Introduction Powell and Albert write that healthcare can be defined as the “management and treatment” of diseases as well as the preservation of health through a number of services made available by alternative medicine, dental and medical professions (22). In the ever-changing health care industry, advanced technology has made possible a number of new procedures and methods of diagnosis thus increasing the longevity of quality of life of American citizens. The Institute of Medicine or the IOM is a non-governmental American organization that was initiated in 1970 to provide national advice on matters concerning medicine, biomedical science, and health (Institute of Medicine, 2001). It is also part of the US National Academy of Sciences charged with the responsibility of serving as an adviser to the United States to improve the general health of Americans. The Institute of Medicine provides particular guidelines for healthcare officials and providers to follow. It is understood that guidelines provided by the Institute of Medicine help regulate the healthcare system. Institute of Medicine’s 10 rules for redesigning the 21st Century healthcare system Given the current health care system situation in the United States, the Institute of Medicine saw it wise to redesign the 21st-century health care system by providing 10 rules which are vital for enhancing a good organizational structure in healthcare services (Powell and Albert, 27). These include:   * The patient becoming the source of control (IOM, 2001)   * Care is customized to cater to the patient’s need as well as value(IOM, 2001)   * Decision making being evidence-based and not based upon training as is currently the norm (IOM, 2001)   * care is based on continuous healing associations as opposed to the current care being based on visits (IOM, 2001)   * Transparency will be required and safety will become a health care system priority (IOM, 2001)   * Waste is consistently decreased (IOM, 2001)   * health care needs anticipating (IOM, 2001)   * Knowledge is also shared (IOM, 2001)   * There is the free flow of information (IOM, 2001)   * Cooperation among clinicians is a top priority (IOM, 2001) Impact IOM regulations in an organizational setting Any organization can apply the ten rules of IOM to redesign the 21st-century health care system by ensuring that patients receive health care services whenever they need them and also gain easy access by multiple therapeutic means (Powell & Albert 27). Health care systems should be structured to meet the most common forms of patient needs but still have the capability to respond to personal patient choices as far as customization (based on patient values and needs) is concerned (Cuellar & Gertler, 2005). In the case of anticipation of patient needs, an organization applies the 10 rules by ensuring that the health care system anticipates patient needs rather than react to occurrences. Organizations should not waste any health care resources or patient time (IOM, 2001). An organization also reduces risk by ensuring safety requirements are set. This will assist in the prevention and mitigation of errors. An organization makes sure that the healthcare system provides easy access to information