Internal and external appeals systems should be enhanced to assure speedy and accurate decisions. Policymakers and other stakeholders should engage in a national dialogue regarding current remedies for consumers who are injured as a result of inappropriate health care decisions. Such a dialogue should consider the cost and consequences of both the status quo and any revisions to existing policies. Quality Improving quality requires commitment at all levels of the health care industry. Health care organizations, professionals, and other participants in the health care system must make quality improvement the driving force of the industry.
Greater investment is needed in basic, clinical, preventive, and health services research.
The continued development and dissemination of evidence-based information can help to guide practitioners' actions and the development and implementation of management policies that can influence practice to improve quality. Adapting organizations for change. Health care workers. Greater collaborations among health workers, along with better education and training of workers in quality improvement skills, are needed. The estimated 10 million health care workers in the United States can be a powerful tool for improving quality.