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.
Transforming Health Care Scheduling and Access: Getting to ...
Released: June 29, 2015
The Institute of Medicine (IOM) report Crossing the Quality Chasm identified six fundamental aims for health care—that it be safe, effective, patient-centered, efficient, equitable, and timely. Of these fundamental aims, timeliness is in some ways the least well studied and understood. How can timely care be ensured in various health care settings, and what are some of the reasons that care is sometimes not timely? The report presented here was developed by the IOM Committee on Optimizing Scheduling in Health Care to answer such questions.
Developing a Performance Standard for Combination Unit ...
Released: June 17, 2015
Combination unit respirators, a respirator that employs the technology of two or more types of respiratory protection, are presently used in the United States by some law enforcement and military units to respond to situations in which there are unknown and potentially dangerous respiratory hazards; they also have some industrial uses and potential for use in emergency response.
Measuring the Impact of Interprofessional Education (IPE) on ...
Released: April 22, 2015
In 2013, the Institute of Medicine’s (IOM) Global Forum on Innovation in Health Professional Education held two workshops on IPE. At these workshops, a number of questions were raised, the most important of which was “What data and metrics are needed to evaluate the impact of IPE on individual, population, and system outcomes?” To answer this question, the Forum’s 47 individual sponsors requested that an IOM consensus committee be convened to examine the existing evidence on this complex issue and consider the potential design of future studies that could expand this evidence base.
Policy Issues in the Development and Adoption of Biomarkers ...
Released: April 02, 2015
A long-held goal in oncology has been to develop therapies that target the specific abnormalities in each patient’s cancer rather than simply treating cancers based on the tissue of origin. In the past decade, advances in technology have enabled researchers to relatively quickly and inexpensively determine, in minute detail, the genetic makeup of tumors.However, many challenges remain in effectively and efficiently developing new targeted cancer therapies and the biomarker tests that indicate which patients will be responsive to them, and in implementing them appropriately in clinical practice. These challenges include many policy issues, such as the level of oversight needed for test development and use, levels of evidence necessary for reimbursement decisions, and ways to meet informational needs of patients and care providers.
Harvesting the Scientific Investment in Prevention Science to ...
Released: April 01, 2015
With more than 200 prevention-centered, evidence-based health interventions in their toolbox, pediatric health practitioners stand to reap a bounty of benefits for their clients and communities. But how should all these data be harvested and evaluated, particularly in light of the changes introduced by the Affordable Care Act (ACA) and the Mental Health Parity and Addiction Equity Act of 2008, as well as reduced funding, implementation barriers, and the demands of balancing public health against individual patient treatment choices?
Strategies for Scaling Tested and Effective Family-Focused ...
Released: April 01, 2015
On April 1–2, 2014, the Board on Children, Youth, and Families of the Institute of Medicine and the National Research Council held a 2-day workshop titled “Strategies for Scaling Tested and Effective Family-Focused Preventive Interventions to Promote Children’s Cognitive, Affective, and Behavioral Health.” The purpose of the workshop was to discuss the successes and challenges of scaling family-focused interventions.
Transforming the Workforce for Children Birth Through Age 8 ...
Released: April 01, 2015
The Institute of Medicine (IOM) and National Research Council (NRC) were commissioned to explore the implications of the science of child development for the professionals who work with children birth through age 8. In the resulting report, Transforming the Workforce for Children Birth Through Age 8: A Unifying Foundation, the committee finds that much is known about what professionals who pro¬vide care and education for children need to know and be able to do and what professional learning supports they need. However, that knowledge is not fully reflected in the current capacities and practices of the workforce, the settings in which they work, the policies and infrastructure that set qualifications and provide professional learning, and the government and other funders who support and oversee these systems.
Innovations in Design and Utilization of Measurement ...
Released: March 31, 2015
The workshop featured presentations on the use of data linkage and integration to inform research and practice related to children’s cognitive, affective, and behavioral health; the use of quality measures to facilitate system change in health care, classroom, and juvenile justice settings; and tools developed to measure implementation of evidence-based prevention programs at scale to support sustainable program delivery, among other topics.
Empowering Women and Strengthening Health Systems and ...
Released: February 09, 2015
On September 9–11, 2014, the Global Forum on Innovation in Health Professional Education and the Forum on Public–Private Partnerships for Global Health and Safety of the Institute of Medicine convened a workshop on empowering women and strengthening health systems and services through investing in nursing and midwifery enterprise. This report highlights examples and explores broad frameworks for existing and potential intersections of different sectors that could lead to better health and well-being of women around the world, and how lessons learned from these examples might be applied in the United States.
Future Directions of Credentialing Research in Nursing ...
Released: January 07, 2015
With support from 20 different sponsors, the IOM convened a workshop to examine short- and long-term strategies to advance research on nurse certification and organizational credentialing on September 3 and 4, 2014, in Washington, DC. During the workshop, participants explored topics such as new conceptual frameworks, research gaps and priorities, advancements in research methodologies and data interoperability, and strategies to encourage and communicate research about nurse credentialing across diverse stakeholders.