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Quality through collaboration the future of rural health quality chasm 9780309094399 medicine health science books amazoncom. Building on the innovative institute of medicine reports to err is human and crossing the quality chasm quality through collaboration the future of rural health offers a strategy to address the quality challenges in rural communities. Building on the innovative institute of medicine reports to err is human and crossing the quality chasm quality through collaboration the future of rural health offers a strategy to address the quality challenges in rural communities. To achieve the six quality aims rural communities must establish comprehensive quality improvement programs since the release of the quality chasm report a great deal of national and local attention has been focused on enhancing the health care sectors quality improvement capabilities. The quality chasm report calls for the implementation of payment systems that encourage the delivery of quality health care this chapter begins by addressing how pay for performance initiatives should be implemented in rural communities