TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine TI - The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff SN - DO - 10.17226/26526 PY - 2022 UR - https://nap.nationalacademies.org/catalog/26526/the-national-imperative-to-improve-nursing-home-quality-honoring-our PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Nursing homes play a unique dual role in the long-term care continuum, serving as a place where people receive needed health care and a place they call home. Ineffective responses to the complex challenges of nursing home care have resulted in a system that often fails to ensure the well-being and safety of nursing home residents. The devastating impact of the COVID-19 pandemic on nursing home residents and staff has renewed attention to the long-standing weaknesses that impede the provision of high-quality nursing home care. With support from a coalition of sponsors, the National Academies of Sciences, Engineering, and Medicine formed the Committee on the Quality of Care in Nursing Homes to examine how the United States delivers, finances, regulates, and measures the quality of nursing home care. The National Imperative to Improve Nursing Home Quality: Honoring Our Commitment to Residents, Families, and Staff identifies seven broad goals and supporting recommendations which provide the overarching framework for a comprehensive approach to improving the quality of care in nursing homes. ER - TY - BOOK AU - Institute of Medicine AU - National Academies of Sciences, Engineering, and Medicine A2 - Stuart H. Altman A2 - Adrienne Stith Butler A2 - Lauren Shern TI - Assessing Progress on the Institute of Medicine Report The Future of Nursing SN - DO - 10.17226/21838 PY - 2016 UR - https://nap.nationalacademies.org/catalog/21838/assessing-progress-on-the-institute-of-medicine-report-the-future-of-nursing PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - 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. ER - TY - BOOK AU - Institute of Medicine A2 - Gooloo S. Wunderlich A2 - Peter O. Kohler TI - Improving the Quality of Long-Term Care SN - DO - 10.17226/9611 PY - 2001 UR - https://nap.nationalacademies.org/catalog/9611/improving-the-quality-of-long-term-care PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Among the issues confronting America is long-term care for frail, older persons and others with chronic conditions and functional limitations that limit their ability to care for themselves. Improving the Quality of Long-Term Care takes a comprehensive look at the quality of care and quality of life in long-term care, including nursing homes, home health agencies, residential care facilities, family members and a variety of others. This book describes the current state of long-term care, identifying problem areas and offering recommendations for federal and state policymakers. Who uses long-term care? How have the characteristics of this population changed over time? What paths do people follow in long term care? The committee provides the latest information on these and other key questions. This book explores strengths and limitations of available data and research literature especially for settings other than nursing homes, on methods to measure, oversee, and improve the quality of long-term care. The committee makes recommendations on setting and enforcing standards of care, strengthening the caregiving workforce, reimbursement issues, and expanding the knowledge base to guide organizational and individual caregivers in improving the quality of care. ER - TY - BOOK AU - Institute of Medicine TI - The Role of Nutrition in Maintaining Health in the Nation's Elderly: Evaluating Coverage of Nutrition Services for the Medicare Population SN - DO - 10.17226/9741 PY - 2000 UR - https://nap.nationalacademies.org/catalog/9741/the-role-of-nutrition-in-maintaining-health-in-the-nations-elderly PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Malnutrition and obesity are both common among Americans over age 65. There are also a host of other medical conditions from which older people and other Medicare beneficiaries suffer that could be improved with appropriate nutritional intervention. Despite that, access to a nutrition professional is very limited. Do nutrition services benefit older people in terms of morbidity, mortality, or quality of life? Which health professionals are best qualified to provide such services? What would be the cost to Medicare of such services? Would the cost be offset by reduced illness in this population? This book addresses these questions, provides recommendations for nutrition services for the elderly, and considers how the coverage policy should be approached and practiced. The book discusses the role of nutrition therapy in the management of a number of diseases. It also examines what the elderly receive in the way of nutrition services along the continuum of care settings and addresses the areas of expertise needed by health professionals to provide appropriate nutrition services and therapy. ER - TY - BOOK AU - Institute of Medicine AU - National Academies of Sciences, Engineering, and Medicine A2 - Karen M. Anderson A2 - Steve Olson TI - Achieving Health Equity via the Affordable Care Act: Promises, Provisions, and Making Reform a Reality for Diverse Patients: Workshop Summary SN - DO - 10.17226/18551 PY - 2015 UR - https://nap.nationalacademies.org/catalog/18551/achieving-health-equity-via-the-affordable-care-act-promises-provisions PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - 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. ER - TY - BOOK TI - Preparing for the 21st Century: Focusing on Quality in a Changing Health Care System DO - 10.17226/9538 PY - 1997 UR - https://nap.nationalacademies.org/catalog/9538/preparing-for-the-21st-century-focusing-on-quality-in-a-changing-health-care-system PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine TI - The Challenge of Treating Obesity and Overweight: Proceedings of a Workshop—in Brief DO - 10.17226/24830 PY - 2017 UR - https://nap.nationalacademies.org/catalog/24830/the-challenge-of-treating-obesity-and-overweight-proceedings-of-a PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine KW - Food and Nutrition AB - The Roundtable on Obesity Solutions of the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine held a workshop in Washington, DC, on April 6, 2017, titled "The Challenge of Treating Obesity and Overweight: A Workshop." The workshop participants covered treatments for obesity, overweight, and severe obesity in adults and children; emerging treatment opportunities; the development of a workforce for obesity treatments; payment and policy considerations; and promising ways to move forward. This publication briefly summarizes the presentations and discussions from the workshop. ER - TY - BOOK AU - Institute of Medicine TI - Key Capabilities of an Electronic Health Record System: Letter Report SN - DO - 10.17226/10781 PY - 2003 UR - https://nap.nationalacademies.org/catalog/10781/key-capabilities-of-an-electronic-health-record-system-letter-report PB - The National Academies Press CY - Washington, DC LA - English KW - KW - Computers and Information Technology AB - Commissioned by the Department of Health and Human Services, Key Capabilities of an Electronic Health Record System provides guidance on the most significant care delivery-related capabilities of electronic health record (EHR) systems. There is a great deal of interest in both the public and private sectors in encouraging all health care providers to migrate from paper-based health records to a system that stores health information electronically and employs computer-aided decision support systems. In part, this interest is due to a growing recognition that a stronger information technology infrastructure is integral to addressing national concerns such as the need to improve the safety and the quality of health care, rising health care costs, and matters of homeland security related to the health sector. Key Capabilities of an Electronic Health Record System provides a set of basic functionalities that an EHR system must employ to promote patient safety, including detailed patient data (e.g., diagnoses, allergies, laboratory results), as well as decision-support capabilities (e.g., the ability to alert providers to potential drug-drug interactions). The book examines care delivery functions, such as database management and the use of health care data standards to better advance the safety, quality, and efficiency of health care in the United States. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Anna Nicholson A2 - Claire Giammaria A2 - Justin Snair TI - Exploring the Translation of the Results of Hurricane Sandy Research Grants into Policy and Operations: Proceedings of a Workshop—in Brief DO - 10.17226/24889 PY - 2017 UR - https://nap.nationalacademies.org/catalog/24889/exploring-the-translation-of-the-results-of-hurricane-sandy-research-grants-into-policy-and-operations PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine KW - Conflict and Security Issues AB - The workshop Translating the Results of Hurricane Sandy Research Grants into Policy and Operations was convened
on July 20, 2017, in Washington, DC, by the Health and Medicine Division of the National Academies of Sciences, Engineering, and Medicine. Workshop participants explored key findings from published Hurricane Sandy research grant projects, examined the impact of the scientific findings on disaster policy and operations, and discussed opportunities to translate the research findings to future preparedness response and recovery efforts. The workshop included panel sessions focused on the potential policy and operational implications from research on mental health, public health, access to care, and primary care. An additional “marketplace” session gave researchers, operations agents, and policy experts an opportunity to discuss particular research findings and how they might be applied to operations and policy. This publication briefly summarizes the presentations and discussions from the workshop. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Heather Kreidler TI - Relocation and Other Climate Adaptations on Florida's Gulf Coast: Proceedings of a Workshop—in Brief DO - 10.17226/26736 PY - 2022 UR - https://nap.nationalacademies.org/catalog/26736/relocation-and-other-climate-adaptations-on-floridas-gulf-coast-proceedings PB - The National Academies Press CY - Washington, DC LA - English KW - Behavioral and Social Sciences KW - Environment and Environmental Studies AB - Strategically moving communities and infrastructure - including homes and businesses - away from environmentally high-risk areas, such as vulnerable coastal regions, has been referred to as managed retreat. Of all the ways humans respond to climate-related hazards, managed retreat has been one of the most controversial due to the difficulty inherent in identifying when, to where, by whom, and the processes by which such movement should take place. To understand and respond to the unique challenges associated with managed retreat, the Gulf Research Program of the National Academies of Sciences, Engineering, and Medicine sponsored a committee of experts to provide in-depth analysis and identify short- and long-term next steps for Gulf Coast communities that may need to relocate. The committee convened a series of three public workshops in the Gulf Coast region to gather information about on policy and practice considerations, research and data needs, and community engagement strategies. The workshops focused on elevating the voices of communities and individuals contemplating, resisting, undertaking, or facing barriers to relocation (including systemic issues such as structural racism), as well as individuals who have resettled and communities that have received such individuals. Each workshop included community testimonials and panels of local decision makers and experts discussing study-relevant processes and obstacles faced by communities. The first workshop was held in two parts in Houston and Port Arthur, Texas; the second workshop was held in St. Petersburg, Florida; and the third workshop was held in two parts in Thibodaux and Houma, Louisiana. This Proceedings of a Workshop-in Brief recounts the second workshop, held in July 2022 in St. Petersburg, Florida. ER - TY - BOOK AU - Institute of Medicine TI - Defining Primary Care: An Interim Report DO - 10.17226/9153 PY - 1994 UR - https://nap.nationalacademies.org/catalog/9153/defining-primary-care-an-interim-report PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine ER - TY - BOOK AU - Institute of Medicine TI - Medicare's Quality Improvement Organization Program: Maximizing Potential SN - DO - 10.17226/11604 PY - 2006 UR - https://nap.nationalacademies.org/catalog/11604/medicares-quality-improvement-organization-program-maximizing-potential PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Medicare's Quality Improvement Organization Program is the second book in the new Pathways to Quality Health Care series. Focusing on performance improvement, it considers the history, role, and effectiveness of the Quality Improvement Organization (QIO) program and its potential to promote quality improvement within a changing health care delivery environment that includes standardized performance measures and new data collection and reporting requirements. This book carefully examines the QIOs that serve every state as well as the national program that guides and supports them. In addition, it highlights the important roles that a national program with private organizations in each state can play in promoting higher quality care. Medicare's Quality Improvement Organization Program looks closely at the technical assistance role of the QIO program and the need to encourage and support providers to improve their performance. By providing an in-depth assessment of the federal experience with quality improvement and recommendations for program improvement, this book helps point the way for those who strive to create higher quality and better value in health care. Intended for multiple audiences, Medicare's Quality Improvement Organization Program is essential reading for members of Congress, the federal executive branch, the QIOs, health care providers and clinicians, and stakeholder groups. ER - TY - BOOK AU - Institute of Medicine A2 - Joe Alper TI - Population Health Implications of the Affordable Care Act: Workshop Summary SN - DO - 10.17226/18546 PY - 2014 UR - https://nap.nationalacademies.org/catalog/18546/population-health-implications-of-the-affordable-care-act-workshop-summary PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - 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. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Liza Hamilton A2 - Alison Mack TI - Interpersonal Violence Syndemics and Co-Occurring Epidemics: Preventing Violence in the Context of Opioid Misuse, Suicide, Social Disparities, and HIV: Proceedings of a Workshop—in Brief DO - 10.17226/25634 PY - 2019 UR - https://nap.nationalacademies.org/catalog/25634/interpersonal-violence-syndemics-and-co-occurring-epidemics-preventing-violence-in PB - The National Academies Press CY - Washington, DC LA - English KW - Behavioral and Social Sciences KW - Health and Medicine AB - The syndemics model is used to describe co-occurring epidemics that have a multiplicative effect on bodily systems through the adverse interaction of two or more diseases or health conditions. Additionally, in these situations, interactions with social conditions exacerbate both the prognosis and the burden of disease. There are two layers of interaction in this model—the way diseases interact with each other and the way diseases are promoted by the social conditions in which people are living. It is important to understand this concept in order to create and implement effective multilevel preventive and intervention strategies that address these global public health issues by moving beyond the traditional silos of focusing on one epidemic. The National Academies of Sciences, Engineering, and Medicine convened a public workshop on May 16-17, 2019 to explore the syndemic model and three syndemics/co-occuring epidemics. This includes 1) opioid use disorder (OUD), violence, suicide, and mental health in the United States, 2) adverse childhood experiences (ACEs) and childhood trauma; adult violence and victimization; and health outcomes from a global perspective, and 3) human immunodeficiency virus (HIV) and violence. The workshop participants considered the perspectives of survivors, researchers studying these interactions, public health professionals engaged with affected communities and in the creation and implementation of prevention and intervention measures, and policy makers who are seeking multilevel interventions. This publication briefly summarizes the presentations and discussions from the workshop. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Francis Amankwah A2 - Erin Balogh A2 - Melissa Maitin-Shepard A2 - Sharyl Nass TI - The Impact of the Affordable Care Act on Cancer Prevention and Cancer Care: Proceedings of a Workshop SN - DO - 10.17226/26400 PY - 2022 UR - https://nap.nationalacademies.org/catalog/26400/the-impact-of-the-affordable-care-act-on-cancer-prevention-and-cancer-care PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - 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. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Ana Deros A2 - Jen Saunders TI - Attacks on Scientists and Health Professionals During the Pandemic: Proceedings of a Symposium—in Brief DO - 10.17226/26936 PY - 2023 UR - https://nap.nationalacademies.org/catalog/26936/attacks-on-scientists-and-health-professionals-during-the-pandemic-proceedings PB - The National Academies Press CY - Washington, DC LA - English KW - Policy for Science and Technology AB - Scientists and health professionals have long been targeted in connection with their professional work. Though this problem preceded the pandemic, it has emerged as a major concern, both in the United States and globally, as a result of COVID-19. Since the onset of the pandemic, scientists and health professionals have been subjected to threats and other attacks - online and offline - resulting from their efforts to combat the spread of COVID-19 with public health interventions and information. Reports of violence - carried out by numerous actors, including governments, groups, and individuals - are wide ranging and have come from all over the globe. In some cases, scientists, health professionals, and other groups have been targeted by multiple sources simultaneously, putting them at heightened risk of harm. Beginning September 1, 2022, the U.S. National Academies of Sciences, Engineering, and Medicine Committee on Human Rights hosted five webcasts examining the global problem of COVID-19-related attacks on researchers and health professionals, along with concerns regarding repression of information during the pandemic and implications for internationally protected rights. Topics included the targeting of scientists and public health professionals for providing evidence-based health information, global patterns of violence against health personnel, censorship and the right to information, science communication and human rights amid public health emergencies, and constructing a human rights framework for online health-related speech. This Proceedings of a Symposium-in Brief provides a high-level summary of the issues discussed during the series. ER - TY - BOOK AU - Institute of Medicine TI - Nursing and Nursing Education: Public Policies and Private Actions SN - DO - 10.17226/1120 PY - 1983 UR - https://nap.nationalacademies.org/catalog/1120/nursing-and-nursing-education-public-policies-and-private-actions PB - The National Academies Press CY - Washington, DC LA - English KW - Education KW - Health and Medicine ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Laurene Graig A2 - Sylara Marie Cruz A2 - Joe Alper TI - Implementing Quality Measures for Accountability in Community-Based Care for People with Serious Illness: Proceedings of a Workshop SN - DO - 10.17226/25202 PY - 2018 UR - https://nap.nationalacademies.org/catalog/25202/implementing-quality-measures-for-accountability-in-community-based-care-for-people-with-serious-illness PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Millions of Americans of all ages face the challenge of living with serious illnesses such as advanced cancer, heart, or lung disease. Many people with serious illness are increasingly cared for in community settings. While the number of community-based programs to provide care for those with serious illness has grown significantly, the quality of care provided is not consistent across geographic locations or care settings. Care for the serious illness population often features gaps in coordination across sites of care and poor patient and family perceptions as to the quality of care provided. In an effort to better understand and facilitate discussions about the challenges and opportunities related to identifying and implementing quality measures for accountability purposes in community-based serious illness care, the National Academies of Sciences, Engineering, and Medicine held a public workshop on April 17, 2018, in Washington, DC. Workshop participants explored the current state of quality measurement for people with serious illness, their families, and caregivers, with the aim of identifying next steps toward effectively implementing measures to drive improvement in the quality of community-based care for those facing serious illness. This publication summarizes the presentations and discussions from the workshop. ER - TY - BOOK AU - National Academy of Medicine A2 - Peter Long A2 - Melinda Abrams A2 - Arnold Milstein A2 - Gerald Anderson A2 - Katherine Lewis Apton A2 - Maria Lund Dahlberg A2 - Danielle Whicher TI - Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health SN - DO - 10.17226/27115 PY - 2017 UR - https://nap.nationalacademies.org/catalog/27115/effective-care-for-high-need-patients-opportunities-for-improving-outcomes PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - To advance insights and perspectives on how to better manage the care of the high-need patient population, the National Academy of Medicine, with guidance from an expert planning committee, was tasked with convening three workshops held between July 2015 and October 2016. The resulting special publication, Effective Care for High-Need Patients: Opportunities for Improving Outcomes, Value, and Health, summarizes the presentations, discussions, and relevant literature. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine AU - National Academy of Medicine A2 - Jennifer Lalitha Flaubert A2 - Jennifer Lee A2 - Michael Cocchiola A2 - Steve Olson TI - Financing That Rewards Better Health and Well-Being: Proceedings of a Workshop–in Brief DO - 10.17226/26332 PY - 2021 UR - https://nap.nationalacademies.org/catalog/26332/financing-that-rewards-better-health-and-well-being-proceedings-of PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - There is a need to transform the United States' current model of health care financing - which rewards the volume of services provided - to a model that incentivizes integrated payment approaches that are person-centered and holistic in advancing individual, community, and population health. The National Academy of Medicine Leadership Consortium and the National Academies of Sciences, Engineering, and Medicine's Board on Health Care Services hosted a virtual workshop series titled Financing That Rewards Better Health and Well-Being in May and June of 2021. Speakers and discussions focused on identifying examples of care delivery and payment models that are focused on patient outcomes and advancing health equity, considering barriers and opportunities to scaling effective integrated payment models and approaches, and discussing strategies for transforming health financing to improve equity and individual and population health. This Proceedings of a Workshop-in Brief summarizes the discussions that occurred throughout the workshop series. ER -