Institute of

Medicine
Presented by:
JoAnn Norman-Metcalf, Amy Polzin, Jessica House,
and Jaime Stevenson

This presentation will contain

What is the IOM?

When was it established?
How are clinical practice guidelines developed?
Definition of clinical practice guidelines.
Review of the core competencies recommended by the IOM.
How does the IOM competencies and clinical practice
guidelines effect our health care practice?

What is the Institute of Medicine

(IOM)?
The Institute of Medicine is an independent, nonprofit
organization that works outside of the government to
provide unbiased and authoritative advice to decision
makers and the public (www.IOM.edu).
The IOMs mission is to provide evidence for the private
sector and the government to enable them to make
informed health care decisions.
Institute of Medicine is comprised of more than 2,000
individuals, members and nonmembers who volunteer
providing their knowledge, time and expertise to advance
the nations health.

The Creation of
In 1863 under President Abraham Lincoln the National
Academy of Sciences was chartered. The National
Academy of Sciences, which is known now as the National
Academies is comprised by the National Academy of
Sciences, National Academy of Engineering, National
Research Council, and the IOM.
The IOM was established in 1970 and is referred to as the
health arm of the National Academy of Sciences.

Clinical Practice Guidelines

Development
The IOM developed eight standards for developing
rigorous, trustworthy clinical practice guidelines. To
properly evaluate the effects of the standards on clinical
practice guidelines development and health care quality
and outcomes, the IOM encourages the Agency for Health
Care Research and Quality to pilot-test the standards and
assess their reliability and validity (Institute of Medicine,
March 2011).

Clinical Practice Guidelines

Clinical practice guidelines are statements that include
recommendations intended to optimize patient care. They are informed
by a systematic review of evidence and an assessment of the benefits
and harms of alternative care options. Because of the large number of
clinical practice guidelines available, practitioners and other guideline
users find it challenging to determine which guidelines are of high
quality. If guideline users had a mechanism to immediately identify high
quality, trustworthy clinical practice guidelines, their health-related
decision making would be improvedpotentially improving both health
care quality and health outcomes (Institute of Medicine, March 2011).

Introduction to Core
Competencies
The Institute of Medicine (IOM) has highlighted the extent of harm caused by
medical errors and other problems with healthcare quality and the need to transform
healthcare to improve outcomes. The IOM recognized that a safer healthcare system
could not be built without adequately trained health professionals (Zeind, Blagg,
Amato, & Jacobson, 2012).
The IOM Report: Health Professions Education: A Bridge to Quality, published in
2003, emphasized changes in the education of health care professionals that are
needed to improve the quality of health care in the United States. The report
presented a vision that emphasized the importance of integrating 5 core competencies
into health professions education to prepare professionals to meet the evolving needs
of the health care system: patient-centered care, interdisciplinary teams, evidencebased practice, quality improvement, and informatics (Zeind et al., 2012).

Defining the IOM Five Core Competencies

Nursing Practice Standards

In my current position as a Staff Nurse on a Medical/IMC unit, the
IOM's core competencies serve as a platform that influence my
daily practice. At Mercy Health we engage in multiple patient care
initiatives that focus on quality improvement and positive patient
outcomes. Our health care team collaborates to provide optimal
patient centered care for those we serve. ~JoAnn Norman-Metcalf

Nursing Practice Standard

"As a floor nurse on an inpatient medical respiratory/overflow unit, the
IOM core competencies influence my practice daily. Delivering patientcentered care is the basic responsibility of my job-- showing patients
respect, providing pain control, coordinating care for multiple patients,
and providing education on new medications. My organization bases it's
guidelines on evidence-based practice in order to provide the safest
proven methods of patient care, so these guidelines are frequently
updating and changing. Communication-- with the patient, my aide, the
charge nurse, doctors, and family members-- is a key element of the care I
provide. All of the IOM's core competencies are present in my job
responsibilities and performances daily." --Amy Polzin

Nursing Practice Standards

In my current role as a Patient Safety and Quality Improvement
Specialist, quality and patient safety is at the heart of everything we do.
Every initiative is patient centered, we collaborate we other departments
and disciplines, we use evidence-based practice in all policies and
procedures, and we use data and metrics to benchmark our
improvements and fine tune our processes. Whether that be instituting
safe practices with anticoagulants or promoting an ambulation program,
the list of improvement projects and task forces are endless with the goal
of making our hospital a safer place for our patients. Our motto in our
organization is keeping patients extraordinarly safe, everyone, everyday
and everywhere. ~Jessica House

Nursing Standard Practice

In my current position as a Radiology RN the IOM core competencies
have effected me in my daily practice. Delivering patient centered care,
educating patients and their families on wellness, disease prevention,
and working collaboratively with other disciplines. An example of this
would be educating a patient about an interventional radiology
procedure, what they can expect, what is the desired outcome, and
how they/we can manage this going forward. ~ Jaime Stevenson

References
Clinical Practice Guidelines We Can Trust. (n.d.). Institute of
Medicine. Retrieved April 12, 2014, from
http://www.iom.edu/Reports/2011/Clinical-Practice-Guidelines-We-C
an-Trust.aspx
IOM Home - Institute of Medicine. (n.d.). Retrieved April 11, 2014,
from http://www.iom.edu/
Zeind, C. S., Blagg, J. D., Amato, M. G., & Jacobson, S. (2012).
Incorporation of Institute of Medicine Competency
Recommendations Within Doctor of Pharmacy Curricula. American
Journal of Pharmaceutical Education, 76(5). doi:10.5688/ajpe76583