Feb. 20, 2013




Institute of Medicine Launches New Roundtable to Explore Factors Beyond Medical Care That Influence Health


WASHINGTON -- Building on previous studies that show many factors beyond medical care affect people's health, the Institute of Medicine has established the Roundtable on Population Health Improvement to explore the interactions of these influences.  The new roundtable will provide opportunities for experts on education, urban planning, medicine, public health, social sciences, and other fields to interact and share their knowledge and perspectives with the goal of catalyzing joint action.


As a recent study by the National Research Council and IOM documented, Americans experience worse health and shorter lives than people in other rich, industrialized nations despite spending more on medical care than any other nation.  Several IOM studies have described the effects of social and environmental factors that can lead to poor health even when people have access to good health care.  The nation's lagging health burdens businesses, communities, and families, these reports note.


"The evidence is now clear that broader social and environmental factors play major roles in a person's likelihood to have a low birthweight baby -- a risk for many serious health problems -- or die of a heart attack or complications from diabetes," said roundtable co-chair David Kindig, Emeritus Professor of Population Health Sciences, School of Medicine and Public Health, University of Wisconsin, Madison.  "That's why it's essential to engage all these sectors -- education, housing, transportation, community organizations, and business among others -- in efforts to improve health outcomes."


The roundtable aims to focus greater attention on shoring up the nonmedical factors that influence a population's well-being.  "While we are seeing enormous attention to the quality of health care and efforts to improve all aspects of the services delivered in our nation's hospitals, health centers, and doctor's offices, that won't be enough," said roundtable co-chair George Isham, senior adviser, HealthPartners, Minneapolis.  "Health care providers cannot prescribe walkable streets and good bus systems, accessible grocery stores, healthier housing, or more support for early childhood development.  Such changes depend on decisions made by an array of stakeholders in the public and private sectors and in our communities."


The broad issues to be tackled by the roundtable will include balancing the nation's health investments by expanding reimbursement to include more nonclinical, population-based interventions, reorienting the relationship between clinical medicine and public health in ways that will benefit population health outcomes, and engaging professionals from nonhealth fields in health improvement efforts.


IOM hosts more than a dozen roundtables and forums, providing a neutral setting for diverse groups of individuals to discuss issues of mutual interest and concern and gain fresh insights and new understanding.  The Roundtable on Population Health Improvement is sponsored by the California Endowment, California HealthCare Foundation, U.S. Centers for Disease Control and Prevention, HealthPartners, Health Resources and Services Administration, Kaiser Permanente Community Benefit, Kresge Foundation, Mayo Clinic, Missouri Foundation for Health, Nemours, National Institutes of Health, New York State Health Foundation, Novo Nordisk, Robert Wood Johnson Foundation, and Sanofi-Aventis.


Established in 1970 under the charter of the National Academy of Sciences, the Institute of Medicine provides objective, evidence-based advice to policymakers, health professionals, the private sector, and the public.  The Institute of Medicine, National Academy of Sciences, National Academy of Engineering, and National Research Council together make up the private, nonprofit National Academies.  For more information, visit http://national-academies.org or http://iom.edu.  A roster of roundtable members follows.



Christine Stencel, Senior Media Relations Officer

Office of News and Public Information

202-334-2138; e-mail news@nas.edu


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Institute of Medicine

Board on Population Health and Public Health Practice

Roundtable on Population Health Improvement


George J. Isham, M.D., M.S. (co-chair)

Senior Advisor, HealthPartners

Senior Policy Fellow

HealthPartners Institute for Education and Research

Minneapolis, Minn.


David A. Kindig, M.D., Ph.D. (co-chair)

Professor Emeritus of Population Health Sciences and

Emeritus Vice Chancellor for Health Sciences

School of Medicine

University of Wisconsin



Raymond J. Baxter, Ph.D.

Senior Vice President

Community Benefit, Research and Health Policy

President, Kaiser Permanente International

Kaiser Foundation Health Plan Inc.

Oakland, Calif. 


Debbie Chang, M.P.H.

Vice President


Policy and Prevention

Washington, D.C.


Lila J. Finney-Rutten, Ph.D., M.P.H.

Associate Scientific Director

Population Health Science Program

Department of Health Sciences Research

Division of Epidemiology

Center for the Science of Health Care Delivery

Mayo Clinic

Rochester, Minn.


George R. Flores, M.D., M.P.H.

Program Manager

The California Endowment

Oakland, Calif.



Marthe Gold, M.D., M.P.H.

Visiting Fellow

New York Academy of Medicine

Arthur C. Logan Professor

Department of Community Health and Social Medicine

Sophie Davis School of Biomedical Education

City College of New York

New York City


Robert Hughes, Ph.D.

President and CEO

Missouri Foundation for Health

St. Louis


Robert M. Kaplan, Ph.D.


Office of Behavioral and Social Sciences Research

National Institutes of Health

Bethesda, Md.


James Knickman, Ph.D.

President and CEO

New York State Health Foundation

New York City


Michelle Larkin, J.D., M.S., R.N.

Assistant Vice President

Health Group

Robert Wood Johnson Foundation

Princeton, N.J.


Sarah Linde, M.D.

RADM U.S. Public Health Service

Chief Public Health Officer

Health Resources and Services Administration

Rockville, Md.


Sanne Magnan, M.D., Ph.D.

President and CEO

Institute for Clinical Systems Improvement

Bloomington, Minn.


Phyllis W. Meadows, Ph.D., R.N., M.S.N.

Senior Fellow

Kresge Foundation

Associate Dean for Practice

Office of Public Health Practice; and

Clinical Professor of Health Management and Policy

School of Public Health

University of Michigan

Ann Arbor


Judith A. Monroe, M.D., FAAFP


Office for State, Tribal, Local, and Territorial Support

Centers for Disease Control and Prevention



Mary Pittman, Dr.P.H.

President and CEO

Public Health Institute

Oakland, Calif.


Pamela Russo, M.D., M.P.H.

Senior Program Officer

Robert Wood Johnson Foundation

Princeton, N.J.


Brian Sakurada, Pharm.D.

Senior Director

Managed Markets and Integrated Health Systems

Novo Nordisk Inc.

Overland Park, Kan.


Andrew Webber

President and CEO

National Business Coalition on Health

Washington, D.C.



Alina Baciu, Ph.D., M.P.H.

Activity Director


Lyla Hernandez, M.P.H.

Senior Program Officer


Rose Marie Martinez, Sc.D.

Director, Board on Population Health and Public Health Practice