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.


  • Creating a Business Case for Quality Improvement and ... Released: April 07, 2008
    The Institute of Medicine’s Forum on the Science of Health Care Quality Improvement and Implementation convened a workshop in Washington, D.C. entitled, Creating a Business Case for Quality Improvement and Quality Improvement Research. The overall goal of the workshop was to develop a better understanding of the economic and business disciplines that encourage sustained efforts to improve the quality of health care.
  • Knowing What Works in Health Care: A Roadmap for the ... Released: January 24, 2008
    Solutions to some of the nation’s most pressing health policy problems hinge on the ability to identify which diagnostic, treatment, and prevention services work best for various patients and circumstances. A new Institute of Medicine report, Knowing What Works in Health Care: A Roadmap for the Nation, provides a blueprint for a national program to assess the effectiveness of clinical services and to provide credible, unbiased information about what really works in health care.
  • Opportunities for Coordination and Clarity to Advance the ... Released: October 22, 2007
    A recent report acknowledged the impetus provided by the creation in 2004 of the Office of the National Coordinator for Health Information Technology (ONC) within the U.S. Department of Health and Human Services, and applauded the Department’s 10-year goal for creation of the National Health Information Infrastructure and the high priority given to the creation of standards. This report responds to a request by ONC for IOM to convene a Committee of experts (the Committee) to review and comment on the pace and cohesion of the standards activities it coordinates.
  • Cancer Care for the Whole Patient: Meeting Psychosocial ... Released: October 15, 2007
    Cancer care today often provides state-of-the-science biomedical treatment, but fails to address the psychological and social (psychosocial) problems associated with the illness. Today, it is not possible to deliver good-quality cancer care without addressing patients’ psychosocial health needs. All patients with cancer and their families should expect and receive cancer care that ensures the provision of appropriate psychosocial health services. The National Institutes of Health (NIH) asked the Institute of Medicine (IOM) to study the delivery of psychosocial services to cancer patients and their families and identify ways to improve it.
  • The State of Quality Improvement and Implementation ... Released: October 05, 2007
    What works in quality improvement? What methods are currently being used to assess and identify best practices? What programs and methods should be pursued in the future? These questions are addressed in The State of Quality Improvement and Implementation Research: Expert Views, Workshop Summary by the Institute of Medicine. The IOM Forum on the Science of Health Care Quality Improvement and Implementation invited experts both from within and outside of health care to provide a better understanding of what is known about quality improvement and implementation research.
  • Cancer-Related Genetic Testing and Counseling. Workshop ... Released: August 20, 2007
    The Institute of Medicine’s National Cancer Policy Forum held a workshop and released the proceedings entitled Cancer-Related Genetic Testing and Counseling. The workshop focused on the fact that genetic testing and counseling are becoming more complex and important for informing patients and families of the risks and benefits of certain courses of action, but at the same time organized expert programs are in short supply. The workshop covered the scientific and clinical aspects of genetic testing and counseling as well as workforce and reimbursement issues, among others.
  • Advancing Quality Improvement Research: Challenges and ... Released: May 23, 2007
    The focus of the workshop was to bring people together from various arenas to discuss quality improvement—what it is, what barriers against it must be overcome in the health care industry, and what research has been done on it.
  • Future of Emergency Care: Dissemination Workshop ... Released: May 17, 2007
    The IOM Committee on the Future of Emergency Care was formed in September 2003 to examine the full scope of emergency care; explore its strengths, limitations, and challenges; create a vision for the future of the system; and make recommendations to help the nation achieve that vision. Future of Emergency Care: Dissemination Workshop Summaries is the result of three regional IOM workshops conducted across the country, and a fourth capstone workshop conducted in Washington, DC.
  • 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.