TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Linda McCauley A2 - Robert L. Phillips, Jr. A2 - Marc Meisnere A2 - Sarah K. Robinson TI - Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care SN - DO - 10.17226/25983 PY - 2021 UR - https://nap.nationalacademies.org/catalog/25983/implementing-high-quality-primary-care-rebuilding-the-foundation-of-health PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - High-quality primary care is the foundation of the health care system. It provides continuous, person-centered, relationship-based care that considers the needs and preferences of individuals, families, and communities. Without access to high-quality primary care, minor health problems can spiral into chronic disease, chronic disease management becomes difficult and uncoordinated, visits to emergency departments increase, preventive care lags, and health care spending soars to unsustainable levels. Unequal access to primary care remains a concern, and the COVID-19 pandemic amplified pervasive economic, mental health, and social health disparities that ubiquitous, high-quality primary care might have reduced. Primary care is the only health care component where an increased supply is associated with better population health and more equitable outcomes. For this reason, primary care is a common good, which makes the strength and quality of the country's primary care services a public concern. Implementing High-Quality Primary Care: Rebuilding the Foundation of Health Care puts forth an evidence-based plan with actionable objectives and recommendations for implementing high-quality primary care in the United States. The implementation plan of this report balances national needs for scalable solutions while allowing for adaptations to meet local needs. ER - TY - BOOK AU - Institute of Medicine TI - Primary Care and Public Health: Exploring Integration to Improve Population Health SN - DO - 10.17226/13381 PY - 2012 UR - https://nap.nationalacademies.org/catalog/13381/primary-care-and-public-health-exploring-integration-to-improve-population PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Ensuring that members of society are healthy and reaching their full potential requires the prevention of disease and injury; the promotion of health and well-being; the assurance of conditions in which people can be healthy; and the provision of timely, effective, and coordinated health care. Achieving substantial and lasting improvements in population health will require a concerted effort from all these entities, aligned with a common goal. The Health Resources and Services Administration (HRSA) and the Centers for Disease Control and Prevention (CDC) requested that the Institute of Medicine (IOM) examine the integration of primary care and public health. Primary Care and Public Health identifies the best examples of effective public health and primary care integration and the factors that promote and sustain these efforts, examines ways by which HRSA and CDC can use provisions of the Patient Protection and Affordable Care Act to promote the integration of primary care and public health, and discusses how HRSA-supported primary care systems and state and local public health departments can effectively integrate and coordinate to improve efforts directed at disease prevention. This report is essential for all health care centers and providers, state and local policy makers, educators, government agencies, and the public for learning how to integrate and improve population health. ER - TY - BOOK AU - Institute of Medicine A2 - Lyla Hernandez A2 - Suzanne Landi TI - Promoting Health Literacy to Encourage Prevention and Wellness: Workshop Summary SN - DO - 10.17226/13186 PY - 2011 UR - https://nap.nationalacademies.org/catalog/13186/promoting-health-literacy-to-encourage-prevention-and-wellness-workshop-summary PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Health literacy has been shown to affect health outcomes. The use of preventive services improves health and prevents costly health care expenditures. Several studies have found that health literacy makes a difference in the extent to which populations use preventive services. On September 15, 2009, the Institute of Medicine Roundtable on Health Literacy held a workshop to explore approaches to integrate health literacy into primary and secondary prevention. Promoting Health Literacy to Encourage Prevention and Wellness serves as a factual account of the discussion that took place at the workshop. The report describes the inclusion of health literacy into public health prevention programs at the national, state, and local levels; reviews how insurance companies factor health literacy into their prevention programs; and discusses industry contributions to providing health literate primary and secondary prevention. ER - TY - BOOK AU - Institute of Medicine TI - For the Public's Health: Three-Volume Set SN - DO - 10.17226/13474 PY - 2012 UR - https://nap.nationalacademies.org/catalog/13474/for-the-publics-health-three-volume-set PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Good health is not merely the result of good medical care but the result of what we do as a society to create conditions in which people can be healthy. Public policy can be one of the most effective approaches to protecting and improving the health of the population. "Healthy" public policy is particularly important in a time of scarce resources, because it can diminish or preclude the need for other, more costly and potentially less effective, interventions. At the request of the Robert Wood Johnson Foundation (RWJF), the Institute of Medicine (IOM) reviewed how statutes and regulations prevent injury and disease, save lives, and improve the health of the population. For the Public's Health is a three volume set that reviews the legal and regulatory authority for public health activities, identifies past efforts to develop model public health legislation, and describes the implications of the changing social and policy context for public health laws and regulations. The IOM finds that public health law, much of which was enacted in different eras when communicable diseases were the primary population health threats, warrants systematic review and revision. Throughout these books, the IOM urges government agencies to familiarize themselves with the public health and policy interventions at their disposal that can influence behavior and, more importantly, change conditions-social, economic, and environmental-to improve health. Lastly, the IOM encourages government and private sector stakeholders to consider health in a wide range of policies and to evaluate the health effects and costs of major legislation. This report is part of a three-part series requested by RWJF to address major topics in public health. Collectively, the series offers guideposts on the journey to becoming a healthier nation. For the Public's Health: Three Volume Box Set is comprised of three books: For the Public's Health: investing in a Healthier Future, For the Public's Health: Revitalizing Law and Policy to Meet New Challenges, and For the Public's Health: The Role of Measurement in Action and Accountability. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Steve Olson A2 - Alexis Wojtowicz TI - Integrating Oral and General Health Through Health Literacy Practices: Proceedings of a Workshop SN - DO - 10.17226/25468 PY - 2019 UR - https://nap.nationalacademies.org/catalog/25468/integrating-oral-and-general-health-through-health-literacy-practices-proceedings PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Oral health care and medical health care both seek to maintain and enhance human health and well-being. Yet, dentistry and primary care in the United States are largely separated and isolated from each other. Each has its own siloed systems for education, service delivery, financing, and policy oversight. The result has been duplication of effort, a cultural gap between the two professions, and lost opportunities for productive collaboration and better health. On December 6, 2018, in Washington, DC, the National Academies of Sciences, Engineering, and Medicine held a workshop titled Integrating Oral and General Health Through Health Literacy Practices. This publication summarizes the presentations and discussions from the workshop. ER - TY - BOOK AU - Institute of Medicine A2 - Theresa Wizemann TI - Collaboration Between Health Care and Public Health: Workshop Summary SN - DO - 10.17226/21755 PY - 2016 UR - https://nap.nationalacademies.org/catalog/21755/collaboration-between-health-care-and-public-health-workshop-summary PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - On February 5, 2015, the Institute of Medicine Roundtable on Population Health Improvement hosted a workshop to explore the relationship between public health and health care, including opportunities, challenges, and practical lessons. The workshop was convened in partnership with the Association of State and Territorial Health Officials (ASTHO)-Supported Primary Care and Public Health Collaborative. Organized in response to the 2012 IOM report Primary Care and Public Health: Exploring Integration to Improve Population Health, this workshop focused on current issues at the interface of public health and health care, including opportunities presented by and lessons learned from the Centers for Medicaid and Medicare Services State Innovation Models program. The workshop featured presentations on several dimensions of the public health-health care relationship. Collaboration Between Health Care and Public Health summarizes the presentations and discussion of the event. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine TI - The Future Pediatric Subspecialty Physician Workforce: Meeting the Needs of Infants, Children, and Adolescents SN - DO - 10.17226/27207 PY - 2023 UR - https://nap.nationalacademies.org/catalog/27207/the-future-pediatric-subspecialty-physician-workforce-meeting-the-needs-of PB - The National Academies Press CY - Washington, DC LA - English KW - Behavioral and Social Sciences KW - Health and Medicine AB - Pediatric subspecialists are critical to ensuring quality care and pursuing research to improve prevention, diagnosis, and treatment for children. However, there are substantial disincentives to pursuing a career as a pediatric subspecialist, which are often heightened for individuals from groups underrepresented in medicine, and more effective collaboration with primary care clinicians is needed. Changing health care needs, increasing care complexity, and access barriers to pediatric subspecialty care have raised concerns about the current and future availability of pediatric subspecialty care and research. In response, the National Academies, with support from a coalition of sponsors, formed the Committee on the Pediatric Subspecialty Workforce and Its Impact on Child Health and Well-Being to recommend strategies and actions to ensure an adequate pediatric subspecialty physician workforce to support broad access to high quality subspecialty care and a robust research portfolio to advance the health and health care of infants, children, and adolescents. This report outlines recommendations that, if fully implemented, can improve the quality of pediatric medical subspecialty care through a well-supported, superbly trained, and appropriately used primary care, subspecialty, and physician-scientist workforce. ER - TY - BOOK AU - Institute of Medicine A2 - Christine Coussens A2 - Rose Marie Martinez TI - Health Impact Assessment of Shale Gas Extraction: Workshop Summary SN - DO - 10.17226/18376 PY - 2014 UR - https://nap.nationalacademies.org/catalog/18376/health-impact-assessment-of-shale-gas-extraction-workshop-summary PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Natural gas extraction from shale formations, which includes hydraulic fracturing, is increasingly in the news as the use of extraction technologies has expanded, rural communities have been transformed seemingly overnight, public awareness has increased, and regulations have been developed. The governmental public health system, which retains primary responsibility for health, was not an early participant in discussions about shale gas extraction; thus public health is lacking critical information about environmental health impacts of these technologies and is limited in its ability to address concerns raised by regulators at the federal and state levels, communities, and workers employed in the shale gas extraction industry. Health Impact Assessment of Shale Gas Extraction is the summary of a workshop convened in 2012 by the Institute of Medicine (IOM) Roundtable on Environmental Health Sciences, Research, and Medicine to discuss the human health impact of shale gas extraction through the lens of a health impact assessment. Eminent scientists, physicians, public health experts, and representatives from government agencies at federal and state levels, from nongovernment organizations, from the business sector, and from interest groups representing the interests of the citizens met to exchange ideas and to inform on hydraulic fracturing as a means of extraction of natural gas. This report examines the state of the science regarding shale gas extraction, the direct and indirect environmental health impacts of shale gas extraction, and the use of health impact assessment as a tool that can help decision makers identify the public health consequences of shale gas extraction. ER - TY - BOOK AU - Institute of Medicine A2 - Philip Aspden A2 - Julie Wolcott A2 - J. Lyle Bootman A2 - Linda R. Cronenwett TI - Preventing Medication Errors SN - DO - 10.17226/11623 PY - 2007 UR - https://nap.nationalacademies.org/catalog/11623/preventing-medication-errors PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - In 1996 the Institute of Medicine launched the Quality Chasm Series, a series of reports focused on assessing and improving the nation's quality of health care. Preventing Medication Errors is the newest volume in the series. Responding to the key messages in earlier volumes of the series—To Err Is Human (2000), Crossing the Quality Chasm (2001), and Patient Safety (2004)—this book sets forth an agenda for improving the safety of medication use. It begins by providing an overview of the system for drug development, regulation, distribution, and use. Preventing Medication Errors also examines the peer-reviewed literature on the incidence and the cost of medication errors and the effectiveness of error prevention strategies. Presenting data that will foster the reduction of medication errors, the book provides action agendas detailing the measures needed to improve the safety of medication use in both the short- and long-term. Patients, primary health care providers, health care organizations, purchasers of group health care, legislators, and those affiliated with providing medications and medication- related products and services will benefit from this guide to reducing medication errors. ER - TY - BOOK AU - Institute of Medicine TI - Improving the Quality of Health Care for Mental and Substance-Use Conditions SN - DO - 10.17226/11470 PY - 2006 UR - https://nap.nationalacademies.org/catalog/11470/improving-the-quality-of-health-care-for-mental-and-substance-use-conditions PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Each year, more than 33 million Americans receive health care for mental or substance-use conditions, or both. Together, mental and substance-use illnesses are the leading cause of death and disability for women, the highest for men ages 15-44, and the second highest for all men. Effective treatments exist, but services are frequently fragmented and, as with general health care, there are barriers that prevent many from receiving these treatments as designed or at all. The consequences of this are serious—for these individuals and their families; their employers and the workforce; for the nation's economy; as well as the education, welfare, and justice systems. Improving the Quality of Health Care for Mental and Substance-Use Conditions examines the distinctive characteristics of health care for mental and substance-use conditions, including payment, benefit coverage, and regulatory issues, as well as health care organization and delivery issues. This new volume in the Quality Chasm series puts forth an agenda for improving the quality of this care based on this analysis. Patients and their families, primary health care providers, specialty mental health and substance-use treatment providers, health care organizations, health plans, purchasers of group health care, and all involved in health care for mental and substance–use conditions will benefit from this guide to achieving better care. ER - TY - BOOK TI - Reimbursement Policies for Primary Health Care DO - 10.17226/20050 PY - 1978 UR - https://nap.nationalacademies.org/catalog/20050/reimbursement-policies-for-primary-health-care PB - The National Academies Press CY - Washington, DC LA - English KW - KW - Health and Medicine ER - TY - BOOK AU - Institute of Medicine A2 - Brian D. Smedley A2 - Adrienne Y. Stith A2 - Lois Colburn A2 - Clyde H. Evans TI - The Right Thing to Do, The Smart Thing to Do: Enhancing Diversity in the Health Professions -- Summary of the Symposium on Diversity in Health Professions in Honor of Herbert W. Nickens, M.D. SN - DO - 10.17226/10186 PY - 2001 UR - https://nap.nationalacademies.org/catalog/10186/the-right-thing-to-do-the-smart-thing-to-do PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - The Symposium on Diversity in the Health Professions in Honor of Herbert W. Nickens, M.D., was convened in March 2001 to provide a forum for health policymakers, health professions educators, education policymakers, researchers, and others to address three significant and contradictory challenges: the continued under-representation of African Americans, Hispanics, and Native Americans in health professions; the growth of these populations in the United States and subsequent pressure to address their health care needs; and the recent policy, legislative, and legal challenges to affirmative action that may limit access for underrepresented minority students to health professions training. The symposium summary along with a collection of papers presented are to help stimulate further discussion and action toward addressing these challenges. The Right Thing to Do, The Smart Thing to Do: Enhancing Diversity in Health Professions illustrates how the health care industry and health care professions are fighting to retain the public's confidence so that the U.S. health care system can continue to be the world's best. ER - TY - BOOK AU - National Research Council A2 - Burton H. Singer A2 - Carol D. Ryff TI - New Horizons in Health: An Integrative Approach SN - DO - 10.17226/10002 PY - 2001 UR - https://nap.nationalacademies.org/catalog/10002/new-horizons-in-health-an-integrative-approach PB - The National Academies Press CY - Washington, DC LA - English KW - Behavioral and Social Sciences KW - Health and Medicine AB - New Horizons in Health discusses how the National Institutes of Health (NIH) can integrate research in the social, behavioral, and biomedical sciences to better understand the causes of disease as well as interventions that promote health. It outlines a set of research priorities for consideration by the Office of Behavioral and Social Sciences Research (OBSSR), with particular attention to research that can support and complement the work of the National Institutes of Health. By addressing the range of interactions among social settings, behavioral patterns, and important health concerns, it highlights areas of scientific opportunity where significant investment is most likely to improve national—and global—health outcomes. These opportunities will apply the knowledge and methods of the behavioral and social sciences to contemporary health needs, and give attention to the chief health concerns of the general public. ER - TY - BOOK AU - Institute of Medicine AU - National Research Council A2 - Susan J. Curry A2 - Tim Byers A2 - Maria Hewitt TI - Fulfilling the Potential of Cancer Prevention and Early Detection SN - DO - 10.17226/10263 PY - 2003 UR - https://nap.nationalacademies.org/catalog/10263/fulfilling-the-potential-of-cancer-prevention-and-early-detection PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Cancer ranks second only to heart disease as a leading cause of death in the United States, making it a tremendous burden in years of life lost, patient suffering, and economic costs. Fulfilling the Potential for Cancer Prevention and Early Detection reviews the proof that we can dramatically reduce cancer rates. The National Cancer Policy Board, part of the Institute of Medicine, outlines a national strategy to realize the promise of cancer prevention and early detection, including specific and wide-ranging recommendations. Offering a wealth of information and directly addressing major controversies, the book includes: A detailed look at how significantly cancer could be reduced through lifestyle changes, evaluating approaches used to alter eating, smoking, and exercise habits. An analysis of the intuitive notion that screening for cancer leads to improved health outcomes, including a discussion of screening methods, potential risks, and current recommendations. An examination of cancer prevention and control opportunities in primary health care delivery settings, including a review of interventions aimed at improving provider performance. Reviews of professional education and training programs, research trends and opportunities, and federal programs that support cancer prevention and early detection. This in-depth volume will be of interest to policy analysts, cancer and public health specialists, health care administrators and providers, researchers, insurers, medical journalists, and patient advocates. ER - TY - BOOK AU - Institute of Medicine A2 - Theresa Wizemann TI - Applying a Health Lens to Decision Making in Non-Health Sectors: Workshop Summary SN - DO - 10.17226/18659 PY - 2014 UR - https://nap.nationalacademies.org/catalog/18659/applying-a-health-lens-to-decision-making-in-non-health-sectors PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Health is influenced by a wide range of factors, many of which fall outside of the health care delivery sector. These determinants of health include, for example, the characteristics of how people live, work, learn, and play. Decision and policy making in areas such as transportation, housing, and education at different levels of government, and in the private sector, can have far-reaching impacts on health. Throughout the United States there has been increasing dialogue on incorporating a health perspective into policies, programs, and projects outside the health field. Applying a Health Lens to Decision Making in Non-Health Sectors is the summary of a workshop convened in September 2013 by the Institute of Medicine Roundtable on Population Health Improvement to foster cross-sectoral dialogue and consider the opportunities for and barriers to improving the conditions for health in the course of achieving other societal objectives (e.g., economic development, efficient public transit). The roundtable engaged members, outside experts, and stakeholders on three core issues: supporting fruitful interaction between primary care and public health; strengthening governmental public health; and exploring community action in transforming the conditions that influence the public's health. This report is a discussion of health in all policies approaches to promote consideration for potential health effects in policy making in many relevant domains, such as education, transportation, and housing. ER - TY - BOOK AU - Institute of Medicine AU - National Academies of Sciences, Engineering, and Medicine A2 - Steve Olson A2 - Noam I. Keren TI - Opportunities to Promote Children's Behavioral Health: Health Care Reform and Beyond: Workshop Summary SN - DO - 10.17226/21795 PY - 2015 UR - https://nap.nationalacademies.org/catalog/21795/opportunities-to-promote-childrens-behavioral-health-health-care-reform-and PB - The National Academies Press CY - Washington, DC LA - English KW - Behavioral and Social Sciences KW - Health and Medicine AB - The Patient Protection and Affordable Care Act (ACA), which was signed into law in 2010, has several provisions that could greatly improve the behavioral health of children and adolescents in the United States. It requires that many insurance plans cover mental health and substance use disorder services, rehabilitative services to help support people with behavioral health challenges, and preventive services like behavioral assessments for children and depression screening for adults. These and other provisions provide an opportunity to confront the many behavioral health challenges facing youth in America. To explore how the ACA and other aspects of health care reform can support innovations to improve children's behavioral health and sustain those innovations over time, the Forum on Promoting Children's Cognitive, Affective, and Behavioral Health held a workshop on April 1-2, 2015. The workshop explicitly addressed the behavioral health needs of all children, including those with special health needs. It also took a two-generation approach, looking at the programs and services that support not only children but also parents and families. This report summarizes the presentations and discussions of this workshop. ER - TY - BOOK AU - Institute of Medicine TI - A Summary of the December 2009 Forum on the Future of Nursing: Care in the Community SN - DO - 10.17226/12893 PY - 2010 UR - https://nap.nationalacademies.org/catalog/12893/a-summary-of-the-december-2009-forum-on-the-future-of-nursing PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine KW - Education AB - The Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the IOM, seeks to build a blueprint for the future of nursing as part of larger efforts to reform the health care system. The second of the Initiative's three forums was held on December 3, 2009, and examined care in the community, focusing on community health, public health, primary care, and long-term care. ER - TY - BOOK AU - National Academies of Sciences, Engineering, and Medicine A2 - Megan Snair TI - Multigenerational Approaches to Fostering Children's Health and Well-Being: The Opioid Crisis as a Case Study: Proceedings of a Workshop SN - DO - 10.17226/25574 PY - 2019 UR - https://nap.nationalacademies.org/catalog/25574/multigenerational-approaches-to-fostering-childrens-health-and-well-being-the PB - The National Academies Press CY - Washington, DC LA - English KW - Behavioral and Social Sciences KW - Health and Medicine AB - The opioid crisis is especially prevalent in rural and economically disadvantaged communities where poverty is associated with poor physical and mental wellbeing, health access is limited, opioid prescription rates are higher, and treatment programs are few. Children are one of the most vulnerable populations caught in this public health crisis, as a growing number are sent to live with other relatives or placed in foster care following the death of a parent or a parent's inability to continue as a primary caretaker while in recovery. Additionally, health care systems around the country have seen a dramatic increase in babies who are born with neonatal abstinence syndrome. All children affected by the opioid crisis, whether born with withdrawal symptoms or struggling as an older child surrounded by uncertainty, need dedicated attention, likely including specialized services, to achieve optimal levels of health and well-being. Unfortunately, because so many resources directed to the crises have been dedicated to the immediate and long-term needs of people who have overdosed, children often become a forgotten population. In response to this need, the Forum for Children's Well-Being convened a workshop in June 2019 on Fostering Children's Physical, Developmental and Social/Behavioral Health in the Face of the Opioid Crisis. The goal of the workshop was to explore multigenerational approaches and policy strategies to promote health and well-being, using the opioid crisis as a case study. Multigenerational approaches and policy strategies that are successful in fostering children's health in this crisis may be adaptable in the future. This publication summarizes the presentation and discussion of the workshop. ER - TY - BOOK TI - Primary Care: America's Health in a New Era: Summary DO - 10.17226/21190 PY - 1996 UR - https://nap.nationalacademies.org/catalog/21190/primary-care-americas-health-in-a-new-era-summary PB - The National Academies Press CY - Washington, DC LA - English KW - KW - Health and Medicine ER - TY - BOOK AU - Institute of Medicine A2 - Joe Alper A2 - Claudia Grossmann TI - Integrating Research and Practice: Health System Leaders Working Toward High-Value Care: Workshop Summary SN - DO - 10.17226/18945 PY - 2015 UR - https://nap.nationalacademies.org/catalog/18945/integrating-research-and-practice-health-system-leaders-working-toward-high PB - The National Academies Press CY - Washington, DC LA - English KW - Health and Medicine AB - Health care has been called one of the most complex sectors of the U.S. economy. Driven largely by robust innovation in treatments and interventions, this complexity has created an increased need for evidence about what works best for whom in order to inform decisions that lead to safe, efficient, effective, and affordable care. As health care becomes more digital, clinical datasets are becoming larger and more numerous. By realizing the potential of knowledge generation that is more closely integrated with the practice of care, it should be possible not only to produce more usable evidence to inform decisions, but also to increase the efficiency and decrease the costs of doing clinical research. Patient-Centered Clinical Research Network, or PCORnet, is a nation-wide patient-centered clinical research network intended to form a resource of clinical, administrative, and patient data that can be used to carry out observational and interventional research studies and enhance the use of clinical data to advance the learning health care system. The primary goal of the first phase of PCORnet will be to establish the data infrastructure necessary to do such research. In April and June 2014 the Institute of Medicine's Roundtable on Value and Science-Driven Health Care convened two workshops aimed at accelerating progress toward real-time knowledge generation through the seamless integration of clinical practice and research, one of the fundamental concepts of a continuously learning health system, centered on the development of the PCORnet. The first workshop brought together health care system leaders, both administrative and clinical, and researchers to consider issues and strategic priorities for building a successful and durable clinical research network and facilitate progress toward a continuously learning health care system more broadly, including issues related to science, technology, ethics, business, regulatory oversight, sustainability, and governance. The second workshop focused on implementation approaches. Health system CEOs convened to consider strategic priorities and explore approaches to implementation. These workshops will inform the decisions of field leaders moving forward, including PCORI, the PCORnet steering committee, and PCORnet grantees. Integrating Research and Practice is the summary of the presentations and discussions of the workshops. ER -