its business processes, practices, and information systems can best be developed to meet today's and tomorrow's demands. The report's recommendations and conclusions offered cluster around the following themes: (1) the need for a comprehensive strategic technology plan; (2) the application of an appropriate metamethodology to guide an iterative, incremental, and phased transition of business and information systems; (3) the criticality of IT to high-level strategic planning and its implications for CMS's internal organization and culture; and (4) the increasing importance of data and analytical efforts to stakeholders inside and outside CMS. Given the complexity of CMS's IT systems, there will be no simple solution. Although external contractors and advisory organizations will play important roles, CMS needs to assert well-informed technical and strategic leadership. The report argues that the only way for CMS to succeed in these efforts is for the agency, with its stakeholders and Congress, to recognize resolutely that action must be taken, to begin the needed cultural and organizational transformations, and to develop the appropriate internal expertise to lead the initiative with a comprehensive, incremental, iterative, and integrated approach that effectively and strategically integrates business requirements and IT capabilities.

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192

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National Academies Press

Published Date

ISBN 10

0309221978

ISBN 13

9780309221979

Quality Through Collaboration

The Future of Rural Health

By: Institute of Medicine,Board on Health Care Services,Committee on the Future of Rural Health Care

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Quality Through Collaboration

The Future of Rural Health

By: Institute of Medicine,Board on Health Care Services,Committee on the Future of Rural Health Care

Building on the innovative Institute of Medicine reports To Err Is Human and Crossing the Quality Chasm, Quality Through Collaboration: The Future of Rural Health offers a strategy to address the quality challenges in rural communities. Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face. Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends: Adopting an integrated approach to addressing both personal and population health needs Establishing a stronger health care quality improvement support structure to assist rural health systems and professionals Enhancing the human resource capacity of health care professionals in rural communities and expanding the preparedness of rural residents to actively engage in improving their health and health care Assuring that rural health care systems are financially stable Investing in an information and communications technology infrastructure It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.

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289

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National Academies Press

Published Date

ISBN 10

0309094399

ISBN 13

9780309094399

Healthy China: Deepening Health Reform in China

Building High-Quality and Value-Based Service Delivery

By: The World Bank;World Health Organization

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Healthy China: Deepening Health Reform in China

Building High-Quality and Value-Based Service Delivery

By: The World Bank;World Health Organization

The report recommends that China maintain the goal and direction of its healthcare reform, and continue the shift from its current hospital-centric model that rewards volume and sales, to one that is centered on primary care, focused on improving the quality of basic health services, and delivers high-quality, cost-effective health services. With 20 commissioned background studies, more than 30 case studies, visits to 21 provinces in China, the report proposes practical, concrete steps toward a value-based integrated service model of healthcare financing and delivery, including: 1) Creating a new model of people-centered quality integrated health care that strengthens primary care as the core of the health system. This new care model is organized around the health needs of individuals and families and is integrated with higher level care and social services. 2) Continuously improve health care quality, establish an effective coordination mechanism, and actively engage all stakeholders and professional bodies to oversee improvements in quality and performance. 3) Empowering patients with knowledge and understanding of health services, so that there is more trust in the system and patients are actively engaged in their healthcare decisions. 4) Reforming public hospitals, so that they focus on complicated cases and delegate routine care to primary-care providers. 5) Changing incentives for providers, so they are rewarded for good patient health outcomes instead of the number of medical procedures used or drugs sold. 6) Boosting the status of the health workforce, especially primary-care providers, so they are better paid and supported to ensure a competent health workforce aligned with the new delivery system. 7) Allowing qualified private health providers to deliver cost-effective services and compete on a level playing field with the public sector, with the right regulatory oversight, and 8) Prioritizing public investments according to the burden of disease, where people live, and the kind of care people need on a daily basis.

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662

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World Bank Publications

Published Date

ISBN 10

146481323X

ISBN 13

9781464813238

SBIR/STTR at the National Institutes of Health

By: National Academies of Sciences, Engineering, and Medicine,Policy and Global Affairs,Board on Science, Technology, and Economic Policy,Committee on Capitalizing on Science, Technology, and Innovation: An Assessment of the Small Business Innovation Research Program--Phase II

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SBIR/STTR at the National Institutes of Health

The Small Business Innovation Research (SBIR) and Small Business Technology Transfer (STTR) programs provide federal research and development funding to small businesses. In 2008, the National Research Council completed a comprehensive assessment of the SBIR and STTR programs. The first-round study found that the programs were "sound in concept and effective in practice." Building on the outcomes from the Phase I study, this second phase examines both topics of general policy interest that emerged during the first phase and topics of specific interest to individual agencies, and provides a second snapshot to measure the program's progress against its legislative goals.

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461

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National Academies Press

Published Date

ISBN 10

030937877X

ISBN 13

9780309378772

Health Insurance is a Family Matter

By: Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance

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Health Insurance is a Family Matter

By: Institute of Medicine,Board on Health Care Services,Committee on the Consequences of Uninsurance

Health Insurance is a Family Matter is the third of a series of six reports on the problems of uninsurance in the United Sates and addresses the impact on the family of not having health insurance. The book demonstrates that having one or more uninsured members in a family can have adverse consequences for everyone in the household and that the financial, physical, and emotional well-being of all members of a family may be adversely affected if any family member lacks coverage. It concludes with the finding that uninsured children have worse access to and use fewer health care services than children with insurance, including important preventive services that can have beneficial long-term effects.

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297

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National Academies Press

Published Date

ISBN 10

0309085187

ISBN 13

9780309085182

Academic Health Centers

Leading Change in the 21st Century

By: Institute of Medicine,Committee on the Roles of Academic Health Centers in the 21st Century

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Academic Health Centers

Leading Change in the 21st Century

By: Institute of Medicine,Committee on the Roles of Academic Health Centers in the 21st Century

Academic health centers are currently facing enormous changes that will impact their roles in education, research, and patient care. The aging and diversity of the population will create new health care needs and demands, while rapid advances in technology will fundamentally alter the health care systems' capabilities. Pressures on health care costs, growth of the uninsured, and evidence of quality problems in health care will create a challenging environment that demands change. Academic Health Centers explores how AHCs will need to consider how to redirect each of their roles so they are able to meet the burgeoning challenges of health care and improve the health of the people they serve. The methods and approaches used in preparing health professionals, the relationship among the variety of their research programs and the design of clinical care will all need examination if they are to meet the changing demands of the coming decades. Policymakers will need to create incentives to support innovation and change in AHCs. In response, AHCs will need to increase the level of coordination and integration across their roles and the individual organizations that comprise the AHC if they are to successfully undertake the types of changes needed. Academic Health Centers lays out a strategy to start a continuing and long-term process of change.

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217

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National Academies Press

Published Date

ISBN 10

0309088933

ISBN 13

9780309088930

Health Professions Education

A Bridge to Quality

By: Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit

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Health Professions Education

A Bridge to Quality

By: Institute of Medicine,Board on Health Care Services,Committee on the Health Professions Education Summit

The Institute of Medicine study Crossing the Quality Chasm (2001) recommended that an interdisciplinary summit be held to further reform of health professions education in order to enhance quality and patient safety. Health Professions Education: A Bridge to Quality is the follow up to that summit, held in June 2002, where 150 participants across disciplines and occupations developed ideas about how to integrate a core set of competencies into health professions education. These core competencies include patient-centered care, interdisciplinary teams, evidence-based practice, quality improvement, and informatics. This book recommends a mix of approaches to health education improvement, including those related to oversight processes, the training environment, research, public reporting, and leadership. Educators, administrators, and health professionals can use this book to help achieve an approach to education that better prepares clinicians to meet both the needs of patients and the requirements of a changing health care system.

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192

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National Academies Press

Published Date

ISBN 10

0309087236

ISBN 13

9780309087230

Envisioning the National Health Care Quality Report

By: Institute of Medicine,Board on Health Care Services,Committee on the National Quality Report on Health Care Delivery

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Envisioning the National Health Care Quality Report

By: Institute of Medicine,Board on Health Care Services,Committee on the National Quality Report on Health Care Delivery

How good is the quality of health care in the United States? Is quality improving? Or is it suffering? While the average person on the street can follow the state of the economy with economic indicators, we do not have a tool that allows us to track trends in health care quality. Beginning in 2003, the Agency for Healthcare Research and Quality (AHRQ) will produce an annual report on the national trends in the quality of health care delivery in the United States. AHRQ commissioned the Institute of Medicine (IOM) to help develop a vision for this report that will allow national and state policy makers, providers, consumers, and the public at large to track trends in health care quality. Envisioning the National Health Care Quality Report offers a framework for health care quality, specific examples of the types of measures that should be included in the report, suggestions on the criteria for selecting measures, as well as advice on reaching the intended audiences. Its recommendations could help the national health care quality report to become a mainstay of our nation's effort to improve health care.

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257

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National Academies Press

Published Date

ISBN 10

030907343X

ISBN 13

9780309073431

Improving Motor Carrier Safety Measurement

By: National Academies of Sciences, Engineering, and Medicine,Transportation Research Board,Division of Behavioral and Social Sciences and Education,Committee on National Statistics,Panel on the Review of the Compliance, Safety, and Accountability (CSA) Program of the Federal Motor Carrier Safety Administration

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Improving Motor Carrier Safety Measurement

Every year roughly 100,000 fatal and injury crashes occur in the United States involving large trucks and buses. The Federal Motor Carrier Safety Administration (FMCSA) in the U.S. Department of Transportation works to reduce crashes, injuries, and fatalities involving large trucks and buses. FMCSA uses information that is collected on the frequency of approximately 900 different violations of safety regulations discovered during (mainly) roadside inspections to assess motor carriers' compliance with Federal Motor Carrier Safety Regulations, as well as to evaluate their compliance in comparison with their peers. Through use of this information, FMCSA's Safety Measurement System (SMS) identifies carriers to receive its available interventions in order to reduce the risk of crashes across all carriers. Improving Motor Carrier Safety Measurement examines the effectiveness of the use of the percentile ranks produced by SMS for identifying high-risk carriers, and if not, what alternatives might be preferred. In addition, this report evaluates the accuracy and sufficiency of the data used by SMS, to assess whether other approaches to identifying unsafe carriers would identify high-risk carriers more effectively, and to reflect on how members of the public use the SMS and what effect making the SMS information public has had on reducing crashes.

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183

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National Academies Press

Published Date

ISBN 10

0309462010

ISBN 13

9780309462013

Venture Funding and the NIH SBIR Program

By: National Research Council,Policy and Global Affairs,Committee for Capitalizing on Science, Technology, and Innovation: An Assessment of the Small Business Innovation Research Program

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Venture Funding and the NIH SBIR Program

By: National Research Council,Policy and Global Affairs,Committee for Capitalizing on Science, Technology, and Innovation: An Assessment of the Small Business Innovation Research Program

The Small Business Administration issued a policy directive in 2002, the effect of which has been to exclude innovative small firms in which venture capital firms have a controlling interest from the SBIR program. This book seeks to illuminate the consequences of the SBA ruling excluding majority-owned venture capital firms from participation in SBIR projects. This book is part of the National Research Council's study to evaluate the SBIR program's quality of research and value to the missions of five government agencies. The other books in the series include: An Assessment of the SBIR Program (2008) An Assessment of the SBIR Program at the National Science Foundation (2007) An Assessment of the Small Business Innovation Research Program at the National Institutes of Health (2009) An Assessment of Small Business Innovation Research Program at the Department of Energy (2008) An Assessment of the Small Business Innovation Research Program at the National Aeronautics and Space Administration (2009) An Assessment of the Small Business Innovation Research Program at the Department of Defense (2009)

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140

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National Academies Press

Published Date

ISBN 10

0309129974

ISBN 13

9780309129978

Future Directions for the National Healthcare Quality and Disparities Reports

By: Institute of Medicine,Board on Health Care Services,Committee on Future Directions for the National Healthcare Quality and Disparities Reports

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Future Directions for the National Healthcare Quality and Disparities Reports

By: Institute of Medicine,Board on Health Care Services,Committee on Future Directions for the National Healthcare Quality and Disparities Reports

As the United States devotes extensive resources to health care, evaluating how successfully the U.S. system delivers high-quality, high-value care in an equitable manner is essential. At the request of Congress, the Agency for Healthcare Research and Quality (AHRQ) annually produces the National Healthcare Quality Report (NHQR) and the National Healthcare Disparities Report (NHDR). The reports have revealed areas in which health care performance has improved over time, but they also have identified major shortcomings. After five years of producing the NHQR and NHDR, AHRQ asked the IOM for guidance on how to improve the next generation of reports. The IOM concludes that the NHQR and NHDR can be improved in ways that would make them more influential in promoting change in the health care system. In addition to being sources of data on past trends, the national healthcare reports can provide more detailed insights into current performance, establish the value of closing gaps in quality and equity, and project the time required to bridge those gaps at the current pace of improvement.

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247

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National Academies Press

Published Date

ISBN 10

0309159725

ISBN 13

9780309159722

SBIR at the National Science Foundation

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SBIR at the National Science Foundation

The Small Business Innovation Research (SBIR) program is one of the largest examples of U.S. public-private partnerships, and was established in 1982 to encourage small businesses to develop new processes and products and to provide quality research in support of the U.S. government's many missions. The U.S. Congress tasked the National Research Council with undertaking a comprehensive study of how the SBIR program has stimulated technological innovation and used small businesses to meet federal research and development needs, and with recommending further improvements to the program. In the first round of this study, an ad hoc committee prepared a series of reports from 2004 to 2009 on the SBIR program at the five agencies responsible for 96 percent of the program's operations-including the National Science Foundation (NSF). Building on the outcomes from the first round, this second round presents the committee's second review of the NSF SBIR program's operations. Public-private partnerships like SBIR are particularly important since today's knowledge economy is driven in large part by the nation's capacity to innovate. One of the defining features of the U.S. economy is a high level of entrepreneurial activity. Entrepreneurs in the United States see opportunities and are willing and able to assume risk to bring new welfare-enhancing, wealth-generating technologies to the market. Yet, although discoveries in areas such as genomics, bioinformatics, and nanotechnology present new opportunities, converting these discoveries into innovations for the market involves substantial challenges. The American capacity for innovation can be strengthened by addressing the challenges faced by entrepreneurs.

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367

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National Academies Press

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ISBN 10

0309311969

ISBN 13

9780309311960

Toward Health Equity and Patient-Centeredness

Integrating Health Literacy, Disparities Reduction, and Quality Improvement: Workshop Summary

By: Institute of Medicine,Board on Population Health and Public Health Practice,Board on Health Care Services,Roundtable on Health Literacy,Roundtable on Health Disparities,Forum on the Science of Health Care Quality Improvement and Implementation

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Toward Health Equity and Patient-Centeredness

Integrating Health Literacy, Disparities Reduction, and Quality Improvement: Workshop Summary

To receive the greatest value for health care, it is important to focus on issues of quality and disparity, and the ability of individuals to make appropriate decisions based on basic health knowledge and services. The Forum on the Science of Health Care Quality Improvement and Implementation, the Roundtable on Health Disparities, and the Roundtable on Health Literacy jointly convened the workshop "Toward Health Equity and Patient-Centeredness: Integrating Health Literacy, Disparities Reduction, and Quality Improvement" to address these concerns. During this workshop, speakers and participants explored how equity in care delivered and a focus on patients could be improved.

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103

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National Academies Press

Published Date

ISBN 10

0309177537

ISBN 13

9780309177535

Future Directions for the National Healthcare Quality and Disparities Reports

By: Institute of Medicine,Board on Health Care Services,Committee on Future Directions for the National Healthcare Quality and Disparities Reports

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Future Directions for the National Healthcare Quality and Disparities Reports

By: Institute of Medicine,Board on Health Care Services,Committee on Future Directions for the National Healthcare Quality and Disparities Reports

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247

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National Academies Press

Published Date

ISBN 10

0309159725

ISBN 13

9780309159722

Corporate Giving Directory

By: Taft Group,Taft Group, The

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Corporate Giving Directory

By: Taft Group,Taft Group, The

Each edition provides complete profiles of more than 1,000 of the largest corporate foundations and corporate direct giving programs in the U.S. Profiles include valuable information on contacts, giving priorities, operating locations, nonmonetary support, typical recipients, application procedures and more.

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1616

Published Date

ISBN 10

1569954593

ISBN 13

9781569954591

Foundation Reporter 37

By: Taft Group,Taft Group, The

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Foundation Reporter 37

By: Taft Group,Taft Group, The

Each edition of "Foundation Reporter gives you all the important contact, financial and grants information on the top 1,000 private foundations in the United States. In addition to providing biographical data on foundation officers and directors, entries examine a foundation's giving philosophy, financial summary, history of donors, geographic preferences, application procedures and restrictions, and more. Includes an updated appendix of more than 2,500 abridged private foundation entries providing additional funding sources. Thirteen indexes facilitate research.

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