Vital Directions for Health and Health Care
Discussion Paper Series
Through the Vital Directions for Health and Health Care Initiative, the National Academy of Medicine called on more than 150 leading researchers, scientists, and policymakers from across the United States to provide expert guidance on 19 priority focus areas for U.S. health policy. The views presented in this discussion paper series are those of the authors and do not represent formal consensus positions of the NAM, the National Academies of Sciences, Engineering, and Medicine, or the authors’ organizations. Learn more: NAM.edu/VitalDirections Inquiries: Elizabeth Finkelman (efinkelman@nas.edu) Twitter: #NAMVitalDx
Papers in the Vital Directions series are organized around three overarching goals for the United States: better health and well-being; high-value health care; and strong science and technology. Browse the papers by subject below.
Better Health and Well-Being
Systems Strategies for Better Health Throughout the Life Course
Authors: J. Michael McGinnis, National Academy of Medicine; Don Berwick, Institute for Healthcare Improvement; Tom Daschle, Former U.S. Senator, The Daschle Group; Angela Diaz, Mount Sinai; Harvey Fineberg, Gordon and Betty Moore Foundation; Bill Frist, Former U.S. Senator, Bipartisan Policy Center; Atul Gawande, Ariadne Labs, Brigham & Women’s Hospital, Harvard University; Neal Halfon, University of California, Los Angeles; and Risa J. Lavizzo-Mourey, Robert Wood Johnson Foundation
Addressing Social Determinants of Health and Health Disparities
Authors: Nancy E. Adler, University of California, San Francisco; David M. Cutler, Harvard University; Jonathan E. Fielding, University of California, Los Angeles; Sandro Galea, Boston University; M. Maria Glymour, University of California, San Francisco, Howard K. Koh, Harvard University; and David Satcher, Morehouse School of Medicine
Preparing for Better Health and Health Care for an Aging Population
Authors: Jack W. Rowe, Columbia University; Lisa Berkman, Harvard University; Linda Fried, Columbia University; Terry Fulmer, John A. Hartford Foundation; James Jackson, University of Michigan; Mary Naylor, University of Pennsylvania; William Novelli, Georgetown University; Jay Olshansky, University of Illinois at Chicago; and Robyn Stone, LeadingAge
Chronic Disease Prevention: Tobacco, Physical Activity, and Nutrition for a Healthy Start
Authors: William H. Dietz, George Washington University; Ross C. Brownson, Washington University; Clifford E. Douglas, American Cancer Society; John J. Dreyzenher, Tennessee Department of Health; Ron Z. Goetzel, Truven Health Analytics; Steven L. Gortmaker, Harvard T.H. Chan School of Public Health; James S. Marks, Robert Wood Johnson Foundation; Kathleen A. Merrigan, George Washington University; Russell R. Pate, University of South Carolina; Lisa M. Powell, University of Illinois at Chicago; and Mary Story, Duke University
Improving Access to Effective Care for People Who Have Mental Health and Substance Use Disorders
Authors: James Knickman, New York University; K. Ranga Rama Krishnan, Rush University Medical Center; Harold A. Pincus, College of Physicians and Surgeons, Columbia University and New York Presbyterian Hospital; Carlos Blanco, National Institutes of Health; Dan G. Blazer, Duke University Medical Center; Molly J. Coye, AVIA; John H. Krystal, Yale University School of Medicine; Scott L. Rauch, McLean Hospital; Gregory E. Simon, Group Health Research Institute; and Benedetto Vitiello, National Institutes of Health
Advancing the Health of Communities and Populations
Authors: Lynn Goldman, George Washington University; Georges Benjamin, American Public Health Association; Sandra Hernández, California Health Care Foundation; David Kindig, University of Wisconsin; Shiriki Kumanyika, University of Pennsylvania; Carmen Nevarez, Public Health Institute; Nirav R. Shah, Kaiser Permanente; and Winston Wong, Kaiser Permanente
High-Value Health Care
Benefit Design to Promote Effective, Efficient, and Affordable Care
Authors: Michael E. Chernew, Harvard Medical School; A. Mark Fendrick, University of Michigan; Sherry Glied, New York University; Karen Ignagni, EmblemHealth; Steve Parente, University of Minnesota; Jamie Robinson, University of California, Berkeley; and Gail Wilensky, Project HOPE
Payment Reform for Better Value and Medical Innovation
Authors: Mark McClellan, Duke University; David Feinberg, Geisinger Health System; Peter Bach, Memorial Sloan Kettering Cancer Center; Paul Chew, Sanofi; Patrick Conway, Centers for Medicare & Medicaid Services; Nick Leschly, Bluebird; Greg Marchand, Boeing; Michael Mussallem, Edwards Biosciences; Rick Pollack, American Hospital Association; and Dorothy Teeter, Washington Health Care Authority
Competencies and Tools to Shift Payments from Volume to Value
Authors: Michael O. Leavitt, Former Governor of Utah, Leavitt Partners; Susan D. DeVore, Premier, Inc.; Elliott Fisher, Dartmouth College; Rick Gilfillan, Trinity Health; H. Steve Lieber, Healthcare Information and Management Systems Society; Richard Merkin, Heritage Provider Network; Jeffrey Rideout, Integrated Healthcare Association; and Kent J. Thiry, DaVita Healthcare Partners, Inc.
Tailoring Complex Care Management, Coordination, and Integration for High-Need, High-Cost Patients
Authors: David Blumenthal, The Commonwealth Fund; Gerard Anderson, Johns Hopkins University; Sheila Burke, Harvard John. F. Kennedy School; Ashish K. Jha, Harvard T.H. Chan School of Public Health; Terry Fulmer, John A. Hartford Foundation; and Peter Long, Blue Shield of California Foundation
Realizing the Full Potential of Precision Medicine in Health and Health Care
Authors: Victor Dzau, National Academy of Medicine; Geoffrey S. Ginsburg, Duke University; Aneesh Chopra, Hunch Analytics; Dana Goldman, University of Southern California; Eric D. Green, National Institutes of Health; Debra G.B. Leonard, University of Vermont; Mark McClellan, Duke University; Andy Plump, Takeda Pharmaceuticals; Sharon F. Terry, Genetic Alliance; and Keith Yamamoto, University of California, San Francisco
Fostering Transparency in Outcomes, Quality, Safety, and Costs
Authors: Peter Pronovost, Johns Hopkins University; J. Matthew Austin, Johns Hopkins University; Christine K. Cassel, Kaiser Permanente School of Medicine; Suzanne F. Delbanco, Catalyst for Payment Reform; Ashish K. Jha, Harvard T.H. Chan School of Public Health; Bob Kocher, Venrock; Elizabeth A. McGlynn, Kaiser Permanente; Lewis G. Sandy, UnitedHealth Group; and John Santa, formerly Consumer Reports
The Democratization of Health Care
Authors: Paul C. Tang, IBM Watson Health; Mark D. Smith, University of California, San Francisco; Julia Adler-Milstein, University of Michigan; Tom Delbanco, Beth Israel Deaconess Medical Center; Stephen J. Downs, Robert Wood Johnson Foundation; Debra L. Ness, National Partnership for Women & Families; Ruth M. Parker, Emory University; and Danny Z. Sands, Conversa Health
Workforce for 21st Century Health and Health Care
Authors: Steven H. Lipstein, BJC HealthCare; Arthur L. Kellermann, Uniformed University of the Health Sciences; Bobbie Berkowitz, Columbia University; Robert Phillips, American Board of Family Medicine; Glenn D. Steele, Jr., xG Health Solutions; David Sklar, University of New Mexico; and George E. Thibault, Josiah Macy Jr. Foundation
Strong Science & Technology
Information Technology Interoperability and Use for Better Care and Evidence
Authors: Jonathan B. Perlin, Hospital Corporation of America; Dixie B. Baker, Martin Blanck, and Associates; David J. Brailer, Health Evolution Partners; Douglas E. Fridsma, American Medical Informatics Association; Mark E. Frisse, Vanderbilt University; John D. Halamka, Beth Israel Deaconess Medical Center; Jeffrey Levi, George Washington University; Kenneth D. Mandl, Boston Children’s Hospital and Harvard Medical School; Janet M. Marchibroda, Bipartisan Policy Center; Richard Platt, Harvard University; and Paul C. Tang, IBM Watson Health
Data Acquisition, Curation, and Use for a Continuously Learning Health System
Authors: Harlan M. Krumholz, Yale University; Philip E. Bourne, National Institutes of Health; Richard E. Kuntz, Medtronic; Harold L. Paz, Aetna; Sharon F. Terry, Genetic Alliance; and Joanne Waldstreicher, Johnson & Johnson
Innovation in Development, Regulatory Review, and Use of Clinical Advances
Authors: Michael Rosenblatt, Flagship Ventures; Christopher P. Austin, National Institutes of Health; Marc Boutin, National Health Council; William W. Chin, Pharmaceutical Research and Manufacturers of America; Steve K. Galson, Amgen, Inc.; Sachin Jain, CareMore; Michelle McMurry-Heath, Johnson & Johnson; Samuel R. Nussbaum, University of Southern California; John Orloff, R&D Biopharmaceutical Executive; Steven E. Weinberger, American College of Physicians; and Janet Woodcock, U.S. Food and Drug Administration
Targeted Research: Brain Disorders as an Example
Authors: Alan Leshner, American Association for the Advancement of Science (Ret.); Steve Hyman, Harvard University and Broad Institute of MIT; and Story Landis, National Institute of Neurological Disorders and Stroke
Training the Workforce for 21st Century Science
Authors: Elias Zerhouni, Sanofi; Jeremy Berg, University of Pittsburgh Medical Center; Freeman A. Hrabowski, University of Maryland, Baltimore County; Raynard Kington, Grinnell College; and Story Landis, National Institute of Neurological Disorders and Stroke
Synthesis Discussion Paper
Authors: Victor J. Dzau, National Academy of Medicine; Mark McClellan, Duke University; Shelia Burke, Harvard Kennedy School; Molly J. Coye, AVIA; The Honorable Thomas A. Daschle, The Daschle Group; Angela Diaz, Icahn School of Medicine at Mount Sinai; The Honorable William H. Frist, Vanderbilt University; Martha E. Gaines, University of Wisconsin Law School; Margaret A. Hamburg, National Academy of Medicine; Jane E. Henney, National Academy of Medicine; Shiriki Kumanyika, University of Pennsylvania Perelman School of Medicine; The Honorable Michael O. Leavitt, Leavitt Partners; J. Michael McGinnis, National Academy of Medicine; Ruth Parker, Emory University School of Medicine; Lewis G. Sandy, UnitedHealth Group; Leonard D. Schaeffer, University of Southern California; Glenn D. Steele, xG Health Solutions; Pamela Thompson, American Organization of Nurse Executives; and Elias Zerhouni, Sanofi
