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Criteria for Selecting the Leading Health Indicators for Healthy People 2030
Every ten years, the Department of Health and Human Service's Healthy People Initiative develops a new set of science-based, national objectives with the goal of improving the health of all Americans. Defining balanced and comprehensive criteria for healthy people enables the public, programs, and policymakers to gauge our progress and reevaluate efforts towards a healthier society. Criteria for Selecting the Leading Health Indicators for Healthy People 2030 makes recommendations for the development of Leading Health Indicators for the initiative's Healthy People 2030 framework. The authoring committee's assessments inform their recommendations for the Healthy People Federal Interagency Workgroup in their endeavor to develop the latest Leading Health Indicators. The finalized Leading Health Indicators will establish the criteria for healthy Americans and help update policies that will guide decision-marking throughout the next decade. This report also reviews and reflects upon current and past Healthy People materials to identify gaps and new objectives.
Motor-Vehicle Occupant Injury
The Task Force on Community Preventive Services has conducted a systematic review of interventions designed to increase use of child safety seats, increase use of safety belts, and reduce alcohol-impaired driving. Contents: Background; Introduction; Methods; Results; Use of the Recommendations in States and Communities; Additional Information Regarding the ¿Community Guide¿; and References. Tables.
For the Public's Health
Despite having the costliest medical care delivery system in the world, Americans are not particularly healthy. Recent international comparisons show that life expectancy in the U.S. ranks 49th among all nations, and infant mortality rates are higher in the U.S. than in many far less affluent nations. While these statistics are alarming, the bigger problem is that we do not know how to reverse this trend. Our lack of knowledge is due in large part to significant inadequacies in the health system for gathering, analyzing, and communicating health information about the population. To inform the public health community and all other sectors that contribute to population health, For the Public's...
The Richard and Hinda Rosenthal Lectures 2005
In 1988, an exciting and important new program was launched at the Institute of Medicine. Through the generosity of the Richard and Hinda Rosenthal Foundation, a lecture series was established to bring to greater attention some of the critical health policy issues facing our nation today. Each year a subject of particular relevance is addressed through a lecture presented by experts in the field. The Rosenthal lecture included in this volume captures three exciting presentations, given by Drs. Elliott Fisher, George Isham, and Lucian Leape, and reveals the ensuing discussion on "Next Steps Toward Higher Quality Health Care."
Collaboration Among Competing Managed Care Organizations for Quality Improvement
In November, 1997, The Institute of Medicine convened a one-day conference to explore areas for potential collaboration to improve quality among competing health plans consistent with antitrust and other legal requirements. The conference was convened to clarify the limits of such potential activities and to explore ways to stimulate collaboration; in short, to explore permissible and promising areas for collaboration for competing health plans. Competition has existed at the provider level in the pre-managed care era and continues among physicians, physician groups and hospitals today. What is new is the extent of competition at the managed care organization level in individual regional markets. As large numbers of individuals are enrolled in health plans, the potential for new forms of cooperation for improving quality of care becomes possible. Along with these new possibilities, however, come questions about whether they bring the potential for antitrust violation.
The Guide to Community Preventive Services
The gold standard for evidence-based public health, The Guide to Community Preventive Services is a primary resource to improve health and prevent disease in states, communities, independent, nonfederal Task Force on Community Preventive Services, The Guide uses comprehensive systemic review methods to evaluate population-oriented health interventions. The recommendations of the Task Force are explicitly linked to the scientific evidence developed during systematic reviews. This volume examines the effectiveness and efficiency of interventions to combat such risky behaviors as tobacco use, physical inactivity, and violence; to reduce the impact and suffering of specific conditions such as cancer, diabetes, vaccine-preventable diseases, and motor vehicle injuries; and to address social determinants oh health such as education, housing, and access to care. The chapters are grouped into three broad categories: changing risk behaviors; reducing specific diseases, injuries, and impairments; and methodological background for the book itself.
The Best Practice
In the late 1990s, treatment-related deaths or ''complications'' were the fifth leading cause of death for Americans. Yet healthcare practitioners decried attempts to standardize treatment. ''We're working with people, not cars,'' they said. The result: an epidemic of preventable mistakes in a medical landscape where patients wait for hours in ''emergency'' rooms, fill out the same paperwork at each visit, and increasingly run the risk of being dosed with the wrong medication or having the wrong limb amputated. These problems spurred a group of dedicated physicians like Paul Batalden and Don Berwick to study the concepts of ''quality improvement'' used at Toyota and NASA, and to dare to apply them to the practice of medicine. This book tells their story, and how these ''heretical'' ideas have blossomed into a movement, bringing the focus back to where it should have always been: the patient.
Provision of Mental Health Counseling Services Under TRICARE
In this book, the IOM makes recommendations for permitting independent practice for mental health counselors treating patients within TRICARE-the DOD's health care benefits program. This would change current policy, which requires all counselors to practice under a physician's supervision without regard to their education, training, licensure or experience.
