Consensus
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.
Rural America is a vital, diverse component of the American community, representing nearly 20% of the population of the United States. Rural communities are heterogeneous and differ in population density, remoteness from urban areas, and the cultural norms of the regions of which they are a part. As a result, rural communities range in their demographics and environmental, economic, and social characteristics. These differences influence the magnitude and types of health problems these communities face.
Quality Through Collaboration: The Future of Rural Health assesses the quality of health care in rural areas and provides a framework for core set of services and essential infrastructure to deliver those services to rural communities. The book recommends:
It is critical that existing and new resources be deployed strategically, recognizing the need to improve both the quality of individual-level care and the health of rural communities and populations.
288 pages
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6 x 9
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hardcover
ISBN Ebook: 0-309-58877-4
DOI:
https://doi.org/10.17226/11140
Institute of Medicine. 2005. Quality Through Collaboration: The Future of Rural Health. Washington, DC: The National Academies Press.
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Consensus
Mental, emotional, and behavioral (MEB) disorders, including mental illness and substance use disorders, affect every U.S. population group, community, and neighborhood. Existing infrastructure focuses more on responding to MEB crises, through treatment and recovery, rather than preventing them through evidence-based policy approaches and programs. Prevention services that do exist are insufficiently funded and fragmented.
Blueprint for a National Prevention Infrastructure for Mental, Emotional, and Behavioral Disorders focuses on building and sustaining a comprehensive prevention infrastructure for MEB disorders as a whole. Conclusions and recommendations of this report focus on closing research gaps, supporting an MEB disorder prevention workforce, ensuring adequate data to support prevention and reporting, establishing clear governance, securing sustainable funding, and enacting evidence-based policies.
384 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-73092-9
ISBN Ebook: 0-309-73093-7
DOI:
https://doi.org/10.17226/28577
National Academies of Sciences, Engineering, and Medicine. 2025. Blueprint for a National Prevention Infrastructure for Mental, Emotional, and Behavioral Disorders. Washington, DC: The National Academies Press.
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Consensus
Cybercrime poses serious threats and financial costs to individuals and businesses in the United States and worldwide. Reports of data breaches and ransomware attacks on governments and businesses have become common, as have incidents against individuals (e.g., identity theft, online stalking, and harassment). Concern over cybercrime has increased as the internet has become a ubiquitous part of modern life. However, comprehensive, consistent, and reliable data and metrics on cybercrime still do not exist - a consequence of a shortage of vital information resulting from the decentralized nature of relevant data collection at the national level.
Cybercrime Classification and Measurement addresses the absence credible cybercrime data and metrics. This report provides a taxonomy for the Federal Bureau of Investigation for the purpose of measuring different types of cybercrime, including both cyber-enabled and cyber-dependent crimes faced by individuals and businesses, and considers the needs for its periodic revision. This report was mandated by the 2022 Better Cybercrime Metrics Act (BCMA).
160 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-73461-4
ISBN Ebook: 0-309-73462-2
DOI:
https://doi.org/10.17226/29048
National Academies of Sciences, Engineering, and Medicine. 2025. Cybercrime Classification and Measurement. Washington, DC: The National Academies Press.
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Symposium_in_brief
Many of the challenges engineers seek to address through their work - from increased access to clean water and transportation to climate change adaptation - are inextricably tied to human rights, and addressing them holistically requires embedding human rights frameworks into engineering practice. In turn, efforts to advance human rights can be strengthened by incorporating engineering expertise, problem-solving approaches, and novel technologies.
To explore these concepts, the National Academy of Engineering Cultural, Ethical, Social, and Environmental Responsibility in Engineering program and the Committee on Human Rights of the National Academy of Sciences conducted a symposium on November 18-19, 2024. Participants discussed ways to increase awareness of the role that engineers play in protecting and promoting human rights and explored ways that human rights-based approaches in engineering might help engineers and human rights experts solve pressing challenges. This publication summarizes the presentations and discussion of the symposium.
104 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-99323-7
ISBN Ebook: 0-309-99324-5
DOI:
https://doi.org/10.17226/29141
National Academies of Sciences, Engineering, and Medicine. 2025. Issues at the Intersection of Engineering and Human Rights: Proceedings of a Symposium. Washington, DC: The National Academies Press.
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The Every Day Counts (EDC) Program is a key component of the Technology and Innovation Deployment Program (TIDP) within the U.S. Federal Highway Administration at the U.S. Department of Transportation. It works to increase the use of new technologies and approaches that can speed the planning and completion of transportation projects.
CRP Special Release 5: Evaluation of the Every Day Counts Program, from the Transportation Research Board, provides a summary of the EDC Program evaluation conducted from 2023 through 2024.
68 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-73353-7
ISBN Ebook: 0-309-73354-5
DOI:
https://doi.org/10.17226/28871
National Academies of Sciences, Engineering, and Medicine. 2025. Evaluation of the Every Day Counts Program. Washington, DC: The National Academies Press.
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The asphalt pavement industry has a long history of using recycled materials in asphalt mixtures to achieve engineering, economic, or environmental benefits. One example is reclaimed asphalt pavement, which is one of the most recycled materials in the United States.
NCHRP Research Report 1143: Evaluation of Post-Consumer Recycled Plastics in Asphalt Mixtures via the Dry Process, from TRB's National Cooperative Highway Research Program, evaluates the impact of post-consumer recycled plastics on the performance properties of asphalt mixtures when added using the dry process.
150 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-73331-6
ISBN Ebook: 0-309-73332-4
DOI:
https://doi.org/10.17226/28867
National Academies of Sciences, Engineering, and Medicine. 2025. Evaluation of Post-Consumer Recycled Plastics in Asphalt Mixtures via the Dry Process. Washington, DC: The National Academies Press.
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Workshop
On May 16-17, 2024, the National Academies held a workshop to explore how various stakeholder engagement strategies can support communities that may host federally funded energy infrastructure projects. During the event, experts from national and regional community-based organizations, academia, federal agencies, and private-sector project developers shared successful case studies and discussed best practices for negotiating community benefits. This proceedings summarizes the workshop discussions and synthesizes the key lessons learned.
82 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-72776-6
ISBN Ebook: 0-309-72777-4
DOI:
https://doi.org/10.17226/27996
National Academies of Sciences, Engineering, and Medicine. 2025. Leveraging Community Benefit Frameworks: Empowering Communities to Benefit from Federally Funded Energy Projects: Proceedings of a Workshop. Washington, DC: The National Academies Press.
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Workshop
Although traumatic brain injury (TBI) is a major cause of disability for adults over the age of 65, knowledge gaps and clinically relevant differences in TBI injury, recovery, and outcomes in this age group limit evidence-based care guidance. The National Academies organized a public workshop in October 2024 to explore what is known about TBI among older adults, discuss unmet research needs, and consider opportunities to address gaps and support the translation of new knowledge to practice.
64 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-09962-5
ISBN Ebook: 0-309-09963-3
DOI:
https://doi.org/10.17226/29099
National Academies of Sciences, Engineering, and Medicine. 2025. Approaches to Address Unmet Research Needs in Traumatic Brain Injury Among Older Adults: Proceedings of a Workshop. Washington, DC: The National Academies Press.
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Workshop_in_brief
In February 2025, the National Academies Roundtable on Population Health Improvement hosted the fourth workshop in its Elevating the Structural Drivers of Population Health series, focusing on the implications of economic systems on health and well-being. The workshop examined how democratic principles and approaches can inform the economic system and improve conditions for population health and well-being.
13 pages
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8.5 x 11
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ISBN Ebook: 0-309-99357-1
DOI:
https://doi.org/10.17226/29149
National Academies of Sciences, Engineering, and Medicine. 2025. Economic Systems as a Structural Driver of Population Health Through the Lens of Democracy and Governance: Proceedings of a Workshop—in Brief. Washington, DC: The National Academies Press.
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Recognizing the value of managing a broader range of assets beyond pavements and bridges, many state departments of transportation (DOTs) are developing dynamic inventories of various ancillary assets in their Transportation Asset Management Plans. Examples include hydraulic structures like culverts and drainage systems and overhead sign and signal structures and signal systems.
NCHRP Synthesis 647: Management Practices for Ancillary Transportation Assets, from TRB's National Cooperative Highway Research Program, documents how state DOTs manage ancillary transportation assets, including those managed via performance-based approaches.
166 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-73498-3
ISBN Ebook: 0-309-73499-1
DOI:
https://doi.org/10.17226/29059
National Academies of Sciences, Engineering, and Medicine. 2025. Management Practices for Ancillary Transportation Assets. Washington, DC: The National Academies Press.
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Workshop
Advances in genome sequencing technologies, like next-generation sequencing, provide powerful tools that have vastly improved the detection and classification of pathogens and disease outbreaks and support data-driven public health responses. In July 2024, the National Academies Forum on Microbial Threats hosted a public workshop to explore opportunities to advance the use of pathogen genomics and metagenomics data in the U.S. public health system. Speakers considered the application of these technologies to monitoring disease, characterization of emerging pathogens, rapid public health response to outbreaks, and biomedical research.
128 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-09984-6
ISBN Ebook: 0-309-09986-2
DOI:
https://doi.org/10.17226/29103
National Academies of Sciences, Engineering, and Medicine. 2025. Accelerating the Use of Pathogen Genomics and Metagenomics in Public Health: Proceedings of a Workshop. Washington, DC: The National Academies Press.
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Workshop
On June 11, 20, 26 and July 2, 2024, the National Academies of Sciences, Engineering, and Medicine held a series of workshop sessions to consider human and organizational factors of artificial intelligence (AI) risk management. The first three sessions - which examined community participation, testing and evaluation, and organizational culture - were held virtually, and the final session - in which members of the planning committee and a set of invited respondents reflected on the earlier sessions - was held in person. This proceedings recounts the presentations and discussions that occurred throughout these workshop sessions.
58 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-73453-3
ISBN Ebook: 0-309-73454-1
DOI:
https://doi.org/10.17226/29046
National Academies of Sciences, Engineering, and Medicine. 2025. Human and Organizational Factors in AI Risk Management: Proceedings of a Workshop. Washington, DC: The National Academies Press.
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Erosion and sediment control (ESC) practices are used to prevent soil loss and reduce sediment-laden stormwater runoff. They could be either temporary or permanent and could be used in construction, maintenance, and operations practices.
NCHRP Synthesis 643: Use of Sustainable Materials for Erosion and Sediment Control Practices, from TRB's National Cooperative Highway Research Program, documents the current use of plastics in ESC practices across state departments of transportation as well as state DOTs’ policies and plans to reduce or eliminate the use of plastics for ESC practices.
90 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-73423-1
ISBN Ebook: 0-309-73424-X
DOI:
https://doi.org/10.17226/29034
National Academies of Sciences, Engineering, and Medicine. 2025. Use of Sustainable Materials for Erosion and Sediment Control Practices. Washington, DC: The National Academies Press.
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Consensus
In 2024, the National Academies of Sciences, Engineering, and Medicine were tasked with convening a committee to examine the current process and data inputs used by the Centers for Medicare and Medicaid Services (CMS) to valuate primary care in the Physician Fee Schedule. Additionally, the committee was tasked with outlining alternative methodologies for data collection and potential sources of input to more accurately capture the time, intensity, and complexity of the work required to deliver high-quality primary care.
The resulting report, Improving Primary Care Valuation Decisions for the Physician Fee Schedule by the Center for Medicare, makes specific recommendations for CMS to address the systemic flaws currently affecting primary care professionals and limiting the potential of high-quality primary care services for all.
64 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-73535-1
ISBN Ebook: 0-309-73536-X
DOI:
https://doi.org/10.17226/29069
National Academies of Sciences, Engineering, and Medicine. 2025. Improving Primary Care Valuation Processes to Inform the Physician Fee Schedule. Washington, DC: The National Academies Press.
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Workshop_in_brief
The funding and incentivizing model for research and development has evolved rapidly within the past decade, with philanthropy playing an increasingly significant role alongside government, university, and industry partnerships to accelerate discovery and innovation. Traditional academic research processes are inadequate to facilitate a rapid transition to real-world applications and markets—and growing national security concerns have affected how universities participate in the innovation ecosystem. On October 15–16, 2024, members and guests of the National Academies of Sciences, Engineering, and Medicine's Government-University-Industry-Philanthropy Research Roundtable convened in Washington, DC, to consider these and related questions. These questions included how collaborations across sectors are shaped by research environments and culture, how to overcome barriers, and how to incentivize risk-taking to address urgent societal technology challenges. This publication summarizes the presentations and discussion of the event.
12 pages
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8.5 x 11
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ISBN Ebook: 0-309-99184-6
DOI:
https://doi.org/10.17226/29121
National Academies of Sciences, Engineering, and Medicine. 2025. Incentivizing Urgency, Speed, and Scale to Support Future U.S. Innovation: Proceedings of a Workshop—in Brief. Washington, DC: The National Academies Press.
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Workshop
Worsening mortality among working-age adults is a significant concern in the United States. Because rising mortality is an indicator of deteriorating population health among adults, it is important to investigate the underlying causes and their implications. At the request of the National Institute on Aging, the Committee on Population of the National Academies convened a workshop to examine what is currently known about trends in disability and disabling morbidity, with the goal for helping to set a research agenda and data priorities. This publication summarizes the presentations and discussion of the workshop.
96 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-99210-9
ISBN Ebook: 0-309-99211-7
DOI:
https://doi.org/10.17226/29100
National Academies of Sciences, Engineering, and Medicine. 2025. Health and Disability Among Working-Age Adults: Trends, Disparities, and Implications for Employment and Federal Programs: Proceedings of a Workshop. Washington, DC: The National Academies Press.
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Supply chains are critical for our well-being. They touch all critical sectors of the economy, including aerospace, agriculture, defense, energy, health care, microelectronics and semiconductors, transportation and logistics, critical materials, and many more. When supply chains fail, we suffer, as we learned during the COVID-19 pandemic. We also learned that the challenges we faced then can be overcome if we reimagine supply chains with the goal of ensuring our national resiliency.
The 2024 National Academy of Engineering annual meeting on "Reimagining Supply Chains for National Resiliency" represented a call to action for the nation's top engineers in business, government, and academia to come together and reimagine next-generation supply chains. The forum of the 2024 annual meeting brought together four experts on supply chain issues to share their experiences, perspectives, and predictions. This publication summarizes the presentations and discussion of the forum.
36 pages
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6 x 9
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ISBN Ebook: 0-309-10002-X
DOI:
https://doi.org/10.17226/29109
National Academy of Engineering. 2025. Reimagining Supply Chains for National Resiliency: Proceedings of a Forum. Washington, DC: The National Academies Press.
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Consensus
Ethylene oxide is primarily produced in Texas and Louisiana with sites in Texas accounting for nearly half of all emitted ethylene oxide in the United States. Because ethylene oxide is emitted in Texas and has been determined by other agencies to be a carcinogen, the Texas Commission on Environmental Quality (TCEQ) undertook a carcinogenic dose-response assessment for use in TCEQ's remediation and air permitting programs. The TCEQ assessed the carcinogenic hazards of ethylene oxide and derived a chronic inhalation unit risk factor (URF) in its 2020 Ethylene Oxide Carcinogenic Dose-Response Assessment Development Support Document (TCEQ DSD).
As requested by TCEQ, the National Academies of Sciences, Engineering, and Medicine assembled an ad hoc committee to review the methods, results, and conclusions of the TCEQ DSD. The committee considered whether the conclusions are clearly presented, scientifically supported, and based on the best available scientific information. The report finds that the lack of application of systematic review methods, the exclusion of critical epidemiological data, the limitations in the modeling approach and use of unpublished validation data all contribute to a lack of confidence in TCEQ's risk assessment of ethylene oxide.
74 pages
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6 x 9
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paperback
ISBN Paperback: 0-309-73165-8
ISBN Ebook: 0-309-73166-6
DOI:
https://doi.org/10.17226/28592
National Academies of Sciences, Engineering, and Medicine. 2025. Review of Texas Commission on Environmental Quality's Ethylene Oxide Development Support Document. Washington, DC: The National Academies Press.
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Planning and operating transportation systems involves the exchange of large volumes of data that must be shared between partnering transportation agencies, private-sector interests, travelers, and intelligent devices such as traffic signals, ramp meters, and connected vehicles.
NCHRP Research Report 1121: Data Integration, Sharing, and Management for Transportation Planning and Traffic Operations, from TRB's National Cooperative Highway Research Program, presents tools, methods, and guidelines for improving data integration, sharing, and management practices through case studies, proof-of-concept product developments, and deployment assistance.
290 pages
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8.5 x 11
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paperback
ISBN Paperback: 0-309-73229-8
ISBN Ebook: 0-309-73227-1
DOI:
https://doi.org/10.17226/28690
National Academies of Sciences, Engineering, and Medicine. 2025. Data Integration, Sharing, and Management for Transportation Planning and Traffic Operations. Washington, DC: The National Academies Press.
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