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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The Democratization of Health Care: A Vital Direction for Health and Health Care

The US health-care delivery system is in the midst of a transformation. For generations, it was rooted in a transactional, fee-for-service ethos that rewarded mainly interventions to treat individuals for diseases. Today, it aims to emphasize improvement in and maintenance of the heal
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Advancing the Health of Communities and Populations: A Vital Direction for Health and Health Care

We have a long way to go to strengthen the public health system to provide adequate protection for communities. Dollar for dollar our health care expenditures fail to provide us with good health at the most basic level as measured by life expectancy and infant mortality. The United St
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Democratizing Health: The Power of Community

The phrase “democratizing health care” is gaining popularity in discussions about how technology is enabling consumers to better manage their health-related behaviors and to participate more fully in decisions about treatment. The effect is re-shaping the power balance in doctor-patie
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Beyond Survival: The Case for Investing in Young Children Globally

Investing in young children globally is a primary means of achieving sustainable human, social, and economic development, all of which are vital to ensuring international peace and security. Strategic investments in children have been recognized by the world’s leaders in their recent
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Methods for a National Birth Cohort Study

As we outlined in the previous paper in this series, our nation needs foundational data in order to understand how social, physical, chemical, and nutritional environments interact to impact how Americans grow, live, and prosper. To satisfy this need, we propose a nationally represent
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Why the United States Needs a National Birth Cohort Study

In a list of 17 high-income countries, the United States ranks last in terms of life expectancy for males and second-to-last for females. The U.S. population also experiences worse outcomes compared with its peers in nine key areas: infant mortality and low birth weight; injuries and
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Preparing Health Care and Public Health Professionals for Team Performance: The Community as Classroom

Today, team-based health care is no longer an innovation or even a choice. Increasingly, providers are using a team-based approach to deliver care, and the complexity of health problems facing many Americans, combined with the specialization of health professionals, makes teamwork and
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