the commonwealth fund a high performance health system for us challenge stephen c schoenbaum md executive vice president programs october 3 2005 www cmwf org big picture quality of care chasm adults receive half recommended and varies significantly by medical condition source mcglynn et al delivered to in united states new england journal medicine june 26 2003 2635 2645 55 76 65 54 39 23 0 20 40 60 80 overall breast cancer hypertension asthma pneumonia hip fracture percent received provision appropriate first third fourth sf jencks ed huff t cuerdon change medicare beneficiaries 1998 1999 2000 2001 american association 289 no jan 15 305 312 second wa or id mt nd wy nv ca ut az nm ks ne mn mo wi tx ia il ar la sc tn nc ky fl va oh mi wv pa ny ak mevt nh ma ri ct de
