Publications from the National Academies of Sciences, Engineering, and Medicine provide objective and straightforward advice to decision makers and the public. This site includes Health and Medicine Division (HMD) publications released after 1998. A complete list of HMD’s publications from its establishment in 1970 to the present is available as a PDF.
Core Measurement Needs for Better Care, Better Health, and ...
Released: June 24, 2013
Initiatives are under way throughout the nation to improve health care quality, improve the health of the American population, and reduce health care costs. These initiatives take on increased urgency in the face of shortfalls with respect to what is possible in health and health care. Despite spending almost one-fifth of the economy’s output on health care, the quality and safety of care remains uneven. While there are multiple obstacles to improving the nation’s health care system, one essential element for sustained progress is the capacity to reliably and consistently measure progress across all aspects of health and the health care system. To consider these issues, the IOM held a workshop, sponsored by the Blue Shield of California Foundation, to explore in depth the core measurement needs for population health, health care quality, health care costs, and engaged people. An IOM study panel is being developed to build on this work and propose a core measure set.
Interprofessional Education for Collaboration: Learning How ...
Released: May 13, 2013
Over the last 100 years, much of the landscape has changed with regards to the health professions and the settings in which these professionals work. Due to societal shifts and technological innovations, changes to the health professions are underway in many parts of the world that call for new models for how health professionals are educated. The IOM Global Forum on Innovation in Health Professional Education held two workshops which set the stage for defining and understanding interprofessional education and provided living histories of speakers from around the world who shared experiences working in and between Interprofessional education and Interprofessional or collaborative practice.
Fostering Independence, Participation, and Healthy Aging ...
Released: April 18, 2013
An increasingly important aspect of the social and environmental factors that determine whether an individual has a disability is the technology to which that person has access. Technology-driven assistive and adaptive products have improved functioning and quality of life for people of all ages. Furthermore, there is great potential for technology to increase a person’s disability-free years. The IOM-National Research Council Forum on Aging, Disability, and Independence hosted a workshop to examine the ways in which technology can foster independence and healthy aging among working-age individuals with disabilities and among individuals who are developing disabilities while they age.
Delivering Affordable Cancer Care in the 21st Century ...
Released: February 11, 2013
Spending on health care currently accounts for 18 percent of the United States’ GDP. By 2037, that percentage is expected to increase to 25 percent of GDP. Spending on cancer care is expected to increase because of the rapid influx of new cancer diagnoses as the population ages. Also, as more expensive therapies and technologies become the standard of care, there are concerns that the costs of cancer treatment could begin to outpace health care inflation as a whole. The IOM held a workshop to examine the drivers of current and projected cancer care costs as well as potential ways to curb these costs while maintaining or improving the quality of care.
The Role of Telehealth in an Evolving Health Care ...
Released: November 20, 2012
Since the 1996 IOM report, Telemedicine: A Guide to Assessing Telecommunications for Health Care, attention to telehealth has continued to grow in both the public and private sectors. Peer-reviewed journals and professional societies are devoted to telehealth, the federal government provides grant funding to promote the use of telehealth, and the private technology industry continues to develop new applications for telehealth. However, barriers remain to the use of telehealth. The IOM held a workshop to examine how the use of telehealth technology can fit into the U.S. health care system.
Reducing Tobacco-Related Cancer Incidence and Mortality ...
Released: November 01, 2012
Tobacco use is the leading cause of preventable death in the United States, causing more than 440,000 deaths every year. Tobacco use is linked to the development of 18 different types of cancer and accounts for at least 30 percent of all cancer deaths. Despite the widespread agreement on the dangers of tobacco use and considerable success in reducing the smoking rate by half since the first U.S. Surgeon General’s report on smoking in 1964, progress in reducing tobacco use has slowed in recent years. The IOM held a workshop to examine current challenges in tobacco control and to explore potential policy, outreach, and treatment strategies that could reduce tobacco-related cancer incidence and death.
Digital Data Improvement Priorities for Continuous Learning in ...
Released: September 28, 2012
Digital health data are the lifeblood of a continuous learning health system. A steady flow of reliable data is necessary to coordinate and monitor patient care, analyze and improve systems of care, conduct research to develop new products and approaches, assess the effectiveness of medical interventions, and advance population health. The totality of available health data is a crucial resource that should be considered an invaluable public asset in the pursuit of better care, improved health, and lower health care costs. This publication summarizes discussions at the March 2012 IOM workshop to identify and characterize the current deficiencies in the reliability, availability, and usability of digital health data and consider strategies, priorities, and responsibilities to address such deficiencies.
Geographic Adjustment in Medicare Payment - Phase II ...
Released: July 17, 2012
Although Medicare is a national program, it adjusts payments to hospitals and health care practitioners according to the geographic location in which they provide service, acknowledging that the cost of doing business varies around the country. Under the adjustment systems, payments in high-cost areas are increased relative to the national average, and payments in low-cost areas are reduced. The HHS asked the IOM to conduct a two-part study to recommend corrections of inaccuracies and inequities in geographic adjustments to Medicare payments. In this report, the committee applies the first report’s recommendations in order to determine their potential effect on Medicare payments to hospitals and clinical practitioners.
Informatics Needs and Challenges in Cancer Research ...
Released: July 16, 2012
Informatics tools – which help collect, organize, and analyze data – are essential to biomedical and health research and development. The field of cancer research is facing an overwhelming deluge of data, heightening the national urgency to find solutions to support and sustain the cancer informatics ecosystem. The IOM’s National Cancer Policy Forum held a workshop February 27-28, 2012, to further examine informatics needs and challenges for 21st century biomedical research.
The Mental Health and Substance Use Workforce for Older ...
Released: July 10, 2012
At least 5.6 million to 8 million – nearly one in five – older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. An expert committee assessed the needs of this population and the workforce that serves it.