Applying the Institute of Medicine Quality Chasm Framework to Improving Health Care for Mental and Substance Use Conditions
Jan 1, 2008
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When the Institute of Medicine (IOM) quality improvement framework was first introduced to repair the nation's ailing health care system, behavioral health stakeholders were concerned that it might not work for mental health and substance use disorders. But an examination shows that the IOM framework is being incorporated into numerous nationwide projects targeting care for these conditions, suggesting that the behavioral health care system is "poised for change," according to researchers from RAND and the University of Pittsburgh.
More than 33 million Americans are treated annually for mental health and substance use disorders. Arriving at quality improvement for their care was a stepwise effort marked by the following IOM reports:
In their commentary, the researchers noted that a number of behavioral health quality improvement projects currently under way are implementing IOM recommendations. Researchers from the RAND-University of Pittsburgh Health Institute, a collaboration between RAND Health and the University of Pittsburgh Schools of the Health Sciences, are participating in three of these efforts:
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