Why Is Quality of Care Important to Health?
Evidence-based decisions, performance assessment, and explicit efforts to improve quality, reduce errors, and involve patients in care decisions are often components of high quality health care. Such care requires providers, health systems, and others to work together to improve health outcomes and patient satisfaction while containing costs .
Despite efforts towards higher quality care, an estimated 30% of patients did not receive recommended preventive care or treatment in 2009. Poor care coordination within and among facilities can lead to poor health outcomes and readmissions; about 20% of discharged elderly patients return to the hospital within 30 days . Hospital acquired infections killed about 100,000 Americans in 2007, and between 44,000 and 98,000 Americans are estimated to die from medical errors each year .
Quality varies widely by state, race, ethnicity, and income [2,3]. Blacks, Hispanics, American Indians and those with low incomes often get lower quality care than non-Hispanic whites and those with high incomes . One study found that women and minorities get lower quality care than their counterparts even when insurance status, income, and condition are accounted for .
Even with the highest per capita health care spending in the world, the US has shorter lifespans and higher infant mortality rates than other wealthy nations . Several studies estimate that at least 30% of US health expenditures are on practices and procedures that do not improve health . Preventable hospitalizations cost $26 billion in 2009, and in 2008, medical errors cost nearly $20 billion .
Adopting and implementing initiatives to improve the quality of health care in all settings can help us all get the care we need when we need it, leading to longer, healthier lives, and healthier, more productive communities.
 Cosgrove D, Fisher M, Gabow P, et al.
. Washington, DC: Institute of Medicine (IOM); June 2012. A CEO checklist for high-value health care  Clancy C, Munier W, Brady J, et al. . Rockville, MD: Agency for Healthcare Research and Quality (AHRQ); 2013. 2012 National healthcare quality report  Aligning Forces for Quality (AF4Q). . Princeton: Robert Wood Johnson Foundation (RWJF); 2010. Improving health care quality: Why you should get involved and how you can make a difference  Robert Wood Johnson Foundation (RWJF). . Princeton: Robert Wood Johnson Foundation (RWJF); 2013. Quality Field Notes Issue Brief No 2. What we’re learning: Clinicians are using data from public reports on their performance to improve care
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