This report has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council's Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published report as sound as possible and to ensure that the report meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the deliberative process. We wish to thank the following individuals for their review of this report:

• WYLIE BURKE, Professor and Chair, Department of Bioethics and Humanities, University of Washington, Seattle
• MICHAEL CHERNEW, Professor of Health Care Policy, Harvard Medical School, Boston, MA
• JANET CORRIGAN, Former President and Chief Executive Officer, National Quality Forum, Washington, DC
• JOHN HALAMKA, Chief Information Officer, CareGroup Health System, Boston, MA
• GEORGE ISHAM, Medical Director and Chief Health Officer, HealthPartners, Inc., Bloomington, MN
• STEPHEN KIMMEL, Professor of Medicine, University of Pennsylvania School of Medicine, Philadelphia
• ALLEN S. LICHTER, Chief Executive Officer, American Society of Clinical Oncology, Alexandria, VA
• ANGELA BARRON McBRIDE, Distinguished Professor and University Dean Emerita, Indiana University School of Nursing, Lafayette
• MARK McCLELLAN, Director, Engelberg Center for Health Care Reform, The Brookings Institution, Washington, DC
• LYN PAGET, Director of Policy and Outreach, Informed Medical Decisions Foundation, Boston, MA
• LEWIS SANDY, Senior Vice President, Clinical Advancement, UnitedHealth Group, Minnetonka, MN
• EDWARD H. SHORTLIFFE, Scholar in Residence, New York Academy of Medicine, New York
• STEVEN SPEAR, Senior Lecturer, Engineering Systems Division, Massachusetts Institute of Technology, Cambridge
• JOHN TOUSSAINT, Chief Executive Officer, ThedaCare Center for Healthcare Value, Appleton, WI
• YULUN WANG, Chairman and Chief Executive Officer, InTouch Health, Goleta, CA
• DIANA ZUCKERMAN, President, National Research Center for Women & Families, Washington, DC

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the report's conclusions or recommendations, nor did they see the final draft of the report before its release. The review of this report was overseen by Robert S. Galvin, Chief Executive Officer, Equity Healthcare, The Group, New York, NY, and monitor Emmett B. Keeler, Professor of Health Services, Pardee RAND Graduate School, University of California, Los Angeles, School of Public Health, Santa Monica, CA. Appointed by the National Research Council and Institute of Medicine, they were responsible for making certain that an independent examination of this report was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this report rests entirely with the authoring committee and the institution.