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.


  • 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.
  • Patient Safety: Achieving a New Standard for Care : Health ... Released: November 20, 2003
    The IOM released Patient Safety: Achieving a New Standard for Care, a report that describes a detailed plan to facilitate the development of data standards applicable to the collection, coding, and classification of patient safety information. This report describes a detailed plan to facilitate the development of data standards applicable to the collection, coding, and classification of patient safety information.
  • Setting the Course: A Strategic Vision for Immunization, Part 4 ... Released: November 11, 2003
    This report is a summary of the national workshop in Washington, DC in March 2002. The report summarizes the findings of the IOM study Calling the Shots, reviews the status of implementation of the IOM report recommendations at the federal and state levels, and highlights continuing challenges in immunization finance for the nation as a whole and for individual state and local health departments.
  • Keeping Patients Safe: Transforming the Work Environment of ... Released: November 03, 2003
    Keeping Patients Safe: Transforming the Work Environment of Nurses identifies solutions to problems in hospital, nursing home, and other health care organization work environments that threaten patient safety through their effect on nursing care. A companion to the Institute of Medicine's earlier patient safety report, To Err is Human, the report puts forth a blueprint of actions that all health care organizations which rely on nurses should take.
  • Financing Vaccines in the 21st Century: Assuring Access and ... Released: August 04, 2003
    Financing Vaccines in the 21st Century: Assuring Access and Availability addresses these challenges by proposing new strategies for assuring access to vaccines and sustaining the supply of current and future vaccines. The report proposes a federal mandate, subsidy and voucher program for vaccines.
  • Key Capabilities of an Electronic Health Record System ... Released: July 31, 2003
    A committee of the Institute of Medicine of the National Academies has identified a set of 8 core care delivery functions that electronic health records (EHR) systems should be capable of performing in order to promote greater safety, quality and efficiency in health care delivery.
  • Academic Health Centers: Leading Change in the 21st ... Released: July 16, 2003
    Academic Health Centers: Leading Change in the 21st Century, identifies actions by AHCs, as well as public policy steps, that will enable AHCs to respond to current trends; it also describes three strategic management systems that all AHCs will need to establish to enable a more coordinated and cohesive system.
  • Hidden Costs, Value Lost: Uninsurance in America : Health ... Released: June 18, 2003
    Hidden Costs, Value Lost: Uninsurance in America, the fifth of a series of six reports on the consequences of uninsurance in the United States, illustrates some of the economic and social losses to the country of maintaining so many people without health insurance. The report explores the potential economic and societal benefits that could be realized if everyone had health insurance on a continuous basis, as people over age 65 currently do with Medicare.
  • Setting the Course: A Strategic Vision for Immunization, Part 3 ... Released: May 16, 2003
    In January 2002, health officials, public health experts, health care providers, health plan representatives, health care purchasers, and community leaders met at the University of California at Los Angeles to discuss state-specific challenges for immunization finance and future strategies for strengthening immunization activities and the public health infrastructure that supports those activities. This report summarizes the discussions of the workshop, which examined immunization issues in California, with a special focus on Los Angeles and San Diego counties.
  • Medicare Coverage of Routine Screening for Thyroid ... Released: April 18, 2003
    The serum thyroid stimulating hormone (TSH) assay is a common blood test that is already covered by the Medicare program for the diagnosis and treatment of illness. This report is an inquiry into the additional costs and benefits of also offering this test as a preventive service.