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173 - The Healthcare Imperative: lowering costs and improving outcomes: once again Institute of Medicine leads the way

Autor(s): Romolo M. Dorizzi

Issue: RIMeL - IJLaM, Vol. 5, N. 3, 2009 (MAF Servizi srl ed.)

Page(s): 173-7

Summary
The Institute of Medicine’s Roundtable on Evidence- Based Medicine was established in 2006, in the face of growing awareness that care important is often not delivered, and care that is delivered is often not important. The Roundtable includes leaders from major stakeholders - patients, health providers, payers, employers, manufacturers, health information technology, researchers, and policy makers. It aims to use especially Information Technology and expertise to create a learning healthcare system in which each patient care reflects the best available evidence, and, in turn, adds seamlessly to learning what works best in different circumstances. Activities of the Roundtable include meetings and seminars on key topics, as well as collaborative joint projects. The Institute of Medicine’s Roundtable on Evidence-Based Medicine seeks the development of a learning healthcare system that is designed to generate and apply the best evidence for the joint healthcare choices of each patient and provider, to drive the process of discovery and to ensure innovation, quality, safety, and value in health care. The goal of Roundtable is ambitious: to warrant that by the year 2020, ninety percent of clinical decisions will be supported by accurate, timely, and up-to-date clinical information, and will reflect the best available evidence. Really, part of the problems of Health system is due to our failure to apply the evidence we have about the medical care that is most effective - a failure related to shortfalls in provider knowledge and accountability, inadequate care coordination and support, lack of insurance, poorly aligned payment incentives, and misplaced patient expectations. The editorial advocates an analogue goal for Laboratory Medicine: to base by the year 2020, ninety percent of clinical decisions on accurate, timely, and up-to-date clinical information, reflecting the best available evidence.
Key-words: Evidence-Based Medicine, Institute of Medicine, Information Technology, outcomes, learning healthcare.

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