The Institute of Medicine report asks and answers the nation’s most important health care questions. They produced a report with recommendations for future of nursing and healthcare. It states that high-quality; patient-centered health care will require a transformation of the health care delivery system (IOM, October 2011). The committee that designed the report came up with four key points. The first three deals directly with nursing practice and these are as follows: Nurses should practice to the full extent of their education and training. Nurses should achieve higher levels of education and training, through an improved education system that promotes seamless academic progression.