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.


  • Rewarding Provider Performance: Aligning Incentives in ... Released: September 20, 2006
    Rewarding Provider Performance: Aligning Incentives in Medicare analyzes the promise and risks of instituting a pay-for-performance program within Medicare to encourage a more effective health care system.
  • Preventing Medication Errors: Quality Chasm Series : Health ... Released: July 20, 2006
    According to one estimate, in any given week four out of every five U.S. adults will use prescription medicines, over-the-counter (OTC) drugs, or dietary supplements of some sort. Most of the time these medications are beneficial, but on occasion they do injure the person taking them. Sometimes the harm is caused by an error in prescribing or taking the medication, and these damages are not inevitable. Preventing Medication Errors puts forward a national agenda for reducing medication errors based on estimates of the incidence and cost of such errors and evidence on the efficacy of various prevention strategies.
  • Hospital-Based Emergency Care: At the Breaking Point ... Released: June 13, 2006
    The Institute of Medicine's Committee on the Future of Emergency Care in the United States Health System was convened in 2003 to examine the state of emergency care in the U.S., to create a vision for the future of emergency care, including trauma care, and to make recommendations to help the nation achieve that vision. Hospital-Based Emergency Care: At the Breaking Point explores the changing role of the hospital emergency department and describes the national epidemic of overcrowded emergency departments and trauma centers.
  • Emergency Care for Children: Growing Pains : 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 Care for Children: Growing Pains describes the unique challenges of emergency care for children.
  • 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.