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<title>The Healthcare Imperative - NCBI Bookshelf</title>
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<meta name="robots" content="INDEX,FOLLOW,NOARCHIVE,NOIMAGEINDEX" /><meta name="author" content="Institute of Medicine (US) Roundtable on Evidence-Based Medicine; Pierre L Yong, Robert S Saunders, LeighAnne Olsen" /><meta name="citation_title" content="The Healthcare Imperative" /><meta name="citation_publisher" content="National Academies Press (US)" /><meta name="citation_date" content="2010" /><meta name="citation_author" content="Institute of Medicine (US) Roundtable on Evidence-Based Medicine" /><meta name="citation_author" content="Pierre L Yong" /><meta name="citation_author" content="Robert S Saunders" /><meta name="citation_author" content="LeighAnne Olsen" /><meta name="citation_pmid" content="21595114" /><meta name="citation_doi" content="10.17226/12750" /><meta name="citation_fulltext_html_url" content="https://www.ncbi.nlm.nih.gov/books/NBK53920/" /><link rel="schema.DC" href="http://purl.org/DC/elements/1.0/" /><meta name="DC.Title" content="The Healthcare Imperative" /><meta name="DC.Type" content="Text" /><meta name="DC.Publisher" content="National Academies Press (US)" /><meta name="DC.Contributor" content="Institute of Medicine (US) Roundtable on Evidence-Based Medicine" /><meta name="DC.Contributor" content="Pierre L Yong" /><meta name="DC.Contributor" content="Robert S Saunders" /><meta name="DC.Contributor" content="LeighAnne Olsen" /><meta name="DC.Date" content="2010" /><meta name="DC.Identifier" content="https://www.ncbi.nlm.nih.gov/books/NBK53920/" /><meta name="description" content="To explore the issues and opportunities central to lowering health-care expenditures in the United States, the IOM Roundtable on Value & Science-Driven Health Care convened the four-part series The Healthcare Imperative: Lowering Costs and Improving Outcomes in May, July, September, and December of 2009 at the National Academies in Washington, DC. These meetings were part of the Roundtable’s Learning Health System series. The series aimed to gather stakeholders in a trusted venue to engage the issues and concerns needed to facilitate the development of a health-care system that not only delivers best practices and adds value with each clinical encounter, but adds seamlessly to the knowledge base for health improvement. Motivated by the proposition noted above of reducing per capita health spending in the country by 10 percent within 10 years without compromising health status, quality of care, or innovation, the meeting objectives included: characterizing and discussing the major causes of excess healthcare spending, waste, and inefficiency in the United States; considering the strategies that might reduce per capita health spending in the United States while improving health outcomes; and exploring policy options relevant to those strategies." /><meta name="og:title" content="The Healthcare Imperative" /><meta name="og:type" content="book" /><meta name="og:description" content="To explore the issues and opportunities central to lowering health-care expenditures in the United States, the IOM Roundtable on Value & Science-Driven Health Care convened the four-part series The Healthcare Imperative: Lowering Costs and Improving Outcomes in May, July, September, and December of 2009 at the National Academies in Washington, DC. These meetings were part of the Roundtable’s Learning Health System series. The series aimed to gather stakeholders in a trusted venue to engage the issues and concerns needed to facilitate the development of a health-care system that not only delivers best practices and adds value with each clinical encounter, but adds seamlessly to the knowledge base for health improvement. Motivated by the proposition noted above of reducing per capita health spending in the country by 10 percent within 10 years without compromising health status, quality of care, or innovation, the meeting objectives included: characterizing and discussing the major causes of excess healthcare spending, waste, and inefficiency in the United States; considering the strategies that might reduce per capita health spending in the United States while improving health outcomes; and exploring policy options relevant to those strategies." /><meta name="og:url" content="https://www.ncbi.nlm.nih.gov/books/NBK53920/" /><meta name="og:site_name" content="NCBI Bookshelf" /><meta name="og:image" content="https://www.ncbi.nlm.nih.gov/corehtml/pmc/pmcgifs/bookshelf/thumbs/th-nap12750-lrg.png" /><meta name="twitter:card" content="summary" /><meta name="twitter:site" content="@ncbibooks" /><meta name="bk-non-canon-loc" content="/books/n/nap12750/toc/" /><link rel="canonical" href="https://www.ncbi.nlm.nih.gov/books/NBK53920/" /><link rel="stylesheet" href="/corehtml/pmc/css/figpopup.css" type="text/css" media="screen" /><link rel="stylesheet" href="/corehtml/pmc/css/bookshelf/2.26/css/books.min.css" type="text/css" /><link rel="stylesheet" href="/corehtml/pmc/css/bookshelf/2.26/css/books_print.min.css" type="text/css" /><style type="text/css">p a.figpopup{display:inline !important} .bk_tt {font-family: monospace} .first-line-outdent .bk_ref {display: inline} </style><script type="text/javascript" src="/corehtml/pmc/js/jquery.hoverIntent.min.js"> </script><script type="text/javascript" src="/corehtml/pmc/js/common.min.js?_=3.18"> </script><script type="text/javascript">window.name="mainwindow";</script><script type="text/javascript" src="/corehtml/pmc/js/bookshelf/2.26/book-toc.min.js"> </script><script type="text/javascript" src="/corehtml/pmc/js/bookshelf/2.26/books.min.js"> </script>
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<div class="main-content lit-style" itemscope="itemscope" itemtype="http://schema.org/Book"><div class="meta-content fm-sec"><div class="iconblock whole_rhythm clearfix no_top_margin"><a href="http://www.nap.edu/catalog.php?record_id=12750" title="National Academies Press (US)" class="img_link icnblk_img" ref="pagearea=logo&targetsite=external&targetcat=link&targettype=publisher"><img class="source-thumb" src="/corehtml/pmc/pmcgifs/bookshelf/thumbs/th-nap12750-lrg.png" alt="Cover of The Healthcare Imperative" /></a><div class="icnblk_cntnt"><h1 id="_NBK53920_"><span itemprop="name">The Healthcare Imperative</span></h1><div class="subtitle">Lowering Costs and Improving Outcomes</div><p><b>Workshop Series Summary</b></p><p class="contrib-group"><h4>Contributors</h4><span itemprop="author">Institute of Medicine (US) Roundtable on Evidence-Based Medicine</span>; Editors: <span itemprop="editor">Pierre L Yong</span>, <span itemprop="editor">Robert S Saunders</span>, and <span itemprop="editor">LeighAnne Olsen</span>.</p><div class="half_rhythm">Washington (DC): <a href="http://www.nap.edu/" ref="pagearea=meta&targetsite=external&targetcat=link&targettype=publisher"><span itemprop="publisher">National Academies Press (US)</span></a>; <span itemprop="datePublished">2010</span>.<div class="small"><span class="label">ISBN-13: <span itemprop="isbn">978-0-309-14433-9</span></span>ISBN-10: <span itemprop="isbn">0-309-14433-7</span></div></div><div><a href="/books/about/copyright/">Copyright</a> © 2010, National Academy of
|
||
Sciences.</div><div class="small half_rhythm bk_noprnt"><a href="http://www.nap.edu/catalog.php?record_id=12750" ref="pagearea=body&targetsite=external&targetcat=link&targettype=publisher">Hardcopy Version at National Academies Press</a></div></div></div></div><div class="body-content whole_rhythm" itemprop="text"><div itemprop="description"><h2>Excerpt</h2><p>To explore the issues and opportunities central to lowering health-care expenditures
|
||
in the United States, the IOM Roundtable on Value & Science-Driven Health Care
|
||
convened the four-part series <i>The Healthcare Imperative: Lowering Costs and
|
||
Improving Outcomes</i> in May, July, September, and December of 2009 at the
|
||
National Academies in Washington, DC. These meetings were part of the
|
||
Roundtable’s <i>Learning Health System</i> series. The series
|
||
aimed to gather stakeholders in a trusted venue to engage the issues and concerns
|
||
needed to facilitate the development of a health-care system that not only delivers
|
||
best practices and adds value with each clinical encounter, but adds seamlessly to
|
||
the knowledge base for health improvement. Motivated by the proposition noted above
|
||
of reducing per capita health spending in the country by 10 percent within 10 years
|
||
without compromising health status, quality of care, or innovation, the meeting
|
||
objectives included: characterizing and discussing the major causes of excess
|
||
healthcare spending, waste, and inefficiency in the United States; considering the
|
||
strategies that might reduce per capita health spending in the United States while
|
||
improving health outcomes; and exploring policy options relevant to those
|
||
strategies.</p></div><div><h2>Contents</h2><ul id="toc_tllNBK53920_toc_nap12750_fm_s1" class="simple-list toc toc-toggle"><li class="half_rhythm" id="toc_itm_NBK53920_toc_nap12750_fm_s1"><a class="toc-item" href="/books/n/nap12750/nap12750.fm.s1/">The National Academies</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_nap12750_fm_s2"><a class="toc-item" href="/books/n/nap12750/nap12750.fm.s2/">Roundtable on Value & Science-Driven Health Care</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_nap12750_fm_s5"><a class="toc-item" href="/books/n/nap12750/nap12750.fm.s5/">Reviewers</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_nap12750_fm_s6"><a class="toc-item" href="/books/n/nap12750/nap12750.fm.s6/">Institute of Medicine Roundtable on Value & Science-Driven Health Care</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_nap12750_fm_s8"><a class="toc-item" href="/books/n/nap12750/nap12750.fm.s8/">Foreword</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_nap12750_fm_s9"><a class="toc-item" href="/books/n/nap12750/nap12750.fm.s9/">Preface</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_synopsis"><a class="toc-item" href="/books/n/nap12750/synopsis/">Synopsis and Overview</a><ul id="toc_lst_NBK53920_toc_synopsis" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_synopsis_s1"><a class="toc-item" href="/books/n/nap12750/synopsis/#synopsis.s1">THE BURDEN OF RISING COST</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_synopsis_s3"><a class="toc-item" href="/books/n/nap12750/synopsis/#synopsis.s3">COMMON THEMES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_synopsis_s28"><a class="toc-item" href="/books/n/nap12750/synopsis/#synopsis.s28">WORKSHOP ONE: UNDERSTANDING THE TARGETS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_synopsis_s50"><a class="toc-item" href="/books/n/nap12750/synopsis/#synopsis.s50">WORKSHOP TWO: STRATEGIES THAT WORK</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_synopsis_s86"><a class="toc-item" href="/books/n/nap12750/synopsis/#synopsis.s86">WORKSHOP THREE: THE POLICY AGENDA</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_synopsis_s114"><a class="toc-item" href="/books/n/nap12750/synopsis/#synopsis.s114">WORKSHOP FOUR: GETTING TO 10 PERCENT</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_synopsis_s118"><a class="toc-item" href="/books/n/nap12750/synopsis/#synopsis.s118">NEXT STEPS FOR THE ROUNDTABLE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_synopsis_rl1"><a class="toc-item" href="/books/n/nap12750/synopsis/#synopsis.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_sec1"><a class="toc-item" href="/books/n/nap12750/sec1/">I. Excessive Healthcare Costs</a><ul id="toc_lst_NBK53920_toc_sec1" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch1"><a class="toc-item" href="/books/n/nap12750/ch1/">1. The Healthcare Imperative</a><ul id="toc_lst_NBK53920_toc_ch1" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch1_s1"><a class="toc-item" href="/books/n/nap12750/ch1/#ch1.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch1_s2"><a class="toc-item" href="/books/n/nap12750/ch1/#ch1.s2">PROMOTING EFFICIENCY AND REDUCING DISPARITIES IN HEALTH CARE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch1_s6"><a class="toc-item" href="/books/n/nap12750/ch1/#ch1.s6">WHY AMERICANS SPEND MORE FOR HEALTH CARE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch1_rl1"><a class="toc-item" href="/books/n/nap12750/ch1/#ch1.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch2"><a class="toc-item" href="/books/n/nap12750/ch2/">2. Unnecessary Services</a><ul id="toc_lst_NBK53920_toc_ch2" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch2_s1"><a class="toc-item" href="/books/n/nap12750/ch2/#ch2.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch2_s2"><a class="toc-item" href="/books/n/nap12750/ch2/#ch2.s2">SAVING MONEY (AND LIVES)</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch2_s6"><a class="toc-item" href="/books/n/nap12750/ch2/#ch2.s6">REGIONAL INSIGHTS AND U.S. HEALTH CARE SAVINGS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch2_s14"><a class="toc-item" href="/books/n/nap12750/ch2/#ch2.s14">OPPORTUNITIES TO REDUCE UNWARRANTED CARE DIFFERENCES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch2_rl1"><a class="toc-item" href="/books/n/nap12750/ch2/#ch2.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch3"><a class="toc-item" href="/books/n/nap12750/ch3/">3. Inefficiently Delivered Services</a><ul id="toc_lst_NBK53920_toc_ch3" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch3_s1"><a class="toc-item" href="/books/n/nap12750/ch3/#ch3.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch3_s2"><a class="toc-item" href="/books/n/nap12750/ch3/#ch3.s2">COSTS OF ERRORS AND INEFFICIENCY IN HOSPITALS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch3_s7"><a class="toc-item" href="/books/n/nap12750/ch3/#ch3.s7">COSTS FROM INEFFICIENT USE OF CAREGIVERS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch3_s15"><a class="toc-item" href="/books/n/nap12750/ch3/#ch3.s15">COSTS FROM PHYSICIAN OFFICE INEFFICIENCIES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch3_s18"><a class="toc-item" href="/books/n/nap12750/ch3/#ch3.s18">LOW-COST HOSPITALS WITH HIGH-QUALITY SCORES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch3_s20"><a class="toc-item" href="/books/n/nap12750/ch3/#ch3.s20">COSTS OF UNCOORDINATED CARE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch3_rl1"><a class="toc-item" href="/books/n/nap12750/ch3/#ch3.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch4"><a class="toc-item" href="/books/n/nap12750/ch4/">4. Excess Administrative Costs</a><ul id="toc_lst_NBK53920_toc_ch4" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch4_s1"><a class="toc-item" href="/books/n/nap12750/ch4/#ch4.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch4_s2"><a class="toc-item" href="/books/n/nap12750/ch4/#ch4.s2">EXCESS BILLING AND INSURANCE-RELATED ADMINISTRATIVE COSTS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch4_s9"><a class="toc-item" href="/books/n/nap12750/ch4/#ch4.s9">WHAT DOES IT COST PHYSICIAN PRACTICES TO INTERACT WITH PAYERS?</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch4_s15"><a class="toc-item" href="/books/n/nap12750/ch4/#ch4.s15">COST SAVINGS FROM SIMPLIFYING THE BILLING PROCESS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch4_s20"><a class="toc-item" href="/books/n/nap12750/ch4/#ch4.s20">EXCESS HEALTH INSURANCE ADMINISTRATIVE EXPENSES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch4_rl1"><a class="toc-item" href="/books/n/nap12750/ch4/#ch4.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch5"><a class="toc-item" href="/books/n/nap12750/ch5/">5. Prices That Are Too High</a><ul id="toc_lst_NBK53920_toc_ch5" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch5_s1"><a class="toc-item" href="/books/n/nap12750/ch5/#ch5.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch5_s2"><a class="toc-item" href="/books/n/nap12750/ch5/#ch5.s2">PRICE IMPLICATIONS OF HOSPITAL CONSOLIDATION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch5_s12"><a class="toc-item" href="/books/n/nap12750/ch5/#ch5.s12">PRESCRIPTION DRUG PRICES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch5_s23"><a class="toc-item" href="/books/n/nap12750/ch5/#ch5.s23">DURABLE MEDICAL EQUIPMENT PRICES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch5_s31"><a class="toc-item" href="/books/n/nap12750/ch5/#ch5.s31">MARKET PRICING AND THE MEDICARE PROGRAM</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch5_s43"><a class="toc-item" href="/books/n/nap12750/ch5/#ch5.s43">MEDICAL DEVICE PRICES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch5_s49"><a class="toc-item" href="/books/n/nap12750/ch5/#ch5.s49">Conclusion</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch5_rl1"><a class="toc-item" href="/books/n/nap12750/ch5/#ch5.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch6"><a class="toc-item" href="/books/n/nap12750/ch6/">6. Missed Prevention Opportunities</a><ul id="toc_lst_NBK53920_toc_ch6" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch6_s1"><a class="toc-item" href="/books/n/nap12750/ch6/#ch6.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch6_s2"><a class="toc-item" href="/books/n/nap12750/ch6/#ch6.s2">THE PRICE PAID FOR NOT PREVENTING DISEASES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch6_s12"><a class="toc-item" href="/books/n/nap12750/ch6/#ch6.s12">COST SAVINGS FROM PRIMARY AND SECONDARY PREVENTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch6_s17"><a class="toc-item" href="/books/n/nap12750/ch6/#ch6.s17">TERTIARY PREVENTION AND TREATMENT COSTS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch6_rl1"><a class="toc-item" href="/books/n/nap12750/ch6/#ch6.rl1">REFERENCES</a></li></ul></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_sec2"><a class="toc-item" href="/books/n/nap12750/sec2/">II. Strategies That Work</a><ul id="toc_lst_NBK53920_toc_sec2" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch7"><a class="toc-item" href="/books/n/nap12750/ch7/">7. Strategies That Work</a><ul id="toc_lst_NBK53920_toc_ch7" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch7_s1"><a class="toc-item" href="/books/n/nap12750/ch7/#ch7.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch7_s2"><a class="toc-item" href="/books/n/nap12750/ch7/#ch7.s2">REVISITING “UNDERSTANDING THE TARGETS”</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch7_s6"><a class="toc-item" href="/books/n/nap12750/ch7/#ch7.s6">STRATEGIES THAT WORK AND HOW TO GET THERE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch7_s17"><a class="toc-item" href="/books/n/nap12750/ch7/#ch7.s17">INTERNATIONAL SUCCESS AT COST CONTAINMENT</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch7_rl1"><a class="toc-item" href="/books/n/nap12750/ch7/#ch7.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch8"><a class="toc-item" href="/books/n/nap12750/ch8/">8. Knowledge Enhancement</a><ul id="toc_lst_NBK53920_toc_ch8" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch8_s1"><a class="toc-item" href="/books/n/nap12750/ch8/#ch8.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch8_s2"><a class="toc-item" href="/books/n/nap12750/ch8/#ch8.s2">SUCCESSES WITH COST AND QUALITY</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch8_s8"><a class="toc-item" href="/books/n/nap12750/ch8/#ch8.s8">THE VALUE OF ELECTRONIC HEALTH RECORDS WITH DECISION SUPPORT</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch8_s14"><a class="toc-item" href="/books/n/nap12750/ch8/#ch8.s14">COMPARATIVE EFFECTIVENESS RESEARCH</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch8_s19"><a class="toc-item" href="/books/n/nap12750/ch8/#ch8.s19">ENHANCING CLINICAL DATA AS A KNOWLEDGE UTILITY</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch8_rl1"><a class="toc-item" href="/books/n/nap12750/ch8/#ch8.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch9"><a class="toc-item" href="/books/n/nap12750/ch9/">9. Care Culture and System Redesign</a><ul id="toc_lst_NBK53920_toc_ch9" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch9_s1"><a class="toc-item" href="/books/n/nap12750/ch9/#ch9.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch9_s2"><a class="toc-item" href="/books/n/nap12750/ch9/#ch9.s2">COMMUNITY-ENGAGED MODELS OF TEAM CARE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch9_s8"><a class="toc-item" href="/books/n/nap12750/ch9/#ch9.s8">USING PRODUCTION SYSTEM METHODS IN MEDICAL PRACTICE: IMPROVING MEDICAL COSTS AND OUTCOMES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch9_s16"><a class="toc-item" href="/books/n/nap12750/ch9/#ch9.s16">MANAGING VARIABILITY IN HEALTHCARE DELIVERY</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch9_s24"><a class="toc-item" href="/books/n/nap12750/ch9/#ch9.s24">COST SAVINGS FROM MANAGING HIGH-RISK PATIENTS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch9_s31"><a class="toc-item" href="/books/n/nap12750/ch9/#ch9.s31">HEALTH INFORMATION EXCHANGE AND CARE EFFICIENCY</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch9_s36"><a class="toc-item" href="/books/n/nap12750/ch9/#ch9.s36">ANTITRUST POLICY IN HEALTH CARE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch9_s42"><a class="toc-item" href="/books/n/nap12750/ch9/#ch9.s42">REDUCING SERVICE CAPACITY: EVIDENCE AND POLICY OPTIONS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch9_s49"><a class="toc-item" href="/books/n/nap12750/ch9/#ch9.s49">MALPRACTICE REFORM AND HEALTHCARE COSTS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch9_rl1"><a class="toc-item" href="/books/n/nap12750/ch9/#ch9.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch10"><a class="toc-item" href="/books/n/nap12750/ch10/">10. Transparency of Cost and Performance</a><ul id="toc_lst_NBK53920_toc_ch10" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch10_s1"><a class="toc-item" href="/books/n/nap12750/ch10/#ch10.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch10_s2"><a class="toc-item" href="/books/n/nap12750/ch10/#ch10.s2">TRANSPARENCY IN THE COST OF CARE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch10_s6"><a class="toc-item" href="/books/n/nap12750/ch10/#ch10.s6">TRANSPARENCY IN COMPARATIVE VALUE OF TREATMENT OPTIONS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch10_s11"><a class="toc-item" href="/books/n/nap12750/ch10/#ch10.s11">PROVIDER PRICE AND QUALITY TRANSPARENCY</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch10_s15"><a class="toc-item" href="/books/n/nap12750/ch10/#ch10.s15">TRANSPARENCY TO IMPROVE THE VALUE OF HOSPITAL CARE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch10_s21"><a class="toc-item" href="/books/n/nap12750/ch10/#ch10.s21">HEALTH PLAN TRANSPARENCY</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch10_rl1"><a class="toc-item" href="/books/n/nap12750/ch10/#ch10.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch11"><a class="toc-item" href="/books/n/nap12750/ch11/">11. Payment and Payer-Based Strategies</a><ul id="toc_lst_NBK53920_toc_ch11" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch11_s1"><a class="toc-item" href="/books/n/nap12750/ch11/#ch11.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch11_s2"><a class="toc-item" href="/books/n/nap12750/ch11/#ch11.s2">VALUE-BASED PAYMENTS, OUTCOMES, AND COSTS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch11_s14"><a class="toc-item" href="/books/n/nap12750/ch11/#ch11.s14">BUNDLED AND FEE-FOR-EPISODE PAYMENTS: AN EXAMPLE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch11_s19"><a class="toc-item" href="/books/n/nap12750/ch11/#ch11.s19">EFFECTIVE HEALTH INSURANCE EXCHANGES: AN EXAMPLE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch11_s25"><a class="toc-item" href="/books/n/nap12750/ch11/#ch11.s25">VALUE-BASED INSURANCE DESIGNS AND HEALTHCARE SPENDING</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch11_s31"><a class="toc-item" href="/books/n/nap12750/ch11/#ch11.s31">TIERED-PROVIDER NETWORKS AND VALUE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch11_s38"><a class="toc-item" href="/books/n/nap12750/ch11/#ch11.s38">SIMPLIFYING ADMINISTRATIVE COMPLEXITY</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch11_s43"><a class="toc-item" href="/books/n/nap12750/ch11/#ch11.s43">TECHNOLOGY AND SIMPLIFYING HEALTHCARE ADMINISTRATION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch11_rl1"><a class="toc-item" href="/books/n/nap12750/ch11/#ch11.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch12"><a class="toc-item" href="/books/n/nap12750/ch12/">12. Community-Based and Transitional Care</a><ul id="toc_lst_NBK53920_toc_ch12" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch12_s1"><a class="toc-item" href="/books/n/nap12750/ch12/#ch12.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch12_s2"><a class="toc-item" href="/books/n/nap12750/ch12/#ch12.s2">COMMUNITY HEALTH TEAMS: OUTCOMES AND COSTS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch12_s6"><a class="toc-item" href="/books/n/nap12750/ch12/#ch12.s6">PALLIATIVE CARE, QUALITY AND COSTS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch12_s13"><a class="toc-item" href="/books/n/nap12750/ch12/#ch12.s13">COMMUNITY PREVENTION AND HEALTHCARE COSTS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch12_rl1"><a class="toc-item" href="/books/n/nap12750/ch12/#ch12.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch13"><a class="toc-item" href="/books/n/nap12750/ch13/">13. Entrepreneurial Strategies</a><ul id="toc_lst_NBK53920_toc_ch13" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch13_s1"><a class="toc-item" href="/books/n/nap12750/ch13/#ch13.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch13_s2"><a class="toc-item" href="/books/n/nap12750/ch13/#ch13.s2">DECENTRALIZING HEALTHCARE DELIVERY</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch13_s7"><a class="toc-item" href="/books/n/nap12750/ch13/#ch13.s7">RETAIL CLINICS AND HEALTHCARE COSTS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch13_s16"><a class="toc-item" href="/books/n/nap12750/ch13/#ch13.s16">CARE COORDINATION AND HOME TELEHEALTH (CCHT)</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch13_rl1"><a class="toc-item" href="/books/n/nap12750/ch13/#ch13.rl1">REFERENCES</a></li></ul></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_sec3"><a class="toc-item" href="/books/n/nap12750/sec3/">III. The Policy Agenda</a><ul id="toc_lst_NBK53920_toc_sec3" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch14"><a class="toc-item" href="/books/n/nap12750/ch14/">14. The Policy Agenda</a><ul id="toc_lst_NBK53920_toc_ch14" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch14_s1"><a class="toc-item" href="/books/n/nap12750/ch14/#ch14.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch14_s2"><a class="toc-item" href="/books/n/nap12750/ch14/#ch14.s2">GETTING TO HIGH-PERFORMANCE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch14_s12"><a class="toc-item" href="/books/n/nap12750/ch14/#ch14.s12">CBO SCORING: METHODS AND IMPLICATIONS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch14_rl1"><a class="toc-item" href="/books/n/nap12750/ch14/#ch14.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch15"><a class="toc-item" href="/books/n/nap12750/ch15/">15. Payments for Value Over Volume</a><ul id="toc_lst_NBK53920_toc_ch15" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch15_s1"><a class="toc-item" href="/books/n/nap12750/ch15/#ch15.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch15_s2"><a class="toc-item" href="/books/n/nap12750/ch15/#ch15.s2">BUNDLED PAYMENTS: A PRIVATE PAYER PERSPECTIVE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch15_s10"><a class="toc-item" href="/books/n/nap12750/ch15/#ch15.s10">MEDICARE AND BUNDLED PAYMENTS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch15_s17"><a class="toc-item" href="/books/n/nap12750/ch15/#ch15.s17">BUNDLED PAYMENT: PHYSICIAN ENGAGEMENT ISSUES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch15_s24"><a class="toc-item" href="/books/n/nap12750/ch15/#ch15.s24">PATIENT PERSPECTIVE AND PAYMENT REFORM</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch15_rl1"><a class="toc-item" href="/books/n/nap12750/ch15/#ch15.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch16"><a class="toc-item" href="/books/n/nap12750/ch16/">16. Medically Complex Patients</a><ul id="toc_lst_NBK53920_toc_ch16" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch16_s1"><a class="toc-item" href="/books/n/nap12750/ch16/#ch16.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch16_s2"><a class="toc-item" href="/books/n/nap12750/ch16/#ch16.s2">PAYMENT POLICIES AND MEDICALLY COMPLEX PATIENTS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch16_s6"><a class="toc-item" href="/books/n/nap12750/ch16/#ch16.s6">PALLIATIVE CARE, ACCESS, QUALITY, AND COSTS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch16_s12"><a class="toc-item" href="/books/n/nap12750/ch16/#ch16.s12">PAYMENT AND BETTER CARE OF COMPLEX PATIENTS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch16_s17"><a class="toc-item" href="/books/n/nap12750/ch16/#ch16.s17">CARE OF PATIENTS WITH MULTIPLE CHRONIC CONDITIONS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch16_rl1"><a class="toc-item" href="/books/n/nap12750/ch16/#ch16.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch17"><a class="toc-item" href="/books/n/nap12750/ch17/">17. Delivery System Integration</a><ul id="toc_lst_NBK53920_toc_ch17" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch17_s1"><a class="toc-item" href="/books/n/nap12750/ch17/#ch17.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch17_s2"><a class="toc-item" href="/books/n/nap12750/ch17/#ch17.s2">PROFILE OF SYSTEM FRAGMENTATION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch17_s3"><a class="toc-item" href="/books/n/nap12750/ch17/#ch17.s3">PAYMENTS TO PROMOTE DELIVERY SYSTEM INTEGRATION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch17_s8"><a class="toc-item" href="/books/n/nap12750/ch17/#ch17.s8">PAYMENT REFORM TO PROMOTE INTEGRATION AND VALUE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch17_s9"><a class="toc-item" href="/books/n/nap12750/ch17/#ch17.s9">HEALTH INFORMATION TECHNOLOGY TO PROMOTE INTEGRATION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch17_rl1"><a class="toc-item" href="/books/n/nap12750/ch17/#ch17.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch18"><a class="toc-item" href="/books/n/nap12750/ch18/">18. Delivery System Efficiency</a><ul id="toc_lst_NBK53920_toc_ch18" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch18_s1"><a class="toc-item" href="/books/n/nap12750/ch18/#ch18.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch18_s2"><a class="toc-item" href="/books/n/nap12750/ch18/#ch18.s2">BETTER USE OF HEALTHCARE PROFESSIONALS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch18_s10"><a class="toc-item" href="/books/n/nap12750/ch18/#ch18.s10">TRANSPARENCY AND INFORMED CHOICE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch18_rl1"><a class="toc-item" href="/books/n/nap12750/ch18/#ch18.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch19"><a class="toc-item" href="/books/n/nap12750/ch19/">19. Administrative Simplification</a><ul id="toc_lst_NBK53920_toc_ch19" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch19_s1"><a class="toc-item" href="/books/n/nap12750/ch19/#ch19.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch19_s2"><a class="toc-item" href="/books/n/nap12750/ch19/#ch19.s2">ADMINISTRATIVE SIMPLIFICATION AND PAYER HARMONIZATION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch19_s3"><a class="toc-item" href="/books/n/nap12750/ch19/#ch19.s3">PAYER HARMONIZATION ON THE PROVIDER PERSPECTIVE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch19_s12"><a class="toc-item" href="/books/n/nap12750/ch19/#ch19.s12">POLICIES TARGETING PAYER HARMONIZATION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch19_rl1"><a class="toc-item" href="/books/n/nap12750/ch19/#ch19.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch20"><a class="toc-item" href="/books/n/nap12750/ch20/">20. Consumers-Directed Policies</a><ul id="toc_lst_NBK53920_toc_ch20" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch20_s1"><a class="toc-item" href="/books/n/nap12750/ch20/#ch20.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch20_s2"><a class="toc-item" href="/books/n/nap12750/ch20/#ch20.s2">CONSUMER VIEWS OF HIGHER-VALUE CARE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch20_s8"><a class="toc-item" href="/books/n/nap12750/ch20/#ch20.s8">INSURERS, CONSUMERS, AND HIGHER-VALUE CARE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch20_s9"><a class="toc-item" href="/books/n/nap12750/ch20/#ch20.s9">POLICIES SHAPING CONSUMER PREFERENCES ON VALUE</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch20_rl1"><a class="toc-item" href="/books/n/nap12750/ch20/#ch20.rl1">REFERENCES</a></li></ul></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_sec4"><a class="toc-item" href="/books/n/nap12750/sec4/">IV. Getting to 10 Percent</a><ul id="toc_lst_NBK53920_toc_sec4" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch21"><a class="toc-item" href="/books/n/nap12750/ch21/">21. Taking Stock: Numbers and Policies</a><ul id="toc_lst_NBK53920_toc_ch21" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch21_s1"><a class="toc-item" href="/books/n/nap12750/ch21/#ch21.s1">OPPORTUNITIES TO GET TO 10 PERCENT</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch21_s2"><a class="toc-item" href="/books/n/nap12750/ch21/#ch21.s2">A LOOK AT THE NUMBERS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch21_s3"><a class="toc-item" href="/books/n/nap12750/ch21/#ch21.s3">OPPORTUNITIES TO GET TO 10 PERCENT</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch21_s6"><a class="toc-item" href="/books/n/nap12750/ch21/#ch21.s6">POLICY PRIORITIES AND STRATEGIES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch21_rl1"><a class="toc-item" href="/books/n/nap12750/ch21/#ch21.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch22"><a class="toc-item" href="/books/n/nap12750/ch22/">22. Getting to 10 Percent: Opportunities and Requirements</a><ul id="toc_lst_NBK53920_toc_ch22" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch22_s1"><a class="toc-item" href="/books/n/nap12750/ch22/#ch22.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch22_s2"><a class="toc-item" href="/books/n/nap12750/ch22/#ch22.s2">CONSIDERING THE OPPORTUNITIES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch22_s16"><a class="toc-item" href="/books/n/nap12750/ch22/#ch22.s16">ADDITIONAL CONSIDERATIONS</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch22_s17"><a class="toc-item" href="/books/n/nap12750/ch22/#ch22.s17">PARTICIPANT LEADERSHIP RESPONSIBILITIES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch22_s18"><a class="toc-item" href="/books/n/nap12750/ch22/#ch22.s18">CONCLUSION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch22_rl1"><a class="toc-item" href="/books/n/nap12750/ch22/#ch22.rl1">REFERENCES</a></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch23"><a class="toc-item" href="/books/n/nap12750/ch23/">23. Common Themes and Next Steps</a><ul id="toc_lst_NBK53920_toc_ch23" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch23_s1"><a class="toc-item" href="/books/n/nap12750/ch23/#ch23.s1">INTRODUCTION</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch23_s2"><a class="toc-item" href="/books/n/nap12750/ch23/#ch23.s2">COMMON THEMES</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_ch23_rl1"><a class="toc-item" href="/books/n/nap12750/ch23/#ch23.rl1">REFERENCES</a></li></ul></li></ul></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_nap12750_appgroup1"><a class="toc-item" href="/books/n/nap12750/nap12750.appgroup1/">Appendixes</a><ul id="toc_lst_NBK53920_toc_nap12750_appgroup1" class="simple-list toc bktoc_lst_exp"><li class="half_rhythm" id="toc_itm_NBK53920_toc_nap12750_app1"><a class="toc-item" href="/books/n/nap12750/nap12750.app1/">Appendix A. Workshop Discussion Background Paper</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_nap12750_app2"><a class="toc-item" href="/books/n/nap12750/nap12750.app2/">Appendix B. Workshop Agendas</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_nap12750_app3"><a class="toc-item" href="/books/n/nap12750/nap12750.app3/">Appendix C. Planning Committee Biographies</a></li><li class="half_rhythm" id="toc_itm_NBK53920_toc_nap12750_app4"><a class="toc-item" href="/books/n/nap12750/nap12750.app4/">Appendix D. Speaker Biographies</a></li></ul></li></ul></div><div>This project was supported by the Peter G. Peterson
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Foundation.</div><div><h4 class="inline">Suggested citation:</h4><p>IOM (Institute of Medicine). 2010. The Healthcare
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Imperative: Lowering Costs and Improving Outcomes: Workshop Series Summary.
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Washington, DC: The National Academies Press.</p></div><div><p>Any opinions, findings, conclusions, or recommendations expressed in this publication
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are those of the author(s) and do not necessarily reflect the view of the
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organizations or agencies that provided support for this project.</p><p>NOTICE: The project that is the subject of this report was approved by the Governing
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Board of the National Research Council, whose members are drawn from the councils of
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the National Academy of Sciences, the National Academy of Engineering, and the
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Institute of Medicine.</p></div></div></div>
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