2016 President’s Address National Academy of Medicine Annual Meeting Victor J. Dzau, MD President, National Academy of Medicine
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“Time and the world do not stand still. Change is the law of life .” — John F. Kennedy @theNAMedicine #NAMmtg
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Vital Directions for Health and Health Care Three key goals for the United States guide the initiative: • Better health and well-being • High-value health care • Strong science and technology @theNAMedicine #NAMmtg
Paper Topics Better health and well-being Systems strategies for better health throughout the life course Addressing social determinants of health and health disparities Preparing for better health and health care for an aging population Chronic disease prevention: tobacco, physical activity, and nutrition for a healthy start Improving access to effective care for people who have mental health and substance use disorders Advancing the health of communities and populations High-value health care Benefit design to promote effective, efficient, and affordable care Payment reform for better value and medical innovation Competencies and tools to shift payments from volume to value Tailoring complex care management, coordination, and integration Realizing the full potential of precision medicine in health and health care Fostering transparency in outcomes, quality, safety, and costs The democratization of health care Workforce for 21 st century health and health care @theNAMedicine #NAMmtg
Paper Topics ( continued ) Strong science & technology Information technology interoperability and use for better care and evidence Data acquisition, curation, and use for a continuously learning health system Innovation in development, regulatory review, and use of clinical advances Targeted research: brain disorders as an example Training the workforce for 21 st century science Read the papers: NAM.edu/VitalDirections @theNAMedicine #NAMmtg
Components of Vital Directions: 5 Phases • Phase 1: Leadership – 18-Member Steering Committee • Phase 2: NAM expert discussion papers (Sept. 19) Viewpoint series in JAMA (Sept. 26) • Phase 3: Symposium – A National Conversation (Sept. 26) • Phase 4: Synthesis (early December) • Phase 5: Implementation (throughout 2017) @theNAMedicine #NAMmtg
Get Involved with Vital Directions NAM.edu/VitalDirections Contact Laura DeStefano (ldestefano@nas.edu) or Elizabeth Finkelman (efinkelman@nas.edu) @theNAMedicine #NAMmtg
What Went Wrong? Residents react as volunteers take away the body of a woman who died of Ebola in Waterloo, Sierra Leone. Photo: Getty Images
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The Framework 1. More effective global and regional capabilities, led by a reenergized WHO, through a dedicated Center for Health Emergency Preparedness and Response, coordinated effectively with the rest of the UN system, and supported by the World Bank and IMF. 2. Stronger national public health capabilities, infrastructure, and processes built to a common standard and regularly assessed through an objective, transparent process fully consistent with international legal obligations under the IHR. 3. An accelerated programme of R&D, deploying combined resources and financing, and coordinated by a dedicated committee @theNAMedicine #NAMmtg
Pandemics Pose Threats to Global Security and Economic Stability • Scale of threat to human lives and livelihoods is significant • During the 21st century, global pandemics could cost in excess of $6 trillion, with an expected loss of more than $60 billion per year • The economic impact of infectious diseases appears to be increasing as greater human and economic connectedness fuel contagion, both of the virus itself and of fear • Pandemics pose a threat to global security @theNAMedicine #NAMmtg
The Case for Investing in Pandemic Preparedness and Response • Commission proposed incremental spending of USD 4.5 billion per year to make humanity much safer. This includes: – USD 130-155 million per year to reinforce international preparedness and response, including WHO and contingency funding – USD 3.4 billion per year to strengthen public health systems – USD 1 billion per year to accelerate R&D on infectious disease threats @theNAMedicine #NAMmtg
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NAM Members @theNAMedicine #NAMmtg
Recent Award Winners • • Nobel Prize in Chemistry National Medal of Technology – Paul Modrich and Innovation – May-Brit Moser – Cato Laurencin – Edvard Moser – Mark Humayun • – Joseph DeSimone Nobel Prize in Physiology or • Medicine Sakharov Prize – Shinya Yamanaka – Denis Mukwege – Mario Capecchi • National Humanities Medal • – Abraham Verghese Lasker Award – William Kaelin – Gregg Semenza • National Medal of Science – Albert Bandura – Stanley Falkow – Rakesh Jain – Mary-Claire King @theNAMedicine #NAMmtg
NAM Member Involvement in the National Academies • In 2015: – 84 served in a leadership role – 362 served on committees – 154 contributed to the report review process • From 2005 to 2015, more than 1,100 members volunteered in some capacity on behalf of the Academies @theNAMedicine #NAMmtg
Member Engagement Opportunities • NASEM committees and activities • NAM programmatic activities • Other NAM engagement efforts – President’s letter – Strategic planning – Annual business meeting – Rosenthal Symposium held outside DC @theNAMedicine #NAMmtg
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National Academy of Medicine Who we are • The nation’s independent, evidence -based advisor for health • Rigorous, objective, and balanced • Collaborative and interdisciplinary What we do • Generate momentum around critical issues in health • Marshal thought leaders with diverse expertise • Lead and inspire action • Recognize and promote excellence and develop the next generation of leaders @theNAMedicine #NAMmtg
National Academies of Science, Engineering, and Medicine @theNAMedicine #NAMmtg
Restructuring Efforts • Development of collaborative relationships across the National Academies • Delineation of roles and responsibilities • Branding — both NAM and NASEM • Senior leadership team • Staffing & infrastructure • Finances & operations @theNAMedicine #NAMmtg
NAM Standing Programs @theNAMedicine #NAMmtg
New NAM Initiatives Culture of Health @theNAMedicine #NAMmtg
Human Gene Editing Initiative @theNAMedicine #NAMmtg
Human Gene Editing Initiative • Phase 1 – President’s Advisory Group • Multidisciplinary group convened to guide the initiative • Phase 2 – International Summit • In December 2015, global experts convened to discuss the scientific, ethical, and governance issues associated with human gene-editing research • Phase 3 – Consensus Study • Multidisciplinary, international committee currently examining the scientific underpinnings and clinical, ethical, legal, and social implications of human gene editing. • Report expected in late 2016 @theNAMedicine #NAMmtg
National Academy of Medicine: Next Steps Vision Mission Goals Strategy
Our Mission To improve health for all by advancing knowledge and accelerating progress in science, medicine, policy, and health equity.* * still in draft @theNAMedicine #NAMmtg
NAM Strategic Planning Timeline • November: Appoint full working group and assemble NAM SWOT analysis • December: Begin collaboration with IBM (stakeholder interviews) • February: Strategic planning workshops conducted by IBM • April: Finalize strategic plan @theNAMedicine #NAMmtg
The Future of NAM Membership What changes do we need to make? What will our future membership look like? @theNAMedicine #NAMmtg
Engaging Young Leaders @theNAMedicine #NAMmtg
“There is no cause half so sacred as the cause of a people. There is no idea so uplifting as the idea of the service of humanity.” — Woodrow Wilson @theNAMedicine #NAMmtg
“If you want to go fast, go alone. If you want to go far, go together.” — African Proverb @theNAMedicine #NAMmtg
Thank You
The Journey Continues
History NRC 1916 1964 1970 1863 2015 National National National National Institute of Academy of Academy of Research Academy of Medicine Engineering Sciences Council Medicine
NAM Priority Areas • Identify and respond to urgent and emerging challenges in health and medicine • Provide expertise and guidance to US and global policy on health and health care • Explore the possible and inspire action on goals for health and medicine • Foster common commitments and collaborative partnerships for innovation in health and medicine • Grow the next generation of leaders in health and medicine
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