Why is the new ROC-P program necessary?
Since the 1990s there has been a conscious and concerted effort by those both inside and outside the health professions to begin to systematically evaluate the quality of delivered health care. It also became necessary, to codify the reasons for inadequate care and health errors, and to make recommendations for system-wide improvement. Health service researchers began to document widespread unexplained variation in care delivered, even by board-certified dentists. In addition, the Institute of Medicine (IOM) published the summaries of phase 2 of their Quality Initiative project. The publication of To Err is Human: Building a Safer Health System (1999) and Crossing the Quality Chasm: A New Health System for the 21st Century (2001) received widespread and immediate public attention. The IOM also made specific recommendations for change, including the goals that care should be safe, effective, efficient, equitable, patient-centered, and timely. These two reports accelerated calls for chan
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