Fundamental redesign will be required, and the report offers 10 rules for redesign. The Crossing the Quality Chasm report concludes that fragmentary, incremental change will be insufficient to reach achievable levels of quality improvement in American health care. Widespread variation in rates of surgery and other interventions for common conditions among seemingly similar populations in different geographic regions raises concern about how doctors and patients make decisions. The Institute of Medicine's (IOM's) Crossing the Quality Chasm ( IOM, 2001) provides ample evidence for the underuse of effective care, the overuse of marginally effective or ineffective care, and the misuse of care, including preventable errors, in its delivery. Questions about CAM use arise at a time when providers of conventional medical care are being challenged as never before to examine the effectiveness and efficiency of health care in the United States. This chapter begins by setting the context for the committee's consideration of CAM on the basis of a more general model of health care decision making. This chapter provides a framework for thinking about questions related to CAM use, explores the definition of CAM, describes a taxonomy for thinking about various CAM modalities, provides an overview of recent events in the history of CAM use in the United States, and briefly describes CAM activities currently under way at the National Institutes of Health (NIH) and the Agency for Healthcare Research and Quality (AHRQ). Just what is CAM? Who is using CAM, and why are they doing so? Are CAM therapies safe? Are they effective? These are just a few of the questions surrounding the use of CAM by the American public. Friends talk to friends about remedies for specific problems. Information about CAM flows freely in various media: newspapers, magazines, books, pamphlets, and the Internet. Medical schools, nursing schools, and schools of pharmacy are teaching their students about CAM. Hospitals, managed care plans, and conventional practitioners are incorporating CAM therapies into their practices. Out-of-pocket costs for CAM are estimated to exceed $27 billion, which shows that CAM is now big business.
Total visits to CAM providers exceed total visits to all primary-care physicians. In 1997, an estimated 15 million adults took prescription medications concurrently with herbal remedies or high-dose vitamins, bringing into play the possibility of negative interactions. For example, look at the following statistics on CAM: 42 percent of people in the United States report that they have used at least one CAM therapy: however, less than 40 percent of those using CAM disclosed such use to a physician. Please consult your device documentation for instructions.The widespread use of complementary and alternative medicine (CAM) is of major importance to today's health care consumers, practitioners, researchers, and policy makers.
On mobile devices, you can save the bookmark as an easy-access icon similar to other apps. For example, if you select "Weather for a location," then select a location, the bookmark will return to your location on your next visit. You may bookmark the URL to return later to the same view with the selected settings.
ALTERNATE UNITED STATES MAP UPDATE
The URL will automatically update as you select the view and settings.
ALTERNATE UNITED STATES MAP FULL
This view provides a full map view of all alert hazards (similar to WWA map). This view is similar to a radar application on a phone that provides radar, current weather, alerts and the forecast for a location. This view combines radar station products into a single layer called a mosaic and storm based alerts.
This view provides specific radar products for a selected radar station and storm based alerts. This site is organized into views that provide relevant radar products and weather information for a common task or goal.