%0 Book %A National Academies of Sciences, Engineering, and Medicine %E Amankwah, Francis %E Balogh, Erin %E Maitin-Shepard, Melissa %E Nass, Sharyl %T The Impact of the Affordable Care Act on Cancer Prevention and Cancer Care: Proceedings of a Workshop %@ 978-0-309-27381-7 %D 2022 %U https://nap.nationalacademies.org/catalog/26400/the-impact-of-the-affordable-care-act-on-cancer-prevention-and-cancer-care %> https://nap.nationalacademies.org/catalog/26400/the-impact-of-the-affordable-care-act-on-cancer-prevention-and-cancer-care %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 72 %X The National Cancer Policy Forum of the National Academies of Sciences, Engineering, and Medicine convened a virtual workshop in March 2021 to examine the existing evidence base on how the Patient Protection and Affordable Care Act (ACA) has altered the landscape of cancer prevention and care delivery in the United States. The workshop featured presentations and discussions reviewing the effects of the ACA on people at risk for or living with cancer and providing insight into remaining policy challenges that could inform future efforts to improve and support the delivery of high-quality cancer care across the care continuum. This publication provides a high-level summary of the discussions presented during the workshop. %0 Book %A Institute of Medicine %E Reeve, Megan %E Wizemann, Theresa %E Eckert, Bradley %E Altevogt, Bruce %T The Impacts of the Affordable Care Act on Preparedness Resources and Programs: Workshop Summary %@ 978-0-309-30360-6 %D 2014 %U https://nap.nationalacademies.org/catalog/18755/the-impacts-of-the-affordable-care-act-on-preparedness-resources-and-programs %> https://nap.nationalacademies.org/catalog/18755/the-impacts-of-the-affordable-care-act-on-preparedness-resources-and-programs %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 158 %X Many of the elements of the Affordable Care Act (ACA) went into effect in 2014, and with the establishment of many new rules and regulations, there will continue to be significant changes to the United States health care system. It is not clear what impact these changes will have on medical and public health preparedness programs around the country. Although there has been tremendous progress since 2005 and Hurricane Katrina, there is still a long way to go to ensure the health security of the Country. There is a commonly held notion that preparedness is separate and distinct from everyday operations, and that it only affects emergency departments. But time and time again, catastrophic events challenge the entire health care system, from acute care and emergency medical services down to the public health and community clinic level, and the lack of preparedness of one part of the system places preventable stress on other components. The implementation of the ACA provides the opportunity to consider how to incorporate preparedness into all aspects of the health care system. The Impacts of the Affordable Care Act on Preparedness Resources and Programs is the summary of a workshop convened by the Institute of Medicine's Forum on Medical and Public Health Preparedness for Catastrophic Events in November 2013 to discuss how changes to the health system as a result of the ACA might impact medical and public health preparedness programs across the nation. This report discusses challenges and benefits of the Affordable Care Act to disaster preparedness and response efforts around the country and considers how changes to payment and reimbursement models will present opportunities and challenges to strengthen disaster preparedness and response capacities. %0 Book %A Institute of Medicine %E Alper, Joe %T Population Health Implications of the Affordable Care Act: Workshop Summary %@ 978-0-309-29434-8 %D 2014 %U https://nap.nationalacademies.org/catalog/18546/population-health-implications-of-the-affordable-care-act-workshop-summary %> https://nap.nationalacademies.org/catalog/18546/population-health-implications-of-the-affordable-care-act-workshop-summary %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 72 %X Population Health Implications of the Affordable Care Act is the summary of a workshop convened in June 2013 by the Institute of Medicine Roundtable on Population Health Improvement to explore the likely impact on population health improvement of various provisions within the Affordable Care Act (ACA). This public workshop featured presentations and discussion of the impact of various provisions in the ACA on population health improvement. Several provisions of the ACA offer an unprecedented opportunity to shift the focus of health experts, policy makers, and the public beyond health care delivery to the broader array of factors that play a role in shaping health outcomes. The shift includes a growing recognition that the health care delivery system is responsible for only a modest proportion of what makes and keeps Americans healthy and that health care providers and organizations could accept and embrace a richer role in communities, working in partnership with public health agencies, community-based organizations, schools, businesses, and many others to identify and solve the thorny problems that contribute to poor health. Population Health Implications of the Affordable Care Act looks beyond narrow interpretations of population as the group of patients covered by a health plan to consider a more expansive understanding of population, one focused on the distribution of health outcomes across all individuals living within a certain set of geopolitical boundaries. In establishing the National Prevention, Health Promotion, and Public Health Council, creating a fund for prevention and public health, and requiring nonprofit hospitals to transform their concept of community benefit, the ACA has expanded the arena for interventions to improve health beyond the "doctor's" office. Improving the health of the population - whether in a community or in the nation as a whole - requires acting to transform the places where people live, work, study, and play. This report examines the population health-oriented efforts of and interactions among public health agencies (state and local), communities, and health care delivery organizations that are beginning to facilitate such action. %0 Book %A Transportation Research Board %A National Academies of Sciences, Engineering, and Medicine %E Garrity, Richard %E McGehee, Kathy %T Impact of the Affordable Care Act on Non-Emergency Medical Transportation (NEMT): Assessment for Transit Agencies %D 2014 %U https://nap.nationalacademies.org/catalog/22268/impact-of-the-affordable-care-act-on-non-emergency-medical-transportation-nemt-assessment-for-transit-agencies %> https://nap.nationalacademies.org/catalog/22268/impact-of-the-affordable-care-act-on-non-emergency-medical-transportation-nemt-assessment-for-transit-agencies %I The National Academies Press %C Washington, DC %G English %K Transportation and Infrastructure %P 55 %X TRB’s Transit Cooperative Research Program (TCRP) Research Results Digest 109: Impact of the Affordable Care Act on Non-Emergency Medical Transportation (NEMT): Assessment for Transit Agencies assesses the potential impact of implementing the NEMT provision of the Affordable Care Act on a state-by-state basis. The report also collates information to inform the transit community on how public transit and NEMT providers may integrate or use their respective resources and services. %0 Book %A Institute of Medicine %A National Academies of Sciences, Engineering, and Medicine %E Anderson, Karen M. %E Olson, Steve %T Achieving Health Equity via the Affordable Care Act: Promises, Provisions, and Making Reform a Reality for Diverse Patients: Workshop Summary %@ 978-0-309-29463-8 %D 2015 %U https://nap.nationalacademies.org/catalog/18551/achieving-health-equity-via-the-affordable-care-act-promises-provisions %> https://nap.nationalacademies.org/catalog/18551/achieving-health-equity-via-the-affordable-care-act-promises-provisions %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 100 %X Since its creation by the Institute of Medicine (IOM) in 2007, the Roundtable on the Promotion of Health Equity and the Elimination of Health Disparities has been fostering dialogue on racial and ethnic disparities in health and health care, examining the development of programs and strategies to reduce disparities, and encouraging the emergence of new leadership focused on health equity. For the past several years, a prominent topic of discussion within the roundtable has been the Patient Protection and Affordable Care Act (ACA). The ACA has multiple provisions specific to race, ethnicity, and language and other provisions with significant implications for racially and ethnically diverse populations. In April 2013, the roundtable held a workshop to address many issues surrounding the ACA, including expansion of coverage, delivery systems, and access points, service delivery and payment reform, public-private partnerships, and challenges to the safety net. This report summarizes the presentations and discussions from the workshop. %0 Book %A Institute of Medicine %E Balogh, Erin %E Patlak, Margie %E Nass, Sharyl J. %T Delivering Affordable Cancer Care in the 21st Century: Workshop Summary %@ 978-0-309-26944-5 %D 2013 %U https://nap.nationalacademies.org/catalog/18273/delivering-affordable-cancer-care-in-the-21st-century-workshop-summary %> https://nap.nationalacademies.org/catalog/18273/delivering-affordable-cancer-care-in-the-21st-century-workshop-summary %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 94 %X Rising health care costs are a central fiscal challenge confronting the United States. National spending on health care currently accounts for 18 percent of gross domestic product (GDP), but is anticipated to increase to 25 percent of GDP by 2037. The Bipartisan Policy Center argues that "this rapid growth in health expenditures creates an unsustainable burden on America's economy, with far-reaching consequences". These consequences include crowding out many national priorities, including investments in education, infrastructure, and research; stagnation of employee wages; and decreased international competitiveness.In spite of health care costs that far exceed those of other countries, health outcomes in the United States are not considerably better. With the goal of ensuring that patients have access to high-quality, affordable cancer care, the Institute of Medicine's (IOM's) National Cancer Policy Forum convened a public workshop, Delivering Affordable Cancer Care in the 21st Century, October 8-9, 2012, in Washington, DC. Delivering Affordable Cancer Care in the 21st Century summarizes the workshop. %0 Book %A Institute of Medicine %E Ulmer, Cheryl %E McFadden, Bernadette %E Cacace, Cassandra %T Perspectives on Essential Health Benefits: Workshop Report %@ 978-0-309-21543-5 %D 2012 %U https://nap.nationalacademies.org/catalog/13182/perspectives-on-essential-health-benefits-workshop-report %> https://nap.nationalacademies.org/catalog/13182/perspectives-on-essential-health-benefits-workshop-report %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 182 %X The Patient Protection and Affordable Care Act (herein known as the Affordable Care Act [ACA]) was signed into law on March 23, 2010. Several provisions of the law went into effect in 2010 (including requirements to cover children up to age 26 and to prohibit insurance companies from denying coverage based on preexisting conditions for children). Other provisions will go into effect during 2014, including the requirement for all individuals to purchase health insurance. In 2014, insurance purchasers will be allowed, but not obliged, to buy their coverage through newly established health insurance exchanges (HIEs)--marketplaces designed to make it easier for customers to comparison shop among plans and for low and moderate income individuals to obtain public subsidies to purchase private health insurance. The exchanges will offer a choice of private health plans, and all plans must include a standard core set of covered benefits, called essential health benefits (EHBs). The Department of Health and Human Services requested that the Institute of Medicine (IOM) recommend criteria and methods for determining and updating the EHBs. In response, the IOM convened two workshops in 2011 where experts from federal and state government, as well as employers, insurers, providers, consumers, and health care researchers were asked to identify current methods for determining medical necessity, and share decision-making approaches to determining which benefits would be covered and other benefit design practices. Essential Health Benefits summarizes the presentations in this workshop. The committee's recommendations will be released in a subsequent report. %0 Book %A Institute of Medicine %E Wizemann, Theresa %T Health Literacy Implications for Health Care Reform: Workshop Summary %@ 978-0-309-16416-0 %D 2011 %U https://nap.nationalacademies.org/catalog/13056/health-literacy-implications-for-health-care-reform-workshop-summary %> https://nap.nationalacademies.org/catalog/13056/health-literacy-implications-for-health-care-reform-workshop-summary %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 128 %X Health literacy is the degree to which one can understand and make decisions based on health information. Nearly 90 million adults in the United States have limited health literacy. While poor health literacy spans all demographics, rates of low health literacy are disproportionately higher among those with lower socioeconomic status, limited education, or limited English proficiency, as well as among the elderly and individuals with mental or physical disabilities. Studies have shown that there is a correlation between low health literacy and poor health outcomes. In 2010, President Obama signed the Affordable Care Act designed to extend access to health care coverage to millions of Americans who have been previously uninsured. Many of the newly eligible individuals who should benefit most from the ACA, however, are least prepared to realize those benefits as a result of low health literacy. They will face significant challenges understanding what coverage they are eligible for under the ACA, making informed choices about the best options for themselves and their families, and completing the enrollment process. Health Literacy Implications for Health Care Reform explores opportunities to advance health literacy in association with the implementation of health care reform. The report focuses on building partnerships to advance the field of health literacy by translating research findings into practical strategies for implementation, and on educating the public, press, and policymakers regarding issues of health literacy. %0 Book %A Institute of Medicine %E French, Melissa G. %T Health Literacy and Numeracy: Workshop Summary %@ 978-0-309-29980-0 %D 2014 %U https://nap.nationalacademies.org/catalog/18660/health-literacy-and-numeracy-workshop-summary %> https://nap.nationalacademies.org/catalog/18660/health-literacy-and-numeracy-workshop-summary %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 164 %X Although health literacy is commonly defined as an individual trait, it does not depend on the skills of individuals alone. Health literacy is the product of the interaction between individuals' capacities and the health literacy-related demands and complexities of the health care system. Specifically, the ability to understand, evaluate, and use numbers is important to making informed health care choices. Health Literacy and Numeracy is the summary of a workshop convened by The Institute of Medicine Roundtable on Health Literacy in July 2013 to discuss topics related to numeracy, including the effects of ill health on cognitive capacity, issues with communication of health information to the public, and communicating numeric information for decision making. This report includes a paper commissioned by the Roundtable, "Numeracy and the Affordable Care Act: Opportunities and Challenges," that discusses research findings about people's numeracy skill levels; the kinds of numeracy skills that are needed to select a health plan, choose treatments, and understand medication instructions; and how providers should communicate with those with low numeracy skills. The paper was featured in the workshop and served as the basis of discussion. %0 Book %A Institute of Medicine %T Infographic Poster for the Future of Nursing %@ 978-0-309-29971-8 %D 2014 %U https://nap.nationalacademies.org/catalog/18658/infographic-poster-for-the-future-of-nursing %> https://nap.nationalacademies.org/catalog/18658/infographic-poster-for-the-future-of-nursing %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %K Education %P 1 %X With more than 3 million members, the nursing profession is the largest segment of the nation's health care workforce. Working on the front lines of patient care, nurses can play a vital role in helping realize the objectives set forth in the 2010 Affordable Care Act, legislation that represents the broadest health care overhaul since the 1965 creation of the Medicare and Medicaid programs. The Institute of Medicine's poster, The Future of Nursing, illustrates the recommendations from the recent report, The Future of Nursing: Leading Change, Advancing Health. This poster (9.75 x 37.5 inches) gives an overview of nurses' educational and career pathways, roles in care delivery, and representation in leadership positions, and depicts an action-oriented blueprint for the future of nursing. Nursing schools and organizations will find it useful in their efforts to transform the nursing profession to lead change and advance health. %0 Book %A Institute of Medicine %E Ulmer, Cheryl %E Ball, John %E McGlynn, Elizabeth %E Hamdounia, Shadia Bel %T Essential Health Benefits: Balancing Coverage and Cost %@ 978-0-309-21914-3 %D 2012 %U https://nap.nationalacademies.org/catalog/13234/essential-health-benefits-balancing-coverage-and-cost %> https://nap.nationalacademies.org/catalog/13234/essential-health-benefits-balancing-coverage-and-cost %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 256 %X In 2010, an estimated 50 million people were uninsured in the United States. A portion of the uninsured reflects unemployment rates; however, this rate is primarily a reflection of the fact that when most health plans meet an individual's needs, most times, those health plans are not affordable. Research shows that people without health insurance are more likely to experience financial burdens associated with the utilization of health care services. But even among the insured, underinsurance has emerged as a barrier to care. The Patient Protection and Affordable Care Act (ACA) has made the most comprehensive changes to the provision of health insurance since the development of Medicare and Medicaid by requiring all Americans to have health insurance by 2016. An estimated 30 million individuals who would otherwise be uninsured are expected to obtain insurance through the private health insurance market or state expansion of Medicaid programs. The success of the ACA depends on the design of the essential health benefits (EHB) package and its affordability. Essential Health Benefits recommends a process for defining, monitoring, and updating the EHB package. The book is of value to Assistant Secretary for Planning and Evaluation (ASPE) and other U.S. Department of Health and Human Services agencies, state insurance agencies, Congress, state governors, health care providers, and consumer advocates. %0 Book %A Transportation Research Board %A National Academies of Sciences, Engineering, and Medicine %E Santalucia, Antonio %E Whitaker, Bethany %E Oettinger, Ellen %T Potential Impacts of Federal Health Care Reform on Public Transit %D 2013 %U https://nap.nationalacademies.org/catalog/22540/potential-impacts-of-federal-health-care-reform-on-public-transit %> https://nap.nationalacademies.org/catalog/22540/potential-impacts-of-federal-health-care-reform-on-public-transit %I The National Academies Press %C Washington, DC %G English %K Transportation and Infrastructure %P 43 %X TRB’s National Cooperative Highway Research Program (NCHRP) Research Results Digest 383: Potential Impacts of Federal Health Care Reform on Public Transit explores provisions of the Patient Protection and Affordable Care Act that are likely to have the largest and most direct impacts on public transit agencies and operations, particularly those in rural and small urban areas. The report also describes pre-existing legal requirements that govern the roles public transit can currently play in transportation related to health care. %0 Book %A Institute of Medicine %A National Academies of Sciences, Engineering, and Medicine %E Altman, Stuart H. %E Butler, Adrienne Stith %E Shern, Lauren %T Assessing Progress on the Institute of Medicine Report The Future of Nursing %@ 978-0-309-38031-7 %D 2016 %U https://nap.nationalacademies.org/catalog/21838/assessing-progress-on-the-institute-of-medicine-report-the-future-of-nursing %> https://nap.nationalacademies.org/catalog/21838/assessing-progress-on-the-institute-of-medicine-report-the-future-of-nursing %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 220 %X Nurses make up the largest segment of the health care profession, with 3 million registered nurses in the United States. Nurses work in a wide variety of settings, including hospitals, public health centers, schools, and homes, and provide a continuum of services, including direct patient care, health promotion, patient education, and coordination of care. They serve in leadership roles, are researchers, and work to improve health care policy. As the health care system undergoes transformation due in part to the Affordable Care Act (ACA), the nursing profession is making a wide-reaching impact by providing and affecting quality, patient-centered, accessible, and affordable care. In 2010, the Institute of Medicine (IOM) released the report The Future of Nursing: Leading Change, Advancing Health, which made a series of recommendations pertaining to roles for nurses in the new health care landscape. This current report assesses progress made by the Robert Wood Johnson Foundation/AARP Future of Nursing: Campaign for Action and others in implementing the recommendations from the 2010 report and identifies areas that should be emphasized over the next 5 years to make further progress toward these goals. %0 Book %A National Academies of Sciences, Engineering, and Medicine %E French, Melissa G. %T Health Insurance and Insights from Health Literacy: Helping Consumers Understand: Proceedings of a Workshop—in Brief %D 2016 %U https://nap.nationalacademies.org/catalog/24613/health-insurance-and-insights-from-health-literacy-helping-consumers-understand %> https://nap.nationalacademies.org/catalog/24613/health-insurance-and-insights-from-health-literacy-helping-consumers-understand %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 6 %X On July 21, 2016, the Roundtable on Health Literacy of the National Academies of Sciences, Engineering, and Medicine convened a workshop on health literacy and health insurance literacy in the context of health reform in the United States. Since 2010, the year the Patient Protection and Affordable Care Act (ACA) became law, the roundtable has convened two workshops related to this topic as well as commissioned two papers, and several members have prepared individually written perspectives. The roundtable's attention to the topic of health insurance is appropriate because health reform has created major changes in the health care system in this country. It has brought millions of people into the system that previously did not have access. In addition, many of these individuals have limited experience with health care and health insurance and are from populations that traditionally have high rates of low health literacy. The workshop focused on the challenges and opportunities in helping consumers obtain, understand, and use health insurance. %0 Book %A Institute of Medicine %A National Research Council %E James, Cyan %T Harvesting the Scientific Investment in Prevention Science to Promote Children's Cognitive, Affective, and Behavioral Health: Workshop in Brief %D 2015 %U https://nap.nationalacademies.org/catalog/21719/harvesting-the-scientific-investment-in-prevention-science-to-promote-childrens-cognitive-affective-and-behavioral-health %> https://nap.nationalacademies.org/catalog/21719/harvesting-the-scientific-investment-in-prevention-science-to-promote-childrens-cognitive-affective-and-behavioral-health %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %K Behavioral and Social Sciences %P 8 %X 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 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? To address these questions, the Institute of Medicine and the National Research Council Forum on Promoting Children's Cognitive, Affective, and Behavioral Health hosted the workshop "Harvesting the Scientific Investment in Prevention Science to Promote Children's Cognitive, Affective, and Behavioral Health" from June 16â€"17, 2014. This report summarizes the presentation and discussions of the workshop. %0 Book %A National Academies of Sciences, Engineering, and Medicine %T Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop in Brief %D 2016 %U https://nap.nationalacademies.org/catalog/23545/opportunities-to-promote-childrens-behavioral-health-health-care-reform-and %> https://nap.nationalacademies.org/catalog/23545/opportunities-to-promote-childrens-behavioral-health-health-care-reform-and %I The National Academies Press %C Washington, DC %G English %K Behavioral and Social Sciences %K Health and Medicine %P 8 %X The adoption of the Patient Protection and Affordable Care Act (ACA) 2010 was a turning point in the history of behavioral health for children and adolescents in the United States. The ACA requires most health insurance plans to conduct behavioral health assessments for children, as well as depression screening for adults. Looking ahead, however, questions have been raised about how to promote children's behavioral health, how to make use of innovations, and how to sustain funding over time. To respond to these questions, the Forum on Promoting Children's Cognitive, Affective, and Behavioral Health of the National Academies of Sciences, Engineering, and Medicine held a workshop in Washington, D.C., on April 1-2, 2015. The workshop focused on how recent reforms in health care provide new opportunities to promote children's cognitive, affective, and behavioral health. It also assessed behavioral health needs of all children, including those with special physical or behavioral health conditions, and programs that support families.This report summarizes the presentations and discussion of the workshop. %0 Book %A Institute of Medicine %T Clinical Preventive Services for Women: Closing the Gaps %@ 978-0-309-21538-1 %D 2011 %U https://nap.nationalacademies.org/catalog/13181/clinical-preventive-services-for-women-closing-the-gaps %> https://nap.nationalacademies.org/catalog/13181/clinical-preventive-services-for-women-closing-the-gaps %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 249 %X Women suffer disproportionate rates of chronic disease and disability from some conditions, and often have high out-of-pocket health care costs. The passage of the Patient Protection and Affordable Care Act of 2010 (ACA) provides the United States with an opportunity to reduce existing health disparities by providing an unprecedented level of population health care coverage. The expansion of coverage to millions of uninsured Americans and the new standards for coverage of preventive services that are included in the ACA can potentially improve the health and well-being of individuals across the United States. Women in particular stand to benefit from these additional preventive health services. Clinical Preventive Services for Women reviews the preventive services that are important to women's health and well-being. It recommends that eight preventive health services for women be added to the services that health plans will cover at no cost. The recommendations are based on a review of existing guidelines and an assessment of the evidence on the effectiveness of different preventive services. The services include improved screening for cervical cancer, sexually transmitted infections, and gestational diabetes; a fuller range of contraceptive education, counseling, methods, and services; services for pregnant women; at least one well-woman preventive care visit annually; and screening and counseling for interpersonal and domestic violence, among others. Clinical Preventive Services for Women identifies critical gaps in preventive services for women as well as measures that will further ensure optimal health and well-being. It can serve as a comprehensive guide for federal government agencies, including the Department of Health and Human Services and the Center for Disease Control and Prevention; state and local government agencies; policy makers; health care professionals; caregivers, and researchers. %0 Book %A Institute of Medicine %E Ford, Morgan A. %E Spicer, Carol Mason %T Monitoring HIV Care in the United States: A Strategy for Generating National Estimates of HIV Care and Coverage %@ 978-0-309-25715-2 %D 2012 %U https://nap.nationalacademies.org/catalog/13408/monitoring-hiv-care-in-the-united-states-a-strategy-for %> https://nap.nationalacademies.org/catalog/13408/monitoring-hiv-care-in-the-united-states-a-strategy-for %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 174 %X In September 2010, the White House Office of National AIDS Policy commissioned an Institute of Medicine (IOM) committee to respond to a two-part statement of task concerning how to monitor care for people with HIV. The IOM convened a committee of 17 members with expertise in HIV clinical care and supportive services, epidemiology, biostatistics, health policy, and other areas to respond to this task. The committee's first report, Monitoring HIV Care in the United States: Indicators and Data Systems, was released in March 2012. The report identified 14 core indicators of clinical HIV care and mental health, substance abuse, and supportive services for use by the Department of Health and Human Services (HHS) to monitor the impact of the National HIV/AIDS Strategy (NHAS) and the Patient Protection and Affordable Care Act (ACA) on improvements in HIV care and identified sources of data to estimate the indicators. The report also addressed a series of questions related to the collection, analysis, and dissemination of data necessary to estimate the indicators. In this second report, Monitoring HIV Care in the United States: A Strategy for Generating National Estimates of HIV Care and Coverage, the committee addresses how to obtain national estimates that characterize the health care of people with HIV within the context of the ACA, both before 2014 and after 2014, when key provisions of the ACA will be implemented. This report focuses on how to monitor the anticipated changes in health care coverage, service utilization, and quality of care for people with HIV within the context of the ACA. %0 Book %A Institute of Medicine %E Levit, Laura A. %E Balogh, Erin P. %E Nass, Sharyl J. %E Ganz, Patricia A. %T Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis %@ 978-0-309-28660-2 %D 2013 %U https://nap.nationalacademies.org/catalog/18359/delivering-high-quality-cancer-care-charting-a-new-course-for %> https://nap.nationalacademies.org/catalog/18359/delivering-high-quality-cancer-care-charting-a-new-course-for %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 412 %X In the United States, approximately 14 million people have had cancer and more than 1.6 million new cases are diagnosed each year. However, more than a decade after the Institute of Medicine (IOM) first studied the quality of cancer care, the barriers to achieving excellent care for all cancer patients remain daunting. Care often is not patient-centered, many patients do not receive palliative care to manage their symptoms and side effects from treatment, and decisions about care often are not based on the latest scientific evidence. The cost of cancer care also is rising faster than many sectors of medicine—having increased to $125 billion in 2010 from $72 billion in 2004—and is projected to reach $173 billion by 2020. Rising costs are making cancer care less affordable for patients and their families and are creating disparities in patients' access to high-quality cancer care. There also are growing shortages of health professionals skilled in providing cancer care, and the number of adults age 65 and older—the group most susceptible to cancer—is expected to double by 2030, contributing to a 45 percent increase in the number of people developing cancer. The current care delivery system is poorly prepared to address the care needs of this population, which are complex due to altered physiology, functional and cognitive impairment, multiple coexisting diseases, increased side effects from treatment, and greater need for social support. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis presents a conceptual framework for improving the quality of cancer care. This study proposes improvements to six interconnected components of care: (1) engaged patients; (2) an adequately staffed, trained, and coordinated workforce; (3) evidence-based care; (4) learning health care information technology (IT); (5) translation of evidence into clinical practice, quality measurement and performance improvement; and (6) accessible and affordable care. This report recommends changes across the board in these areas to improve the quality of care. Delivering High-Quality Cancer Care: Charting a New Course for a System in Crisis provides information for cancer care teams, patients and their families, researchers, quality metrics developers, and payers, as well as HHS, other federal agencies, and industry to reevaluate their current roles and responsibilities in cancer care and work together to develop a higher quality care delivery system. By working toward this shared goal, the cancer care community can improve the quality of life and outcomes for people facing a cancer diagnosis. %0 Book %A National Academies of Sciences, Engineering, and Medicine %E Alper, Joe %T Health Insurance and Insights from Health Literacy: Helping Consumers Understand: Proceedings of a Workshop %@ 978-0-309-45473-5 %D 2017 %U https://nap.nationalacademies.org/catalog/24664/health-insurance-and-insights-from-health-literacy-helping-consumers-understand %> https://nap.nationalacademies.org/catalog/24664/health-insurance-and-insights-from-health-literacy-helping-consumers-understand %I The National Academies Press %C Washington, DC %G English %K Health and Medicine %P 128 %X Since the passage of the Patient Protection and Affordable Care Act (ACA), health care reform has created major changes in the U.S. health care system. The ACA has brought millions of people into the system who had no previous access, and many of these newly enrolled individuals have had limited experience navigating the complex and complicated U.S. health system. In July 2016 the National Academies of Sciences, Engineering, and Medicine convened a public workshop to examine health insurance through the lens of health literacy, focusing on literacy related barriers to information and coverage as well as on possible solutions. Participants discussed the role of health literacy in accessing health care and remaining in treatment; delivery and financing system reforms that affect organizational health literacy; and quality and equity considerations. This publication summarizes the presentations and discussions from the workshop.