Organizational technologies for transforming care: Measures and strategies for pursuit of IOM quality aims

Larry Gamm, Bita Kash, Jane Bolin

Research output: Contribution to journalArticlepeer-review

18 Scopus citations


Progress on the Institute of Medicine's(IOM's) 6 aims to bridge the "quality chasmg" requires both measurement and the concerting of multiple organizational technologies. The basic thesis of this article is that rapid progress on the IOM's multiple aims calls for transformative change within and among healthcare organizations. The promise of a number of types of transformative approaches is closely linked to their ability to simultaneously build upon several organizational technologies: clinical, social, information, and administrative technologies. To encourage and advance such efforts, this article identifies illustrative measures of attainment of the IOM's 6 aims or targeted areas for improvement that reflect the contributions of the 4 organizational technologies. It discusses examples of relationships between the IOM aims and the organizational technologies considered. Finally, the article offers illustrations of the interplay of these organizational technologies and IOM aimsĝ€"across an array of organizational innovations with transformative potential. Included among such innovations are information technology in the form of electronic medical records, computer-based physician order entry, and patient health records; organization-wide patient-centered cultural change such as Studer's Hardwiring Excellence; Six Sigma and Toyota Production Management/LEAN; major clinical technology change, for example, minimally invasive cardiac surgery and broader treatment innovations such as disease management.

Original languageEnglish (US)
Pages (from-to)291-301
Number of pages11
JournalJournal of Ambulatory Care Management
Issue number4
StatePublished - Oct 2007


  • Disease management
  • Organizational innovations
  • Organizational management technology

ASJC Scopus subject areas

  • Health Policy


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