Value in Health Care: 
Accounting for Cost, Quality, Safety, Outcomes and Innovation

 A Learning Healthcare System Workshop
IOM Roundtable on Evidence-Based Medicine

November 17-18, 2008

The National Academy of Sciences Building
Lecture Room, 2100 C Street NW
Washington, DC

An agenda and workshop presentations are now posted below.  

While the U.S. has the highest per capita spending on health care of any industrialized nation, health outcomes lag those achieved elsewhere. The increasing costs of care are reducing access to care and constitute an ever heavier burden on employers and consumers. To address both the costs and the performance of the healthcare system, greater consensus will be required on what constitutes value in health care, and how to measure and increase that value. A variety of strategies are beginning to be employed throughout the health system, ranging from value-based payment design to improved systems of care delivery. To facilitate public discussion of the value proposition in health care, and how it can be advanced, the Roundtable convened a workshop, on November 17-18, entitled, Value in Health Care: Accounting for Cost, Quality, Safety, Outcomes, and Innovation. This meeting explored, through invited presentations, the approaches to assessing and improving value, including case studies of tools that are currently being used to promote value, as well as developments on the horizon that may impact the value proposition.