National Academy of Medicine

Case Study: Nationwide Children’s Hospital: An Accountable Care Organization Going Upstream to Address Population Health

As managed care organizations (MCOs) and accountable care organizations (ACOs) begin to invest in population health improvement, they are faced with significant and diverse challenges. This is especially true in pediatric care; without the leverage of a national payment system and sta
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Case Study: Medicaid and Public Health Collaboration in Oregon

Oregon is one of the leading states engaged in innovative health care delivery system reform that includes population health as a central component. Collaboration among key agencies and stakeholders is an important feature of Oregon’s reform efforts, and it occurs at many levels. This
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Case Study: Improving Population and Individual Health Through Health System Transformation in Washington State

Empowered by federal, state, and community funding, Washington State has been working for years to enact delivery system transformation to improve the health and well-being of its 7 million residents. In fact, in the 1990s Washington State passed legislation offering universal coverag
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Philanthropy and Beyond: Creating Shared Value to Promote Well-Being for Individuals in Their Communities

Health care organizations can magnify the impact of their community service and other philanthropic activities by implementing programs that create shared value. By definition, shared value is created when an initiative generates benefit for the sponsoring organization while also gene
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Building Health Literacy and Family Engagement in Head Start Communities: A Case Study

Policy makers, government agencies, and community organizations seeking to improve health outcomes in vulnerable populations are paying increased attention to family engagement and health literacy as key elements of a population health approach. To capitalize on the promise of prevent
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Community-Based Models of Care Delivery for People with Serious Illness

The 20th century saw remarkable improvements in life expectancy. Improvements in access to clean water, disease screening and prevention, the discovery of antibiotics and vaccines, development of organ transplantation, and advances in treatment for heart disease and cancer have all co
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Working Toward Engaging Local Businesses in Community Obesity Solutions: A Preliminary Account from the Field

Childhood obesity continues to be a serious public health concern in the United States. About 12.7 million children and adolescents aged 2–19 years, or 17 percent of the population, have obesity. In addition to genetic and behavioral factors, the environments where children live, lear
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Addressing Burnout, Depression, and Suicidal Ideation in the Osteopathic Profession: An Approach That Spans the Physician Life Cycle

Burnout, depression, and suicidal ideation are key areas of concern because of the consequences they can have on physicians as well as the patients for whom they care. The level of burnout in the medical profession has increased at an alarming rate in the past decade. Statistics revea
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Vital Directions for Health & Health Care: Priorities from a National Academy of Medicine Initiative

The United States is poised at a critical juncture in health and health care. Powerful new insights are emerging on the potential of disease and disability, but the translation of that knowledge to action is hampered by debate focused on elements of the Affordable Care Act that, while
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Payment Reform for Better Value and Medical Innovation

Over the past 50-60 years, biomedical science and technology in the United States have advanced at a remarkable pace, allowing Americans to live longer, healthier lives. And while we have gained tremendous benefit from continuous medical innovation, health care delivery has simultaneo
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