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.
Geographic Adjustment in Medicare Payment - Phase II ...
Released: July 17, 2012
Although Medicare is a national program, it adjusts payments to hospitals and health care practitioners according to the geographic location in which they provide service, acknowledging that the cost of doing business varies around the country. Under the adjustment systems, payments in high-cost areas are increased relative to the national average, and payments in low-cost areas are reduced. The HHS asked the IOM to conduct a two-part study to recommend corrections of inaccuracies and inequities in geographic adjustments to Medicare payments. In this report, the committee applies the first report’s recommendations in order to determine their potential effect on Medicare payments to hospitals and clinical practitioners.
Informatics Needs and Challenges in Cancer Research ...
Released: July 16, 2012
Informatics tools – which help collect, organize, and analyze data – are essential to biomedical and health research and development. The field of cancer research is facing an overwhelming deluge of data, heightening the national urgency to find solutions to support and sustain the cancer informatics ecosystem. The IOM’s National Cancer Policy Forum held a workshop February 27-28, 2012, to further examine informatics needs and challenges for 21st century biomedical research.
The Mental Health and Substance Use Workforce for Older ...
Released: July 10, 2012
At least 5.6 million to 8 million – nearly one in five – older adults in America have one or more mental health and substance use conditions, which present unique challenges for their care. With the number of adults age 65 and older projected to soar from 40.3 million in 2010 to 72.1 million by 2030, the aging of America holds profound consequences for the nation. Following its 2008 report highlighting the urgency of expanding and strengthening the geriatric health care workforce, the IOM was asked by the Department of Health and Human Services to undertake a complementary study on the geriatric mental health and substance use workforce. An expert committee assessed the needs of this population and the workforce that serves it.
The Role of Obesity in Cancer Survival and Recurrence ...
Released: April 03, 2012
Recent research suggests that obesity and excess weight can influence cancer survival and recurrence. Given the increasing rate of obesity and an aging population more susceptible to cancer, there is mounting concern about obesity’s role in fueling tumor growth. At an IOM workshop, experts presented the latest evidence on the obesity-cancer link and the possible mechanisms underlying that link, as well as potential interventions to mitigate the effects of obesity on cancer, and research and policy measures needed to counter the expected rise of cancer incidence and mortality due to an increasingly overweight and older population.
Crisis Standards of Care: A Systems Framework for ...
Released: March 21, 2012
Disasters can stress health care systems to the breaking point and disrupt delivery of vital medical services. Following its 2009 report, which defined crisis standards of care (CSC), the IOM develops important templates to guide the efforts of professionals and organizations responsible for CSC planning and implementation. The latest report provides a foundation of underlying principles, steps needed to achieve implementation, and the pillars of the emergency response system, each separate and yet together upholding the jurisdictions that have the overarching authority for ensuring that CSC planning and response occurs.
Allied Health Workforce and Services - Workshop Summary ...
Released: December 08, 2011
The demand for health care is growing as the nation ages and seeks to provide coverage for the millions of Americans who lack health insurance. At the same time, escalating costs have led to a variety of initiatives to make the delivery of health care more effective and efficient. The allied health workforce is critical to the success of these efforts. The IOM held a workshop May 9-10, 2011, to examine the current allied health care workforce and consider how it can contribute to improving health care access, quality, and effectiveness.
Health IT and Patient Safety: Building Safer Systems for Better ...
Released: November 08, 2011
Health IT is designed to help improve the performance of health professionals, reduce costs, and enhance patient safety. However, poorly designed health IT can create new hazards in the already complex delivery of care. In the wake of more widespread use of health IT, the Department of Health and Human Services asked the IOM to evaluate safety concerns and recommend ways to make patient care safer using health IT. The IOM makes recommendations to improve transparency in the reporting of health IT safety incidents and enhance monitoring of health IT products, both of which can lead to improved care.
Facilitating Collaborations to Develop Combination ...
Released: October 31, 2011
Advances in biomedical research have increased our understanding of the complex nature of disease and the interaction of multiple molecular pathways involved in cancer. Combining investigational products early in their development is thought to be a promising strategy for identifying effective therapies. The IOM’s National Cancer Policy Forum held a workshop to discuss challenges and identify potential solutions to improve collaboration and advance the development of combination investigational cancer therapies.
The Richard and Hinda Rosenthal Lecture 2011: New ...
Released: October 05, 2011
More than 10 years ago, the IOM released its landmark report on patient safety, To Err is Human: Building a Safer Health System. The 2011 Rosenthal Lecture featured the Honorable Kathleen G. Sebelius, Secretary of the U.S. Department of Health and Human Services, who presented the new steps that HHS is taking to improve patient safety. A panel of leaders in patient safety followed to discuss patient safety progress and opportunities.
Patients Charting the Course: Citizen Engagement in the ...
Released: October 03, 2011
As past, current, or future patients, the public should be the health care system’s unwavering focus and serve as change agents in its care. Taking this into account, the quality of health care should be judged not only by whether clinical decisions are informed by the best available scientific evidence, but also by whether care is tailored to a patient’s individual needs and perspectives. However, too often it is provider preference and convenience, rather than those of the patient, that drive what care is delivered. As part of its Learning Health System series of workshops, the Roundtable on Value & Science-Driven Health Care hosted a workshop to assess the prospects for improving health and lowering costs by advancing patient involvement in the elements of a learning health system.