The Institute of Medicine's 2001 report Crossing the Quality Chasm argued for fundamental redesign of the U.S. health care system. Six years later, many health care organizations have embraced the report's goals, but few have succeeded in making the substantial transformations needed to achieve those aims.
Center for Organization, Leadership and Management Research, Department of Veterans Affairs, and Boston University School of Public Health, Boston, MA, USA. carol.vandeusenlukas@va.gov
