The Common Sense Guide to Improving Palliative Care > 1.3 QI: Why You Need to Give It a Try

Sick To Death book cover This extract from the online edition of The Common Sense Guide to Improving Palliative Care is used with permission.

QI: Why You Need to Give It a Try

In its 2001 report, Crossing the Quality Chasm: A New Health System for the 21st Century, the Institute of Medicine sets six aims that all healthcare providers can use to improve the healthcare environment:

1. Safe, one that avoid injuries;

2.Effective, with services based on scientific knowledge and offered only to those likely to benefit from them;

3. Patient-centered, offering care that is respectful of and responsive to the patient;

4. Timely, reducing waits and harmful delays;

5.Efficient, avoiding waste of equipment, supplies, ideas, and energy;

6. Equitable, offering care that does not vary in character because of patient characteristics (such as gender, age, or race).

Quality improvement has the obvious benefit of improved patient care in all settings, and it has long been mandated for hospital and nursing home licensure. Now hospices and even physicians' offices are implementing QI practices.