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Journal Article
Quality Improvement for Whom?
2016
Overview
Improving the quality of almost anything is a laudable goal. However, when it comes to the improvement of health care, a critical question to ask is, who actually benefits from the improvement? Is it the patient, the clinician, the financial officer and the health care corporation, the population at large, other entities, no one, or everyone?To understand how the current quality improvement in health care movement started, it is important to review a bit of history. In 1999 the Institute of Medicine (IOM) published a hugely influential report, To Err Is Human, which revealed that up to 98,000 US citizens were dying each year as a result of medical errors. Although most of the error caused deaths occurred in hospitals, other settings such as doctor’s offices, outpatient surgical centers, and nursing homes were also involved. In addition, the cost of medical errors resulting in injuries was estimated to be between$17 billion and $ 29 billion, with health care costs accounting for more than 50% of the total.
