State and federal financing systems provide no incentives around our policy goals of providing high-quality education to many more people in timely, efficient and affordable ways.
Quality care is commonly defined as care that is 'safe, effective, patient-centred, timely, efficient and equitable' (United States Institute of Medicine 2001).
The Crossing the Quality Chasm report suggests 6 aims for fundamental reform, exhorting the health care system to become safe, effective, patient-centered, timely, efficient, and equitable.
A structured data extraction tool was used to identify and classify metrics into one of six Institute of Medicine (IOM) quality domains (safe, timely, efficient, effective, equitable, patient-centered) and one of three of Donabedian's structure/process/outcome categories.
Invariably, these patients require timely, efficient, and effective referrals to a wide gamut of professional clinical expertise, including those in audiology, behavioral therapy, cognitive rehabilitation and remediation, neuropsychology, occupational therapy, optometry, pharmacotherapy, psychotherapy, physical therapy, and speech therapy.
We describe the implementation of a new approach to this patient population that serves as an example of redesigning a system of care to optimize safety using the principles of patient-centered care while delivering safe, effective, timely, efficient, and equitable care.
The Institute of Medicine report "Crossing the Quality Chasm", emphasized high quality care should be safe, timely, effective, efficient, equitable, and patient-centered [ 1].
Improved management can be attained through proactive measures for prevention and preparedness, as well as timely, effective, and efficient response, recovery, rehabilitation, and reconstruction.
Secure and timely information flow on health problems across care providers and institutions can enable safe, timely, effective, and efficient care delivery.
Thus, such new knowledge and technologies from basic research are not yet integrated in health in a timely, effective, and efficient manner [ 7].
In the dynamic environment of nursing care, it is essential that the nursing production system have innovative capacity to ensure nursing staff can adjust constantly to address patient needs and deliver safe, effective, patient-centered, timely and efficient care.
