Previous Rosenthal Lectures Held at the Institute of Medicine

Providing Universal and Affordable Health Care to the American People: State Roles and Responsibilities


Providing Universal and Affordable Health Care to the American People: The Role of the Private Sector


Improving Access to Affordable Health Care


Improving Access to Affordable Health Care: The Provider Perspective


Looking at the Future of the Medicaid Program: A Safety Net for Mothers and Children


Developing the Basic Benefit Package: Issues and Challenges


Preparing for a Changing Healthcare Marketplace: Lessons from the Field


Looking Back, Looking Forward: “Staying Power” Issues in Health Care Reform


The State-of-the-Art of Measuring Quality: Key Perspectives


The State-of-the-Art of Measuring Performance in Health Care: Perspective of Purchasers


Measuring Performance in Health Care: Future Challenges


Crossing the Quality Chasm: Findings from a New IOM Report


Exploring Complementary and Alternative Medicine: Fostering Rapid Advances in Health Care



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Previous Rosenthal Lectures Held at the Institute of Medicine Providing Universal and Affordable Health Care to the American People: State Roles and Responsibilities Providing Universal and Affordable Health Care to the American People: The Role of the Private Sector Improving Access to Affordable Health Care Improving Access to Affordable Health Care: The Provider Perspective Looking at the Future of the Medicaid Program: A Safety Net for Mothers and Children Developing the Basic Benefit Package: Issues and Challenges Preparing for a Changing Healthcare Marketplace: Lessons from the Field Looking Back, Looking Forward: “Staying Power” Issues in Health Care Reform The State-of-the-Art of Measuring Quality: Key Perspectives The State-of-the-Art of Measuring Performance in Health Care: Perspective of Purchasers Measuring Performance in Health Care: Future Challenges Crossing the Quality Chasm: Findings from a New IOM Report Exploring Complementary and Alternative Medicine: Fostering Rapid Advances in Health Care 9

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20 PREVIOUS LECTURES Keeping Patients Safe Perspectives on the Prevention of Childhood Obesity in Children and Youth: Next Steps Toward Higher Quality Health Care The Food and Drug Administration: Facing the Regulatory Challenges of the 2st Century Transforming Today’s Health Care Workforce to Meet Tomorrow’s Demands Prospects for Health Reform in 2009 and Beyond

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2 PREVIOUS LECTURES 2007 Transforming Today’s Health Care Workforce to Meet Tomorrow’s Demands This very important lecture focused on the health care workforce, arguably the single most critical ingredient in the health care system, and a subject the Institute of Medicine continues to pursue. The three esteemed speakers addressed the na- tion’s workforce challenges, discussing the chang- ing roles of those involved in primary care and the importance of team-based care. As active and experienced practitioners, they were able to discuss the possible shortage of physicians in the United States from their vantage points. Dr. Fitzhugh Mullan, in particular, delved further into the subject and addressed the U.S. workforce in the context of the global workforce, providing a strong case for the importance of addressing our domestic workforce concerns. Presentations by Kevin Grumbach, M.D.; Marla E. Salmon, Sc.D., R.N., FAAN; and Fitzhugh Mullan, M.D. 2005 Next Steps Toward Higher Quality Health Care The Institute of Medicine has had perhaps the greatest impact on public awareness and profes- sional thinking through its work on the safety and quality of health care. IOM reports from the late 1990s, particularly Crossing the Quality Chasm and To Err Is Human, called attention to the challenge of improving the quality of care and laid out a blue- print for ways to approach the solution. The speakers at this lecture addressed the fol- lowing questions: •  How well are we doing as a nation? •  How much progress are we making? •    hat do we need to do to make the kind of progress that will pro- W duce a quality of health care that we are capable of providing and that patients, the public, and our country deserve? Presentations by Elliott S. Fisher, M.D., M.P.H.; George Isham, M.D., M.S.; and Lucian L. Leape, M.D.

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22 PREVIOUS LECTURES 2004 Perspectives on the Prevention of Childhood Obesity in Children and Youth The obesity epidemic emerged so rapidly in re- cent times that it is stunning to think about its impact in demographic terms. From 1974 to 2004, the prevalence of obesity in the United States more than doubled in children aged 2 to 5 years and in adolescents aged 12 to 19 years. In children aged 6 to 11 years, it tripled. Despite continual advances in health and health outcomes, both for children and adults, and the progress made through vaccines, seat belt use, the control of tobacco, fluoridated drinking water, and decreased infant mortality, by this measure of health, we are headed in the wrong direction. During this very important lecture, the speakers outlined various issues within the larger problem of childhood obesity and provided a framework for prevention. Presentations by Jeff Koplan, M.D., M.P.H.; Shiriki Kumanyika, Ph.D., M.P.H.; Brock Leach; and William Dietz, M.D., Ph.D. 2001 Exploring Complementary and Alternative Medicine This lecture explored Complementary and Alter- native Medicine (CAM) and Integrative Medicine research and discussed the challenges and oppor- tunities facing the field. CAM encompasses a broad spectrum of practices and beliefs but may be de- fined functionally as interventions neither taught widely in medical schools nor generally available in hospitals. Integrative Medicine refers to ongo- ing efforts to combine the best of conventional and evidence-based complementary therapies while emphasizing the primacy of the patient–provider relationship and the importance of patient participation in health promo- tion, disease prevention, and medical management. Both can be contro- versial and provided a foundation for a robust discussion. Presentations by David Eisenberg, Ph.D., and Catherine Woteki, Ph.D., R.D.

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23 PREVIOUS LECTURES 1994-1995 Looking Back, Looking Forward: “Staying Power” Issues in Health Care Reform During this lecture, health reform experts stepped back from the heat of the battle to explore the new, creative directions for our evolving health care system: •  What should be the future role of the private   sector and government in assuring quality in health care? •  What can the government do to contribute   to patients’ decisions about the kind of care that is best for them? •  How do health care delivery systems and   provider groups translate research on clini- cal outcomes and guidelines into practice? The contributions contained in this volume outline some of the criti- cal challenges facing providers, regulators, and the public at this time of unprecedented change in the health care environment. Today’s health care enterprise is filled with risk and uncertainty. However, as these pages attest, the new landscape contains rich opportunities for innovation and productive partnerships. Presentations by Mark V. Pauly, Ph.D.; Uwe E. Reinhardt, Ph.D.; William L. Roper, M.D., M.P.H.; Helen L. Smits, M.D.; Michael D. Tanner; Brent C. James, M.D.; and Risa J. Lavizzo Mourey, M.D., M.B.A.

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