About Publications

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.

  • Emergency Medical Services At the Crossroads : Health and ... Released: June 13, 2006
    Despite the lifesaving feats performed every day by emergency departments and ambulance services, the nation's emergency medical system as a whole is overburdened, underfunded, and highly fragmented, says this series of three reports from the Institute of Medicine. Emergency Medical Services at the Crossroads describes the development of Emergency Medical Services (EMS) systems over the last forty years and the fragmented system that exists today.
  • Medicare's Quality Improvement Organization Program ... Released: March 09, 2006
    Medicare’s Quality Improvement Organization Program: Maximizing Potential examines the program in detail and proposes a major restructuring of it so that it can become an important national resource integral to strategies of performance measurement, public reporting, and payment incentives.
  • Evaluating the HRSA Traumatic Brain Injury Program : Health ... Released: March 02, 2006
    This report presents the IOM Committee on Traumatic Brain Injury's assessment of the Health Resources and Services Administration (HRSA) TBI Program's impact and recommendations for improving the program.
  • Valuing Health for Regulatory Cost-Effectiveness Analysis ... Released: January 11, 2006
    The report of the committee, Valuing Health for Regulatory Cost-Effectiveness Analysis, reviews and makes recommendations for using integrated measures of morbidity and mortality (such as quality-adjusted life years, or QALYs); reporting cost-effectiveness ratios; and data and research needs to improve regulatory cost-effectiveness analysis.
  • Performance Measurement: Accelerating Improvement ... Released: December 01, 2005
    The first report in the Pathways series, Performance Measurement: Accelerating Improvement, focuses on the selection of measures to support the quality improvement efforts of a diverse set of stakeholders, and on the creation of a common infrastructure for guiding and managing a consistent set of such measures nationally and regionally.
  • Improving the Quality of Health Care for Mental and ... Released: November 01, 2005
    This report, Improving the Quality of Health Care for Mental and Substance-Use Conditions: Quality Chasm Series, examines those differences, finds that the Quality Chasm framework is applicable to health care for mental and substance-use conditions, and describes a multifaceted and comprehensive strategy to do so.
  • Building a Better Delivery System: A New Engineering/Health ... Released: July 20, 2005
    This report, Building a Better Delivery System: A New Engineering/Health Care Partnership, is the culmination of the joint NAE/IOM study and concludes that U.S. health care industry has neglected engineering strategies and technologies that have revolutionized quality, productivity, and performance in many other industries.
  • Quality Through Collaboration: The Future of Rural Health ... Released: November 01, 2004
    Rural America is a vital component of American society. Representing nearly 20 percent of the population, rural communities, like urban landscapes, are rich in cultural diversity. However, the smaller, poorer, and more isolated a rural community is, the more difficult it is to ensure the availability of high-quality health services. The Institute of Medicine report, Quality Through Collaboration: The Future of Rural Health examines the quality of health care in rural America.
  • 1st Annual Crossing the Quality Chasm Summit: A Focus on ... Released: September 14, 2004
    On January 6 and 7, 2004, the Institute of Medicine (IOM) hosted the 1st Annual Crossing the Quality Chasm Summit, convening a diverse group of national and community health care leaders to pool their knowledge and resources with regard to strategies for improving patient care for five common chronic illnesses: asthma, depression, diabetes, heart failure, and pain control in advanced cancer.
  • Insuring America's Health: Principles and Recommendations ... Released: January 13, 2004
    The report is the culmination of a series that offers the most comprehensive examination to date of the consequences of lack of health insurance on individuals, their families, communities and the whole society. The principles to guide health finance reform that are recommended in this sixth and final report of the series are based on the evidence reviewed in the Committee's previous five reports and on new analyses of past and present federal, state, and local efforts to reduce uninsurance.