NOTICE: The project that is the subject of this statement 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. The members of the committee responsible for the report were chosen for their special competencies and with regard for appropriate balance.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy’s 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I.Shine is president of the Institute of Medicine.

Support for this project was provided by The Agency for Health Care Research and Policy (DHHS), The Commonwealth Fund, the National Research Council, the Department of Defense (Health Affairs), and Pfizer Inc. The views presented in this statement are those of the Members of the National Roundtable on Health Care Quality and are not necessarily those of the funding organizations.

For more information about the Institute of Medicine, visit the IOM home page at

The National Academies of Sciences, Engineering, and Medicine
500 Fifth St. N.W. | Washington, D.C. 20001

Copyright © National Academy of Sciences. All rights reserved.
Terms of Use and Privacy Statement