Received: from SpoolDir by DREDD (Mercury 1.48); 4 Apr 01 11:53:19 +0000 Received: from daffodil.csv.warwick.ac.uk (137.205.192.30) by dredd.csv.warwick.ac.uk (Mercury 1.48) with ESMTP; 4 Apr 01 11:53:13 +0000 Received: from mail4.gsi.gov.uk (mail.gsi.gov.uk [194.6.79.172]) by daffodil.csv.warwick.ac.uk (8.11.3/8.11.3) with ESMTP id f34ArDV14425 for <[log in to unmask]>; Wed, 4 Apr 2001 11:53:13 +0100 (BST) Received: from doh.gsi.gov.uk (gsifw1.doh.gov.uk [51.64.32.146]) by mail4.gsi.gov.uk (BLOBBY/BLOBBY) with SMTP id f34AqW919657; Wed, 4 Apr 2001 11:52:32 +0100 (BST) Received: by doh.gsi.gov.uk(Lotus SMTP MTA v4.6.2 (693.3 8-11-1998)) id 00256A24.0041F163 ; Wed, 4 Apr 2001 12:00:16 +0000 X-Lotus-FromDomain: DOH From: [log in to unmask] To: [log in to unmask], [log in to unmask], [log in to unmask], [log in to unmask], [log in to unmask], [log in to unmask], [log in to unmask], "Alec Logan" <[log in to unmask]>, "Dr. Paul Hodgkin" <[log in to unmask]>, "Dr F E Griffiths" <[log in to unmask]> Message-ID: <[log in to unmask]> Date: Wed, 4 Apr 2001 11:59:08 +0000 Subject: US Institute of Medicine Reoprt Mime-Version: 1.0 Content-type: text/plain; charset=us-ascii Content-Disposition: inline X-PMFLAGS: 34078848 0 1 Y08724.CNM Friends, The US Institute of Medicine has just published an interesting new report: "Crossing the Quality Chasm: A New Health System for the 21st Century". It is of interest for a couple of reasons. First, it's the nearest thing to a US version of the NHS Plan that we likely to see and there are a number of remarkable similaries (given the difference in the systems) between this plan and ours (something very like National Service Frameworks, an Innovation Fund, suggested support processes that read very like the National Patients Access Team/Modernisation Agency model); and secondly, the conceptual underpinnings are explicitly based on seeing the US health system as a set of complex adaptive systems. There is an Annex (B) written by Paul Plsek on 'Redesigning Health Care with Insights from the Science of Cpomplex Adaptive Systems'. Interesting to see CAS getting such a high, official profile. The report is available here [http://www.nap.edu/books/0309072808/html/] Regards, Peter Dick Department of Health QH