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Nutrition Informatics Blog

Improving the Quality of Health Care

(What is Nutrition Informatics, Clinical Nutrition, Professional Education) Permanent link   All Posts

Improving the Quality of Health Care

Maggie Gilligan, RD, CSG, LDN

In Crossing the Quality Chasm, the Institute of Medicine (IOM) put forth an agenda for meeting the six aims for improving the quality of health care—safe, effective, patient-centered, timely, efficient, and equitable.

One important component of a successful program for providers of care is to create an environment that fosters and rewards improvement by1:

·   Creating an infrastructure to support evidence-based practice

·   Facilitating the use of information technology

·   Aligning payment incentives

·   Preparing the workforce to better serve patients in a world of expanding knowledge and rapid change

While the approach is sound, “the strategies have failed, in part, because there has not been a ‘business case for quality’ in health care.”2 We currently see quality measures used as a method to look at the quality and efficiency of health care outcomes. Abundant evidence shows that serious and extensive quality problems exist throughout medicine in the United States, which results in harm to many Americans.3

Key components to address should include:

·   Ensuring the availability of information, so that providers of care can make well-informed decisions

·   Developing protocols that support evidence-based practices

·   Creating guidelines and best practices based upon scientific evaluation and continuous improvement of these practices and guidelines

As dietitians, we need to have an awareness of the focus/goal of the IOM and address it in our individual practice settings.


1.Institute of Medicine, Committee on Quality of Health Care in America. Crossing the quality chasm: a new health system for the 21st century. Available at:;type=pdfxsum. Accessed August 22, 2012.

2.Coye MJ. No Toyotas in health care: why medical care has not evolved to meet patient’s needs. Health Affairs. 2001;20:44-56.

3.Institute of Medicine. To Err Is Human: Building a Safer Health System. Washington, DC: National Academy Press; 2000.


Every day, millions of peoples receive high-quality health care that helps to maintain or restore their health and ability to function. However, far too many do not. Quality problems are reflected in a wide variation in the use of health care services, underuse of some services, overuse of other services, and misuse of services, including an unacceptable level of errors.
Its very important to focus the area. Which is need to be improve of our body not only Internally, but also externally. Part of the body functioning should be strong to face the unfortunate and upcoming disease.
Posted by: Nutrition education programmes( Visit ) at 9/10/2012 8:02 AM

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