In This Week’s Issue:
1. PIPC Submits Comments to CMS Regarding RFI on New Direction for CMMI. Click here to read the letter.
2. Letter to VA: Tell the VA to Rely on Veterans to Define Health Value - not QALYs! Click here to read the letter.
3. RSVP Now for the 8th Annual PIPC Forum! See details below.
4. The PCORI Blog: Recapping our Annual Meeting – Delivering Results, Informing Choices. Click here to read the article.
5. Healthcare IT News: Blockchain beyond EHRs – Transforming value-based payment, precision medicine, patient-centric care. Click here to read the article.
6. Medical Xpress: A more patient-centered approach to medication safety. Click here to read the article.
7. Upcoming Events and Webinars, see details below
8. Medical Journal Articles, see details below.
9. AHRQ Effective Program Updates, see details below.
1. PIPC Submits Comments to CMS Regarding RFI on New Direction for CMMI. Click here to read the letter.
2. Letter to VA: Tell the VA to Rely on Veterans to Define Health Value - not QALYs! Click here to read the letter.
3. RSVP Now for the 8th Annual PIPC Forum! See details below.
4. The PCORI Blog: Recapping our Annual Meeting – Delivering Results, Informing Choices. Click here to read the article.
5. Healthcare IT News: Blockchain beyond EHRs – Transforming value-based payment, precision medicine, patient-centric care. Click here to read the article.
6. Medical Xpress: A more patient-centered approach to medication safety. Click here to read the article.
7. Upcoming Events and Webinars, see details below
8. Medical Journal Articles, see details below.
9. AHRQ Effective Program Updates, see details below.
1. PIPC Submits Comments to CMS Regarding RFI on New Direction for CMMI
The Centers for Medicare and Medicaid Services (CMS) issued a Request for Information (RFI) seeking insights on a new direction to promote patient-centered care and test market-driven reforms that empower beneficiaries as consumers, provide price transparency, increase choices and competition to drive quality, reduce costs, and improve outcomes. In response, the Chairman Tony Coelho of the Partnership to Improve Patient Care (PIPC) applauded CMS and Administrator Verma for making strong statements in support of patients and patient-centered care, and releasing an RFI to set a new direction for the Center for Medicare and Medicaid Innovation that supports patients, caregivers and people with disabilities. PIPC has long advocated for CMMI to engage patients and people with disabilities early in the development of patient-centered demonstrations that have the potential to improve patient outcomes while lowering costs. As part of the effort to move CMMI in a new direction, Chairman Coelho urges CMMI to establish meaningful mechanisms for patients and people with disabilities to engage in the development of these models. He also urges CMS to develop meaningful patient-centeredness criteria that would enable CMMI and the public to determine whether APMs are truly putting patients first. PIPC is reviewing the RFI in more detail and looks forward to working with CMMI on a new direction that puts patients at the center. Click here to read the letter.
2. Letter to VA: Tell VA to Rely on Veterans to Define Health Value - not QALYs!
Over 40 representatives of veterans, patients and people with disabilities wrote to VA Secretary Shulkin regarding their concerns about the Institute for Clinical and Economic Review’s (ICER) agreement to work with the Department of Veterans Affairs (VA) Pharmacy Benefits Management Services office (PBM) to support its use of ICER drug assessment reports. In the letter, the signers urged the VA to adopt a model that puts patients first. The letter points out that ICER utilizes a quality-adjusted-life-year (QALY) metric as the basis for its value assessments that is very controversial for its potentially discriminatory impact on people with disabilities and serious chronic conditions. In 1992, the U.S. Department of Health and Human Services determined the use of QALYs to determine Oregon’s prioritized list of services in Medicaid to be discriminatory. The letter stated, "Alternatively, we strongly support an infrastructure for our engagement to ensure that the health system delivers value to veterans and their caregivers, with the goal of achieving outcomes that matter to them. Veterans with disabilities and serious chronic conditions want to have a strong role in coverage and formulary decisions to ensure that coverage reflects the real world needs of veterans. We want to help the VA be a model for putting patients first.” Click here to read the letter.
3. RSVP Now for the 8th Annual PIPC Forum!
The 8th annual PIPC Forum will take place December 13 from 12:30-2:30 at the Reserve Officers Association (1 Constitution Avenue NE). This year, we will discuss how alternative payment models can support care that patients value. With the announcement of a New Direction for the CMMI, PIPC looks forward to hearing from CMS on how their future work can instill principles of patient-centeredness into payment models. We also look forward to a panel that discusses the role of patients in developing innovative payment models, how CMMI can support payment models that embrace a culture of patient-centeredness, and how patient-centered care can bend the cost curve by avoiding the adverse events that emanate from a “fail first” mentality in health care. Our panel will include experts on shared decision-making, patient engagement and innovative payment models both in Medicare and the VA. You can RSVP directly to [email protected]
4. The PCORI Blog: Recapping our Annual Meeting – Delivering Results, Informing Choices
PCORI Executive Director Joe Selby recaps the 2017 PCORI Annual Meeting in The PCORI Blog. “...Nearly 1,000 people attended this year and, as we've seen in the past, there was a rich mix of stakeholders. Close to 300 were researchers, but another 200 were patients, caregivers, and health advocates; some 150 more were clinicians and hospital or health-system representatives. The rest came from the industry, payer, employer, and policy communities. It was gratifying to see such a diverse crowd, which was something our attendees recognized as unusual for a meeting convened by a major research funder.” Click here to read the article.
5. Healthcare IT News: Blockchain beyond EHRs – Transforming value-based payment, precision medicine, patient-centric care
In Healthcare IT News, Bill Siwicki highlights the patient-centered potential of blockchain-based data systems. “Giving patients the opportunity to share their data securely, for research purposes or across their healthcare providers, creates opportunities for major advancements in healthcare. Blockchain technology is designed to make this a reality. As more and more patients gain that kind of control over their own data it will flow more efficiently across the system to create something a lot closer to a longitudinal view than what exists now and that, in turn, can enable more accurate data, better access to new treatment options and ultimately improved outcomes.” Click here to read the article.
6. Medical Xpress: A more patient-centered approach to medication safety
MedicalXpress notes that communication between patients and clinicians has important implications for patient safety. “Involving the patient is critical for improving medication safety according to Regenstrief Institute researcher and Indiana University School of Medicine assistant professor of medicine Joy L. Lee, PhD, corresponding author of ‘Towards a More Patient-Centered Approach to Medication Safety’ recently published in the Journal of Patient Experience. Simply bringing a list of medications to the doctor's office may not be sufficient for everyone, she says, because it ignores the nuances of how well the patient understands the medical team's instructions, as well as patient preferences or patient concerns. One size does not fit all.” Click here to read the article.
7. Upcoming Events and Webinars
PCORI Board of Governors Meeting
November 21, 2017
Click here for details.
ECRI Institute's 24th Annual Conference
November 28-29, 2017
Click here for details.
Patient and Stakeholder Engagement in Research: Engagement Challenges, Strategies and Resources
December 5, 2017
Click here for details.
PCORI in Practice Webinar: Employers' Use of Patient-Centered Research
December 6, 2017
Click here for details.
The Next Wave in Adaptive Biomedical Innovation: Advancing Platform Trials into End-to-End Rapid Learning Systems
December 12-13, 2017
Click here for details.
Advisory Panel on Addressing Disparities Fall 2017 Meeting
December 14, 2017
Click here for details.
Advisory Panel on Improving Healthcare Systems Fall 2017 Meeting
December 14, 2017
Click here for details.
8. Medical Journal Articles
Including the Patient Voice in Patient-Centered Outcomes Research in Integrative Oncology, click here to view.
Patient and Provider Perspectives on Shared Decision Making: A Systematic Review of the Peer-Reviewed Literature, click here to view.
Gene Therapy: Evidence, Value and Affordability in the US Health Care System, click here to view.
Patient Value: Perspectives from the Advocacy Community, click here to view.
The Added Value of Integrate-HTA Guidance in the Work Processes of Health Technology Assessment Agencies, click here to view.
Practicalities Of Using Real-World Evidence (RWE) In Comparative Effectiveness Research (CER): Learnings From Imi-Getreal, click here to view.
The Role of Condition-Specific Preference-Based Measures in Health Technology Assessment, click here to view.
Hospital Cost Impact of Orbital Atherectomy with Angioplasty for Critical Limb Ischemia Treatment: A Modeling Approach, click here to view.
Real-World Evidence: Useful in the Real World of US Payer Decision Making? How? When? And What Studies? Click here to view.
Targeted Identification of Adverse Events in Coronary Artery Disease Patients Based on Patient-Reported Outcomes, click here to view.
Use of Patient-Reported Outcomes and Satisfaction for Quality Assessments, click here to view.
Patient-Reported Outcomes in Cancer Care — Hearing the Patient Voice at Greater Volume, click here to view.
9. AHRQ Effective Program Updates
Management of Insomnia Disorder - Consumer and Clinician Summaries, click here to view
Harms of First-Line Depression Treatment in Older Adults, click here to view.
Management of Renal Masses and Localized Renal Cell Carcinoma: Current State of the Evidence - Clinician Summary, click here to view.
Stroke Prevention in Atrial Fibrillation Patients: A Systematic Review Update, click here to view.
Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update, click here to view.
Nonsurgical Treatments for Urinary Incontinence in Adult Women: A Systematic Review Update -- Research Protocol, click here to view.
Drug Therapy for Early Rheumatoid Arthritis in Adults – An Update -- Research Protocol, click here to view.
Psychological and Pharmacological Treatments for Adults with Posttraumatic Stress Disorder (PTSD): A Systematic Review Update -- Research Protocol, click here to view
Tympanostomy Tubes in Children with Otitis Media -- Final Report, click here to view
Treatment of Osteoarthritis of the Knee: An Update Review -- Final Report, click here to view.
Assessment Tools for Palliative Care -- Final Report, click here to view.
Noninvasive, Nonpharmacological Treatment for Chronic Pain, click here to view.
The Role of Immunotherapy in the Treatment of Asthma, click here to view
The Centers for Medicare and Medicaid Services (CMS) issued a Request for Information (RFI) seeking insights on a new direction to promote patient-centered care and test market-driven reforms that empower beneficiaries as consumers, provide price transparency, increase choices and competition to drive quality, reduce costs, and improve outcomes. In response, the Chairman Tony Coelho of the Partnership to Improve Patient Care (PIPC) applauded CMS and Administrator Verma for making strong statements in support of patients and patient-centered care, and releasing an RFI to set a new direction for the Center for Medicare and Medicaid Innovation that supports patients, caregivers and people with disabilities. PIPC has long advocated for CMMI to engage patients and people with disabilities early in the development of patient-centered demonstrations that have the potential to improve patient outcomes while lowering costs. As part of the effort to move CMMI in a new direction, Chairman Coelho urges CMMI to establish meaningful mechanisms for patients and people with disabilities to engage in the development of these models. He also urges CMS to develop meaningful patient-centeredness criteria that would enable CMMI and the public to determine whether APMs are truly putting patients first. PIPC is reviewing the RFI in more detail and looks forward to working with CMMI on a new direction that puts patients at the center. Click here to read the letter.
2. Letter to VA: Tell VA to Rely on Veterans to Define Health Value - not QALYs!
Over 40 representatives of veterans, patients and people with disabilities wrote to VA Secretary Shulkin regarding their concerns about the Institute for Clinical and Economic Review’s (ICER) agreement to work with the Department of Veterans Affairs (VA) Pharmacy Benefits Management Services office (PBM) to support its use of ICER drug assessment reports. In the letter, the signers urged the VA to adopt a model that puts patients first. The letter points out that ICER utilizes a quality-adjusted-life-year (QALY) metric as the basis for its value assessments that is very controversial for its potentially discriminatory impact on people with disabilities and serious chronic conditions. In 1992, the U.S. Department of Health and Human Services determined the use of QALYs to determine Oregon’s prioritized list of services in Medicaid to be discriminatory. The letter stated, "Alternatively, we strongly support an infrastructure for our engagement to ensure that the health system delivers value to veterans and their caregivers, with the goal of achieving outcomes that matter to them. Veterans with disabilities and serious chronic conditions want to have a strong role in coverage and formulary decisions to ensure that coverage reflects the real world needs of veterans. We want to help the VA be a model for putting patients first.” Click here to read the letter.
3. RSVP Now for the 8th Annual PIPC Forum!
The 8th annual PIPC Forum will take place December 13 from 12:30-2:30 at the Reserve Officers Association (1 Constitution Avenue NE). This year, we will discuss how alternative payment models can support care that patients value. With the announcement of a New Direction for the CMMI, PIPC looks forward to hearing from CMS on how their future work can instill principles of patient-centeredness into payment models. We also look forward to a panel that discusses the role of patients in developing innovative payment models, how CMMI can support payment models that embrace a culture of patient-centeredness, and how patient-centered care can bend the cost curve by avoiding the adverse events that emanate from a “fail first” mentality in health care. Our panel will include experts on shared decision-making, patient engagement and innovative payment models both in Medicare and the VA. You can RSVP directly to [email protected]
4. The PCORI Blog: Recapping our Annual Meeting – Delivering Results, Informing Choices
PCORI Executive Director Joe Selby recaps the 2017 PCORI Annual Meeting in The PCORI Blog. “...Nearly 1,000 people attended this year and, as we've seen in the past, there was a rich mix of stakeholders. Close to 300 were researchers, but another 200 were patients, caregivers, and health advocates; some 150 more were clinicians and hospital or health-system representatives. The rest came from the industry, payer, employer, and policy communities. It was gratifying to see such a diverse crowd, which was something our attendees recognized as unusual for a meeting convened by a major research funder.” Click here to read the article.
5. Healthcare IT News: Blockchain beyond EHRs – Transforming value-based payment, precision medicine, patient-centric care
In Healthcare IT News, Bill Siwicki highlights the patient-centered potential of blockchain-based data systems. “Giving patients the opportunity to share their data securely, for research purposes or across their healthcare providers, creates opportunities for major advancements in healthcare. Blockchain technology is designed to make this a reality. As more and more patients gain that kind of control over their own data it will flow more efficiently across the system to create something a lot closer to a longitudinal view than what exists now and that, in turn, can enable more accurate data, better access to new treatment options and ultimately improved outcomes.” Click here to read the article.
6. Medical Xpress: A more patient-centered approach to medication safety
MedicalXpress notes that communication between patients and clinicians has important implications for patient safety. “Involving the patient is critical for improving medication safety according to Regenstrief Institute researcher and Indiana University School of Medicine assistant professor of medicine Joy L. Lee, PhD, corresponding author of ‘Towards a More Patient-Centered Approach to Medication Safety’ recently published in the Journal of Patient Experience. Simply bringing a list of medications to the doctor's office may not be sufficient for everyone, she says, because it ignores the nuances of how well the patient understands the medical team's instructions, as well as patient preferences or patient concerns. One size does not fit all.” Click here to read the article.
7. Upcoming Events and Webinars
PCORI Board of Governors Meeting
November 21, 2017
Click here for details.
ECRI Institute's 24th Annual Conference
November 28-29, 2017
Click here for details.
Patient and Stakeholder Engagement in Research: Engagement Challenges, Strategies and Resources
December 5, 2017
Click here for details.
PCORI in Practice Webinar: Employers' Use of Patient-Centered Research
December 6, 2017
Click here for details.
The Next Wave in Adaptive Biomedical Innovation: Advancing Platform Trials into End-to-End Rapid Learning Systems
December 12-13, 2017
Click here for details.
Advisory Panel on Addressing Disparities Fall 2017 Meeting
December 14, 2017
Click here for details.
Advisory Panel on Improving Healthcare Systems Fall 2017 Meeting
December 14, 2017
Click here for details.
8. Medical Journal Articles
Including the Patient Voice in Patient-Centered Outcomes Research in Integrative Oncology, click here to view.
Patient and Provider Perspectives on Shared Decision Making: A Systematic Review of the Peer-Reviewed Literature, click here to view.
Gene Therapy: Evidence, Value and Affordability in the US Health Care System, click here to view.
Patient Value: Perspectives from the Advocacy Community, click here to view.
The Added Value of Integrate-HTA Guidance in the Work Processes of Health Technology Assessment Agencies, click here to view.
Practicalities Of Using Real-World Evidence (RWE) In Comparative Effectiveness Research (CER): Learnings From Imi-Getreal, click here to view.
The Role of Condition-Specific Preference-Based Measures in Health Technology Assessment, click here to view.
Hospital Cost Impact of Orbital Atherectomy with Angioplasty for Critical Limb Ischemia Treatment: A Modeling Approach, click here to view.
Real-World Evidence: Useful in the Real World of US Payer Decision Making? How? When? And What Studies? Click here to view.
Targeted Identification of Adverse Events in Coronary Artery Disease Patients Based on Patient-Reported Outcomes, click here to view.
Use of Patient-Reported Outcomes and Satisfaction for Quality Assessments, click here to view.
Patient-Reported Outcomes in Cancer Care — Hearing the Patient Voice at Greater Volume, click here to view.
9. AHRQ Effective Program Updates
Management of Insomnia Disorder - Consumer and Clinician Summaries, click here to view
Harms of First-Line Depression Treatment in Older Adults, click here to view.
Management of Renal Masses and Localized Renal Cell Carcinoma: Current State of the Evidence - Clinician Summary, click here to view.
Stroke Prevention in Atrial Fibrillation Patients: A Systematic Review Update, click here to view.
Venous Thromboembolism Prophylaxis in Major Orthopedic Surgery: Systematic Review Update, click here to view.
Nonsurgical Treatments for Urinary Incontinence in Adult Women: A Systematic Review Update -- Research Protocol, click here to view.
Drug Therapy for Early Rheumatoid Arthritis in Adults – An Update -- Research Protocol, click here to view.
Psychological and Pharmacological Treatments for Adults with Posttraumatic Stress Disorder (PTSD): A Systematic Review Update -- Research Protocol, click here to view
Tympanostomy Tubes in Children with Otitis Media -- Final Report, click here to view
Treatment of Osteoarthritis of the Knee: An Update Review -- Final Report, click here to view.
Assessment Tools for Palliative Care -- Final Report, click here to view.
Noninvasive, Nonpharmacological Treatment for Chronic Pain, click here to view.
The Role of Immunotherapy in the Treatment of Asthma, click here to view
