title: Leadership versus management: translating pharmacists' abilities into quality performance.
abstract: OBJECTIVE
  To describe the quality gap in health care as it was referred to in the Institute of Medicine's reports, to try to harness pharmacy's potential to improve the quality of drug therapy, and to provide insight into the elusive leadership, management, and dynamics of change.
  
  
  CONCLUSIONS
  Current health care is nowhere near ideal. Successful quality initiatives have included establishing a "culture of quality" (promoting a learning organization), having good leadership, and developing strong management. Ideally, all of these concepts must be applied concurrently for the best results because using only one will not spirit medicine across the gap. To close the gap, pharmacists need to understand various types of change and select a change mechanism that will continuously improve care.
  
  
  CONCLUSIONS
  Optimizing drug therapy is both a great challenge and a great opportunity for pharmacy. AMCP's Framework for Quality Drug Therapy is a continuous quality improvement model that gives us the tools to plan, implement, and evaluate strategies to improve the quality of patient care and cross the "quality chasm."
authors.affiliation: College of Pharmacy, Department of Pharmaceutical and Health Outcomes Sciences, University of South Carolina, Columbia 29208, USA. reeder@pharm.sc.edu
authors.forename: C E
authors.initials: CE
authors.lastname: Reeder
mesh_terms: D004358:Drug Therapy / Q000592:standards; D006801:Humans; D007857:Leadership; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D010593:Pharmaceutical Services / Q000458:organization & administration*; D010595:Pharmacists / Q000458:organization & administration*; D010605:Pharmacy Administration / Q000379:methods; D024382:Professional Role; D058996:Quality Improvement / Q000458:organization & administration; D011787:Quality of Health Care; D014481:United States