Workforce
by Laura DeStefano | Jun 28, 2013 | Commentary, Perspectives
As discussed by Christine Cassel of the American Board of Internal Medicine in an Institute of Medicine (IOM) commentary on June 14, 2013, the Choosing Wisely campaign unites more than 25 medical specialty societies, each agreeing to identify “Five Things Physicians...
by Laura DeStefano | Jun 14, 2013 | Commentary, Perspectives
According to the Institute of Medicine report Best Care at Lower Cost: The Path to Continuously Learning Health Care in America, as much as $750 billion—or 30 percent [1]—of health care expenditures may be wasted, including a substantial share from services that are...
by Laura DeStefano | Jun 11, 2013 | Discussion Paper, Perspectives
Context Globalization has resulted in countries importing foreign products in numbers never before seen. For example, the U.S. Food and Drug Administration (FDA) estimates that the products it regulates now originate in more than 150 countries and 300,000 foreign...
by Laura DeStefano | Jun 11, 2013 | Commentary, Perspectives
Business and government often respond rapidly, without engaging health professionals, in their efforts to solve crises or embrace new technologies. Too often, decisions made prove to be shortsighted. One needs only to look to recent history for unintended...
by Jenna Ogilvie | May 9, 2013 | Discussion Paper, Perspectives
The public health laboratory (PHL) system in the United States is composed of a web of local, state, and federal facilities that provide a broad scope and level of services. Supporting the workforce of the PHL network is particularly challenging due to the impact of...
by Laura DeStefano | May 3, 2013 | Commentary, Perspectives
Health care delivery is changing in virtually every domain—affecting primary, tertiary, and quaternary care; crossing disciplines and engaging all health professions; and involving both processes and outcomes of care. All of these changes are marked by a major...
by Laura DeStefano | Nov 27, 2012 | Discussion Paper, Perspectives
The Urgent Need for Harmonization The 2009 Institute of Medicine (IOM) report Conflict of Interest in Medical Research, Education, and Practice reported that “patients and the public benefit when physicians and researchers collaborate with pharmaceutical, medical...
by Laura DeStefano | Nov 16, 2012 | Commentary, Perspectives
More than a decade ago, the board of directors and executive leaders of Virginia Mason (VM) Health System in Seattle, WA, held a series of meetings to determine the future direction of the organization. It was a new century, we had a new CEO, and the Institute of...
by Laura DeStefano | Oct 2, 2012 | Discussion Paper, Perspectives
Goal This paper is the product of individuals who worked to identify basic principles and expectations for the coordinated contributions of various participants in the care process. It is intended to provide common reference points to guide coordinated...
by Laura DeStefano | May 18, 2012 | Commentary, Perspectives
The Institute of Medicine’s (IOM’s) release of the reports To Err is Human and Crossing the Quality Chasm in 1999 and 2001, respectively, were markers of a tipping point in U.S. health care. Prior to that time, “quality” in health care had largely been defined by...
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