The Definition of Quality Provided by the Institute of Medicine

The definition of quality provided by the Institute of Medicine is the most widely accepted definition of health care quality. Which of the following is not part of the definition?

A) Health care organizations should provide value consistent with the cost structure of the organization.
B) Health care organizations should achieve desired health outcomes for individuals, matching their preferences for variety.
C) Health care organizations should achieve desired health outcomes for populations, matching the societal preferences of policy makers and third-party payers for efficiency.
D) Health care organizations should adhere to professional standards and scientific evidence, consistent with the clinical focus and preferences of health care providers for effectiveness.
E) All of these are aspects of the IOM definition of health care quality