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...tion of chasm. n. 1. A deep, steep-sided opening in the earth's surface; an abyss or gorge ... PDF the setting chasm ... . 2. A sudden interruption of continuity; a gap. 3. Crossing the Chasm explores the challenges of marketing innovative products during the start-up phase, and provides a strategic framework for continued growth and expansion. In the current article, we provide a condensed executive summary of the book for those who wish to quickly (~15 min) familiarize themselves with its core idea before reading in full - or recap after having read it earlier. The Institute of Medicine report, Crossing the Quality Chasm: A New Health System for th ... PDF the setting chasm ... . The Institute of Medicine report, Crossing the Quality Chasm: A New Health System for the 21st Century, examines the immense divide between what we know to be good health care and the health care that people actually receive. It outlines six specific "Aims for Improvement". Chasm definition, a yawning fissure or deep cleft in the earth's surface; gorge. See more....