Publications from the AffiliateMarketIngtools of Sciences, Engineering, and Medicine provide objective and straightforward advice to decision makers and the public. This site includes We Treat You (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.
Released: September 06, 2012
America's health care system has become far too complex and costly to continue business as usual. Pervasive inefficiencies, an inability to manage a rapidly deepening clinical knowledge base, and a reward system poorly focused on key patient needs, all hinder improvements in the safety and quality of care and threaten the nation's economic stability and global competitiveness. In the face of these realities, the IOM convened the Committee on the Learning Health Care System in America to explore these central challenges to health care today. The product of the committee’s deliberations, Best Care at Lower Cost, points out that emerging tools like computing power, connectivity, team-based care, and systems engineering techniques—tools that were previously unavailable—make the present opportunities for better health care in America. Applying these new strategies can support the transition to a continuously learning health system, one that aligns science and informatics, patient-clinician partnerships, incentives, and a culture of continuous improvement to produce the best care at lower cost. The report’s recommendations speak to the many stakeholders in the health care system and outline the concerted actions necessary across all sectors to achieve the needed transformation.
Released: September 05, 2012
Genomic information has significantly increased our understanding of disease and the integration of genome-based strategies into drug discovery and development processes has resulted in the recent successful development of a number of new targeted therapeutics. However, there remains skepticism over how useful genomic information will be to the larger drug development process, requiring examination of the impact of and challenges for incorporating genome-based strategies. On March 21, 2012, the IOM held a workshop to examine the general approaches being used to apply genome-based research results to the discovery and development of new drugs, the successes achieved so far, and the challenges ahead.
Released: August 22, 2012
Although many scientific opportunities exist for the development of new drugs and diagnostics, only a small fraction of investigational products are successfully developed into cures and therapies that can be accessed by patients. The newly developed Cures Acceleration Network (CAN)—a part of the National Center for Advancing Translational Sciences (NCATS) within the National Institutes of Health (NIH)—has the potential to catalyze widespread changes in NCATS, NIH, and the drug development ecosystem in general. On June 4–5, 2012, the IOM Forum on Drug Discovery, Development, and Translation held a workshop to explore options and opportunities in the implementation of CAN.
Released: July 31, 2012
As part of the critical infrastructure of any community, health systems and assets are vital not only for the safety and well-being of its citizens, but also for the economic vitality, quality of life, and livelihood of the entire community. The IOM Forum on Medical and Public Health Preparedness for Catastrophic Events sponsored a town hall session at the 2012 Public Health Preparedness Summit, held February 21-24 in Anaheim, CA. The session focused on sustaining health care delivery beyond the initial response to a disaster and facilitating the full long-term recovery of the local health care delivery systems.
Released: July 26, 2012
At the request of NASA, the IOM formed a committee to review NASA Human Research Program’s (HRP’s) Scientific Merit Assessment Processes. The scientific merit assessment processes have been developed by NASA to evaluate individual directed research tasks in order to ensure the scientific integrity of the HRP’s directed research portfolio. The committee evaluated the scientific merit assessment processes that are applied to direct research tasks – commissioned or noncompetitively awarded research that is not competitively solicited. These processes are funded through the HRP and to determine best practices from similar assessment processes that are used in other federal agencies.
Released: July 18, 2012
Approximately 80 million adults in the United States have low health literacy – an individual’s ability to obtain, process, and understand basic health information – creating a plethora of health-related difficulties. It is important for health care organizations to develop strategies that can improve their health literacy, yet organizations often find it difficult to determine exactly what it means to be health literate. The IOM Roundtable on Health Literacy held a workshop to discuss the growing recognition that health literacy depends not only on individual skills and abilities but also on the demands and complexities of the health care system.
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.
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.
Released: July 13, 2012
An estimated 13 to 20 percent of United States service members who have fought in Iraq or Afghanistan since 2001 suffer from posttraumatic stress disorder (PTSD), brought on by a specific traumatic event, including combat. As the U.S. reduces its military involvement in the Middle East, the Departments of Defense (DoD) and Veterans Affairs (VA) anticipate that increasing numbers of returning veterans will need PTSD services. As a result, Congress asked the DoD, in consultation with the VA, to sponsor an IOM study to assess both departments’ PTSD treatment programs and services. This first of two mandated reports examines the some of the available prevention, screening, diagnostic, treatment, and rehabilitation programs and encourages further research that can help to improve PTSD care.
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.