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Brian Vastag

JAMA. 2002;288:2959.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The latest in a string of sweeping Institute of Medicine (IOM) reports proposes a series of pilot projects to "mend America's ailing health care system." In contrast with former President Clinton's 1994 universal health care plan, the new report instead calls for a "building-block approach to change through a series of targeted demonstrations," said Gail Warden, MHA, president and chief executive officer of the Henry Ford Health System and chair of the committee that researched the report, Fostering Rapid Advances in Health Care: Learning From System Demonstrations. It will be available on the Internet at http://www.nap.edu.

Because health care lags behind "almost all other industries" in use of information technologies, the committee called for a series of projects to construct a "virtually paperless" records system within 5 years. Model programs to extend health insurance to all residents in a handful of states; to reform malpractice law; . . . [Full Text of this Article]