National Academies Press: OpenBook
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×

FUTURE OF EMERGENCY CARE

DISSEMINATION WORKSHOP SUMMARIES

Megan McHugh and Peter Slavin, Rapporteurs

The Future of Emergency Care Workshop Planning Group

Board on Health Care Services

INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES

THE NATIONAL ACADEMIES PRESS

Washington, D.C. www.nap.edu

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×

THE NATIONAL ACADEMIES PRESS

500 Fifth Street, N.W. Washington, DC 20001

NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

This study was supported by Contract No. HHSH25056047, TO#2 between the National Academy of Sciences and the Agency for Healthcare Research and Quality, the Centers for Disease Control and Prevention, the Health Resources and Services Administration, and the National Highway Traffic Safety Administration. Support was also provided by the American Academy of Pediatrics, the American College of Emergency Physicians, the American College of Surgeons, the Association of Academic Chairs of Emergency Medicine, the Council of Emergency Medicine Residency Directors, the Emergency Medicine Residents’ Association, the Emergency Nurses Association, the National Association of EMS Physicians, the Robert Wood Johnson Foundation, and the Society for Academic Emergency Medicine. Any opinions, findings, conclusions, or recommendations expressed in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project.

International Standard Book Number-13: 978-0-309-10468-5

International Standard Book Number-10: 0-309-10468-8

Additional copies of this report are available from the

National Academies Press,

500 Fifth Street, N.W., Lockbox 285, Washington, DC 20055; (800) 624-6242 or (202) 334-3313 (in the Washington metropolitan area); Internet, http://www.nap.edu.

For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu.

Copyright 2007 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America.

The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.

Suggested citation: IOM (Institute of Medicine). 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press.

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×

“Knowing is not enough; we must apply.

Willing is not enough; we must do.”

—Goethe

INSTITUTE OF MEDICINE OF THE NATIONAL ACADEMIES

Advising the Nation. Improving Health.

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×

THE NATIONAL ACADEMIES

Advisers to the Nation on Science, Engineering, and Medicine


The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.


The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. Wm. A. Wulf is president of the National Academy of Engineering.


The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Harvey V. Fineberg is president of the Institute of Medicine.


The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. Wm. A. Wulf are chair and vice chair, respectively, of the National Research Council.


www.national-academies.org

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×

THE FUTURE OF EMERGENCY CARE WORKSHOP PLANNING GROUP

NELS D. SANDDAL (Chair), President,

Critical Illness and Trauma Foundation, Bozeman, Montana

RAY BIAS, Government Relations Manager,

Acadian Ambulance Service, Lafayette, Louisiana

A. BRENT EASTMAN, Chief Medical Officer,

N. Paul Whittier Chair of Trauma, ScrippsHealth, San Diego, California

MARIANNE GAUSCHE-HILL, Clinical Professor of Medicine and Director,

Prehospital Care, Harbor-UCLA Medical Center, Torrance, California

ARTHUR L. KELLERMANN, Professor and Chair,

Department of Emergency Medicine, and Director, Center for Injury Control, Emory University School of Medicine, Atlanta, Georgia

JANE F. KNAPP, Vice Chair Graduate Medical Education,

Children’s Mercy Hospital, Kansas City, Missouri

BRIAN W. LINDBERG, Executive Director,

Consumer Coalition for Quality Health Care, Washington, DC

RICARDO MARTINEZ, Executive Vice President for Medical Affairs,

The Schumacher Group, Kennesaw, Georgia

GAIL L. WARDEN, President Emeritus,

Henry Ford Health System, Detroit, Michigan

Study Staff

MEGAN McHUGH, Project Director and Senior Program Officer

ANISHA S. DHARSHI, Research Associate

DANITZA VALDIVIA, Program Associate

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×

This page intentionally left blank.

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×

Reviewers

This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report:


David Jaffe, Washington University School of Medicine, Saint Louis Children’s Hospital

Linda McKibben, Independent Consultant, Arlington, Virginia

Robert O’Connor, Emergency Medicine Residency Program, Christiana Care Health System

Nels Sanddal, Critical Illness and Trauma Foundation, Bozeman, Montana

Charlotte Yeh, Centers for Medicare and Medicaid Services, United States Department of Health and Human Services


Although the reviewers listed above have provided many constructive comments and suggestions, they were not asked to endorse the final draft of the report before its release. The review of this report was overseen by Dr. Melvin Worth, Scholar-in-Residence, Institute of Medicine. Appointed

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×

by the National Research Council and Institute of Medicine, he was responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the authors and the institution.

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×

Acknowledgments

We are grateful to the members of the workshop planning group, who volunteered their time and intellectual efforts to shape the workshop programs, identify topics, and select contributors. We would also like to express our appreciation to the many individuals that participated on workshop panels as well as other speakers and discussants who contributed to the workshops (see Appendixes A and B for the workshop agendas and list of participants).

Finally, the workshops were organized with the generous assistance of many individuals and organizations in Utah, Illinois, and Louisiana. We acknowledge in particular the logistical support and hospitality provided by the staffs of Primary Children’s Medical Center, the University of Utah Health Sciences Center, the Utah Department of Health, Northwestern Memorial Hospital, and Tulane University School of Public Health and Tropical Medicine.

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×

This page intentionally left blank.

Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×
Page R1
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×
Page R2
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×
Page R3
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×
Page R4
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×
Page R5
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×
Page R6
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×
Page R7
Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×
Page R8
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×
Page R9
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×
Page R10
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×
Page R11
Suggested Citation:"Front Matter." Institute of Medicine. 2007. Future of Emergency Care: Dissemination Workshop Summaries. Washington, DC: The National Academies Press. doi: 10.17226/11926.
×
Page R12
Next: 1 Introduction »
Future of Emergency Care: Dissemination Workshop Summaries Get This Book
×
Buy Paperback | $52.00 Buy Ebook | $41.99
MyNAP members save 10% online.
Login or Register to save!
Download Free PDF

In June 2006, the Institute of Medicine (IOM) Committee on the Future of Emergency Care in the U.S. Health System released a series of reports on the state of emergency care. The reports, Emergency Medical Services at the Crossroads; Hospital-Based Emergency Care: At the Breaking Point; and Emergency Care for Children: Growing Pains, identified a number of disturbing problems including overcrowded emergency departments, a lack of coordination among emergency providers, variability in the quality of care provided to patients, workforce shortages, lack of disaster preparedness, a limited research base, and shortcomings in the systems' ability to care for pediatric patients. These problems, while apparent to those who work in the field, are largely hidden from public view, in part because popular fictional television programs frequently depict the emergency care system in fine shape. Despite the lifesaving feats performed every day by emergency departments and ambulance services, the nation's emergency medical system as a whole is overburdened, underfunded, and highly fragmented. The IOM received funding from 14 organizations to conduct a series of dissemination workshops associated with the release of the 2006 reports on the future of emergency care.

Three one-day regional dissemination workshops were conducted in Salt Lake City, Utah (September 7, 2006), Chicago, Ilinois (October 27, 2006), and New Orleans, Louisiana (November 2, 2006). Each of the workshops featured focused discussions in two issue areas. The meeting in Salt Lake City focused on pediatric emergency care and care in rural areas; in Chicago it was workforce issues and hospital efficiency; and in New Orleans it was EMS issues and disaster preparedness. A fourth capstone workshop, held in Washington, D.C., provided an opportunity to engage congressional and other federal policy leaders in a discussion of emergency care issue.

Future of Emergency Care summarizes the proceedings of the workshops. Each regional workshop began with an overview of the findings and recommendations from the three reports on the future of emergency care. Findings and recommendations from those three reports are also summarized in this report.

  1. ×

    Welcome to OpenBook!

    You're looking at OpenBook, NAP.edu's online reading room since 1999. Based on feedback from you, our users, we've made some improvements that make it easier than ever to read thousands of publications on our website.

    Do you want to take a quick tour of the OpenBook's features?

    No Thanks Take a Tour »
  2. ×

    Show this book's table of contents, where you can jump to any chapter by name.

    « Back Next »
  3. ×

    ...or use these buttons to go back to the previous chapter or skip to the next one.

    « Back Next »
  4. ×

    Jump up to the previous page or down to the next one. Also, you can type in a page number and press Enter to go directly to that page in the book.

    « Back Next »
  5. ×

    Switch between the Original Pages, where you can read the report as it appeared in print, and Text Pages for the web version, where you can highlight and search the text.

    « Back Next »
  6. ×

    To search the entire text of this book, type in your search term here and press Enter.

    « Back Next »
  7. ×

    Share a link to this book page on your preferred social network or via email.

    « Back Next »
  8. ×

    View our suggested citation for this chapter.

    « Back Next »
  9. ×

    Ready to take your reading offline? Click here to buy this book in print or download it as a free PDF, if available.

    « Back Next »
Stay Connected!