2004 IOM Conference Leads to Crossing the Quality Chasm Report on Improving Care for Five Chronic Conditions

Summit on the Crossing the Quality Chasm report

In 2004, the Institute of Medicine (IOM) convened a summit of over 200 national and community health leaders and published a report on strategies to improve patient care for five common chronic conditions — asthma, depression, diabetes, heart failure and pain control in advanced cancer.

Key Results

  • The "1st Annual Crossing the Quality Chasm Summit: A Focus on Communities," took place on January 6–7, 2004, in Washington.
  • The summit report, The 1st Annual Crossing the Quality Chasm Summit: A Focus on Communities (September 2004), synthesizes the outcomes of the summit. Among the key points made in the report:
    • Participants called for national organizations, accrediting agencies and appropriate subspecialty providers to agree on a defined, well-validated set of performance measures for the five chronic conditions.
    • Participants stressed the importance of patients' access to and control of their health records, ideally through storing them in a transportable electronic format.


The Robert Wood Johnson Foundation (RWJF) funded this project through a grant of $699,931.

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