Hospital leaders may be encouraged to build a framework that enables the organization to deliver heath service in response to community and patient needs by integrating services among many groups. The Institute of Medicine reports on healthcare quality by making recommendations, that in order to improve healthcare quality, healthcare should be safe, effective, patient centered, timely, efficient, and equitable. The Affordable Care Act attempts to restructure strategies of cost containment and the delivery of safe equitable quality health care and outcomes.
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