In This Week’s Issue:
1. Chairman’s Corner: Tony Coelho Discusses How “Cost-Effectiveness” Measures Used by CVS Caremark Discriminate Against People with Disabilities, Click here to read the blog.
2. AHRQ Seeks Topic Suggestions for Future Evidence Reviews, click here for details.
3. Patient EngagementHIT: How Does Provider Burnout Impact Patient Care Quality, Care Access? Click here to read the article.
4. Other Upcoming ICER Studies: Prostate Cancer, Asthma, Opioid Use Disorder, click here to provide patient input.
5. Supporting Wellness: A Survey of Lived Experience and Research Priorities for Depression and Bipolar, click here to take the survey.
6. Watch: Everyone Included Episode 9 — PCOR/CER Designing Solutions, click here to watch the video.
7. 2018 PCORI Annual Meeting, click here for details.
8. Upcoming Events and Webinars, see details below.
9. Medical Journal Articles, see details below.
10. AHRQ Effective Program Updates, see details below.
1. Chairman’s Corner: Tony Coelho Discusses How “Cost-Effectiveness” Measures Used by CVS Caremark Discriminate Against People with Disabilities, Click here to read the blog.
2. AHRQ Seeks Topic Suggestions for Future Evidence Reviews, click here for details.
3. Patient EngagementHIT: How Does Provider Burnout Impact Patient Care Quality, Care Access? Click here to read the article.
4. Other Upcoming ICER Studies: Prostate Cancer, Asthma, Opioid Use Disorder, click here to provide patient input.
5. Supporting Wellness: A Survey of Lived Experience and Research Priorities for Depression and Bipolar, click here to take the survey.
6. Watch: Everyone Included Episode 9 — PCOR/CER Designing Solutions, click here to watch the video.
7. 2018 PCORI Annual Meeting, click here for details.
8. Upcoming Events and Webinars, see details below.
9. Medical Journal Articles, see details below.
10. AHRQ Effective Program Updates, see details below.
1. Chairman’s Corner: Tony Coelho Discusses How “Cost-Effectiveness” Measures Used by CVS Caremark Discriminate Against People with Disabilities
PIPC Chairman Tony Coelho has penned a new blog in Real Clear Health that criticizes CVS Caremark’s use of the quality-adjusted life year (QALY) metric when deciding treatment coverage. “CVS touted its program as an ‘innovation,’ but it is anything but. Under the new policy, CVS would offer employers policies that exclude drugs from their formularies if they exceed a subjective ‘cost-effectiveness’ threshold. CVS would rely on a deeply flawed value assessment model developed by the Institute for Clinical and Economic Review (ICER) in determining whether treatments fall below a $100,000 ‘cost per quality-adjusted-life-year’ limit. Patient advocates have been down this road before. In the early 1990’s Oregon proposed using a similar ‘cost-effectiveness’ formula in Medicaid, but ultimately backed away from it in part due to concern that it discriminated against people with disabilities and would violate the Americans with Disabilities Act.”
“This type of cost effectiveness analysis discriminates against people with disabilities and other vulnerable groups like the elderly because it assigns higher value to people in “perfect health” than people in less-than-perfect health. So let’s say your child has a degenerative neurological condition and an expensive new drug is introduced that can halt, but not reverse, the damage done by the disease. Your child, and other patients like her, would be considered “worth less” under a cost-effectiveness formula, so the new treatment would not meet the threshold.” Click here to read the blog.
2. AHRQ Seeks Topic Suggestions for Future Evidence Reviews
The Agency for Healthcare Research and Quality is seeking suggestions for future evidence reviews. “...Twice a year, AHRQ posts a request for nominations. Suggestions are considered from anyone. Hospital executives, clinicians, researchers, payers, and patients have all offered suggestions for new evidence reports. Nominations must be submitted by September 21 for the next round of research projects in fiscal year 2019. Preferred nominations will be those with high potential to impact clinical practice and health outcomes.” Click here for details.
3. Patient EngagementHIT: How Does Provider Burnout Impact Patient Care Quality, Care Access?
In an article for Patient EngagementHIT, Sara Heath reports on the affects provider burnout on patient care quality.”As providers encounter more job stressors, care quality wanes, industry research has shown. A September 2018 study published in Health Affairs found that provider burnout doubled the odds of an adverse patient safety event. Providers who felt symptoms of depression associated with their burnout saw more pronounced patient safety risks, the researchers found. Patients receiving care from a provider suffering from burnout were also doubly likely to report low provider professionalism or low satisfaction with the care encounter. Data published in the British Medical Journal echo those findings, stating that patient safety decreases when a provider feeling burnout treats the patient. However, the study did acknowledge that patient perceptions of care quality remain consistent when receiving treatment from providers with and without burnout.” Click here to read the article.
4. Other Upcoming ICER Studies: Prostate Cancer, Asthma, Opioid Use Disorder
The Institute for Clinical Economic Review (ICER) conducts cost effectiveness studies for insurers using the cost-per-QALY methodology. ICER provides guidance on its website for patients and patient advocates to provide direct input related to their experiences with the disease. Click here to provide patient input. Click here to view the topics and deadlines. Please note the following upcoming formal ICER deadlines per their website:
Prostate Cancer: Meeting 9/13/2018
Amyloidosis: Midwest CEPAC Meeting 9/13/2018
Hereditary Angiodema: Public Comment Period on Draft Evidence Report! 8/22/2018-9/20/2018
Opioid Use Disorder: Draft Evidence Report 9/5/2018 with comment period through 10/2/2018
Asthma: Draft Voting Questions and Evidence Report 9/24/2018 with comments through 10/22/2018
Atherosclerotic Cardiovascular Disease: Draft Scoping Document 8/30/2018
Spinal Muscular Atrophy: Comment Period on Draft Scoping Document! 8/22/18-9/7/18
5. Watch: Everyone Included Episode 9 — PCOR/CER Designing Solutions
Stanford Medicine X has released an episode of “Everyone Included” that focuses on Patient Centered Outcomes Research and Clinical Effectiveness Research. “Dr. Chu, Medicine X director, continues his conversation leading into solutions on how to amplify the voice of the patient in the health care industry. The focus of Patient Centered Outcomes Research and Clinical Effectiveness Research contains many avenues to building a better environment. Hear thoughtful insights from Leliani Graham, Google analyst and ePatient activist, Remi Wolf, Stanford Anesthesia Fellow and Digital Education Designer, Sylvie Dobrota, Stanford Research Associate and Epidemiology & Clinical Research Masters of Science Candidate, Justin Lai, Designer and Public Health expert, Nirupan Vipulananthan, Stanford Anesthesia Fellow and Digital Education Designer.” Click here to watch the video.
6. 2018 Health Care Payment Learning and Action Network (LAN) Fall Summit
The 2018 Health Care Payment and Learning Action Network (LAN) will hold its fall summit on Monday, 0ctober 22, 2018, including a panel on patient engagement with PIPC Executive Director Sara van Geertruyden. The 2018 Summit will continue to build on the momentum of the LAN by bringing together stakeholders from across the health care system to transform payment in a way that emphasizes quality over volume. The Summit will feature leaders and innovators in health care as speakers in plenary and break-out sessions throughout the day, including the following: Industry leaders discussing an array of innovations in payment reform, touching on implementation methods and lessons learned; Federal and state health care purchasers describing how they are addressing the current and future health care delivery challenges via new payment models that put the patient first; and LAN Summit attendees collaborating in facilitated workshops designed for specific stakeholder groups focusing on vital areas of interest – and challenges — surrounding design and implementation of APMs. Click here to register.
7. 2018 PCORI Annual Meeting
The 2018 PCORI Annual Meeting will take place on Wednesday, October 31, 2018 to Friday, November 2, 2018 in Washington, DC. “As part of this year's theme, ‘From Evidence to Impact: Putting What Works into Action,’ attendees will hear about results from PCORI’s comparative clinical effectiveness (CER) studies, efforts to promote essential findings, and those findings’ impacts. We will also discuss important trends in patient-centered outcomes research and connect with colleagues to share ideas for future research opportunities that will help patients and those who care for them make better-informed healthcare decisions. We are pleased to host two keynote speakers, Amy Berman, RN, Senior Program Officer, John A. Hartford Foundation, and Mark Smith, MD, founding president, California Health Care Foundation.” Click here for details.
8. Upcoming Events and Webinars
Patient Engagement in Real World Evidence
September 12, 2018
Click here for details.
PCORI Board of Governors Meeting
September 18, 2018
Click here for details.
Sustaining Engagement for Patient-Centered Outcomes Research & Beyond
September 20, 2018
Click here for details.
Training Course on Real-World Data
September 27-28, 2018
Click here for details.
Beyond Opioids: Evidence-Based Delivery of Alternative Treatments for Chronic Pain
October 2, 2018
Click here for details
Second Annual Duke-Margolis Conference on Real-World Data and Evidence
October 3, 2018
Click here for details.
3rd Annual Outcomes-Based Contracting Summit
October 3-4, 2018
Click here for details.
Cycle 3 2018 Improving Methods Applicant Town Hall
October 17, 2018
Click here for details.
eyeforpharma Value Summit 2018
November 7-8, 2018
Click here for details.
Advisory Panel on Clinical Effectiveness and Decision Science Fall 2018 Meeting
November 30, 2018
Click here for details.
2019 NEC Symposium
June 2 - 5, 2019,
Click here for details.
9. Medical Journal Articles
Industry Sponsorship and Research Outcome: Systematic Review with Meta-Analysis, click here to view.
Picture This: Presenting Longitudinal Patient-Reported Outcome Research Study Results to Patients, click here to view.
Patient-Reported Outcome Measures in the Food and Drug Administration Pilot Compendium: Meeting Today's Standards for Patient Engagement in Development, click here to view.
A Qualitative Study of Patients' Perceptions of the Utility of Patient-Reported Outcome Measures of Symptoms in Primary Care Clinics, click here to view.
Building Meaningful Patient Engagement in Research: Case Study From ADVANCE Clinical Data Research Network, click here to view.
A Novel Stakeholder Engagement Approach for Patient-Centered Outcomes Research, click here to view.
Multistakeholder Engagement in PCORnet, the National Patient-Centered Clinical Research Network, click here to view.
Return of Research Results to Study Participants: Uncharted and Untested, click here to view.
10. AHRQ Effective Program Updates
Labor Dystocia, click here to view.
Nonsurgical Treatments for Urinary Incontinence in Women: A Systematic Review Update, click here to view.
Randomized Trial of a Patient-Centered Decision Aid for Promoting Informed Decisions about Lung Cancer Screening: Implementation of a PCORI Study Protocol and Lessons Learned, click here to view.
Collaboration Is Key to Accelerating Diagnostics Access to Optimize Benefits of Precision Medicines, click here to view.
Registries for Evaluating Patient Outcomes: A User’s Guide Call for Case Examples, click here to view.
Telehealth for Acute and Chronic Care Consultations, click here to view.
Library of Patient-Centered Outcomes Research Resources, click here to view.
Mobile Health Applications for Self-Management of Diabetes, click here to view.
Role of Immunotherapy in the Treatment of Asthma, click here to view.
Library of Common Data Definitions: Atrial Fibrillation, click here to view.
Library of Common Data Definitions: Asthma, click here to view.
Patient or Participant Generated Registries, click here to view.
Effects of Dietary Sodium and Potassium Intake on Chronic Disease Outcomes and Related Risk Factors, click here to view.
Prioritization and Selection of Harms for Inclusion in Systematic Reviews, click here to view.
PIPC Chairman Tony Coelho has penned a new blog in Real Clear Health that criticizes CVS Caremark’s use of the quality-adjusted life year (QALY) metric when deciding treatment coverage. “CVS touted its program as an ‘innovation,’ but it is anything but. Under the new policy, CVS would offer employers policies that exclude drugs from their formularies if they exceed a subjective ‘cost-effectiveness’ threshold. CVS would rely on a deeply flawed value assessment model developed by the Institute for Clinical and Economic Review (ICER) in determining whether treatments fall below a $100,000 ‘cost per quality-adjusted-life-year’ limit. Patient advocates have been down this road before. In the early 1990’s Oregon proposed using a similar ‘cost-effectiveness’ formula in Medicaid, but ultimately backed away from it in part due to concern that it discriminated against people with disabilities and would violate the Americans with Disabilities Act.”
“This type of cost effectiveness analysis discriminates against people with disabilities and other vulnerable groups like the elderly because it assigns higher value to people in “perfect health” than people in less-than-perfect health. So let’s say your child has a degenerative neurological condition and an expensive new drug is introduced that can halt, but not reverse, the damage done by the disease. Your child, and other patients like her, would be considered “worth less” under a cost-effectiveness formula, so the new treatment would not meet the threshold.” Click here to read the blog.
2. AHRQ Seeks Topic Suggestions for Future Evidence Reviews
The Agency for Healthcare Research and Quality is seeking suggestions for future evidence reviews. “...Twice a year, AHRQ posts a request for nominations. Suggestions are considered from anyone. Hospital executives, clinicians, researchers, payers, and patients have all offered suggestions for new evidence reports. Nominations must be submitted by September 21 for the next round of research projects in fiscal year 2019. Preferred nominations will be those with high potential to impact clinical practice and health outcomes.” Click here for details.
3. Patient EngagementHIT: How Does Provider Burnout Impact Patient Care Quality, Care Access?
In an article for Patient EngagementHIT, Sara Heath reports on the affects provider burnout on patient care quality.”As providers encounter more job stressors, care quality wanes, industry research has shown. A September 2018 study published in Health Affairs found that provider burnout doubled the odds of an adverse patient safety event. Providers who felt symptoms of depression associated with their burnout saw more pronounced patient safety risks, the researchers found. Patients receiving care from a provider suffering from burnout were also doubly likely to report low provider professionalism or low satisfaction with the care encounter. Data published in the British Medical Journal echo those findings, stating that patient safety decreases when a provider feeling burnout treats the patient. However, the study did acknowledge that patient perceptions of care quality remain consistent when receiving treatment from providers with and without burnout.” Click here to read the article.
4. Other Upcoming ICER Studies: Prostate Cancer, Asthma, Opioid Use Disorder
The Institute for Clinical Economic Review (ICER) conducts cost effectiveness studies for insurers using the cost-per-QALY methodology. ICER provides guidance on its website for patients and patient advocates to provide direct input related to their experiences with the disease. Click here to provide patient input. Click here to view the topics and deadlines. Please note the following upcoming formal ICER deadlines per their website:
Prostate Cancer: Meeting 9/13/2018
Amyloidosis: Midwest CEPAC Meeting 9/13/2018
Hereditary Angiodema: Public Comment Period on Draft Evidence Report! 8/22/2018-9/20/2018
Opioid Use Disorder: Draft Evidence Report 9/5/2018 with comment period through 10/2/2018
Asthma: Draft Voting Questions and Evidence Report 9/24/2018 with comments through 10/22/2018
Atherosclerotic Cardiovascular Disease: Draft Scoping Document 8/30/2018
Spinal Muscular Atrophy: Comment Period on Draft Scoping Document! 8/22/18-9/7/18
5. Watch: Everyone Included Episode 9 — PCOR/CER Designing Solutions
Stanford Medicine X has released an episode of “Everyone Included” that focuses on Patient Centered Outcomes Research and Clinical Effectiveness Research. “Dr. Chu, Medicine X director, continues his conversation leading into solutions on how to amplify the voice of the patient in the health care industry. The focus of Patient Centered Outcomes Research and Clinical Effectiveness Research contains many avenues to building a better environment. Hear thoughtful insights from Leliani Graham, Google analyst and ePatient activist, Remi Wolf, Stanford Anesthesia Fellow and Digital Education Designer, Sylvie Dobrota, Stanford Research Associate and Epidemiology & Clinical Research Masters of Science Candidate, Justin Lai, Designer and Public Health expert, Nirupan Vipulananthan, Stanford Anesthesia Fellow and Digital Education Designer.” Click here to watch the video.
6. 2018 Health Care Payment Learning and Action Network (LAN) Fall Summit
The 2018 Health Care Payment and Learning Action Network (LAN) will hold its fall summit on Monday, 0ctober 22, 2018, including a panel on patient engagement with PIPC Executive Director Sara van Geertruyden. The 2018 Summit will continue to build on the momentum of the LAN by bringing together stakeholders from across the health care system to transform payment in a way that emphasizes quality over volume. The Summit will feature leaders and innovators in health care as speakers in plenary and break-out sessions throughout the day, including the following: Industry leaders discussing an array of innovations in payment reform, touching on implementation methods and lessons learned; Federal and state health care purchasers describing how they are addressing the current and future health care delivery challenges via new payment models that put the patient first; and LAN Summit attendees collaborating in facilitated workshops designed for specific stakeholder groups focusing on vital areas of interest – and challenges — surrounding design and implementation of APMs. Click here to register.
7. 2018 PCORI Annual Meeting
The 2018 PCORI Annual Meeting will take place on Wednesday, October 31, 2018 to Friday, November 2, 2018 in Washington, DC. “As part of this year's theme, ‘From Evidence to Impact: Putting What Works into Action,’ attendees will hear about results from PCORI’s comparative clinical effectiveness (CER) studies, efforts to promote essential findings, and those findings’ impacts. We will also discuss important trends in patient-centered outcomes research and connect with colleagues to share ideas for future research opportunities that will help patients and those who care for them make better-informed healthcare decisions. We are pleased to host two keynote speakers, Amy Berman, RN, Senior Program Officer, John A. Hartford Foundation, and Mark Smith, MD, founding president, California Health Care Foundation.” Click here for details.
8. Upcoming Events and Webinars
Patient Engagement in Real World Evidence
September 12, 2018
Click here for details.
PCORI Board of Governors Meeting
September 18, 2018
Click here for details.
Sustaining Engagement for Patient-Centered Outcomes Research & Beyond
September 20, 2018
Click here for details.
Training Course on Real-World Data
September 27-28, 2018
Click here for details.
Beyond Opioids: Evidence-Based Delivery of Alternative Treatments for Chronic Pain
October 2, 2018
Click here for details
Second Annual Duke-Margolis Conference on Real-World Data and Evidence
October 3, 2018
Click here for details.
3rd Annual Outcomes-Based Contracting Summit
October 3-4, 2018
Click here for details.
Cycle 3 2018 Improving Methods Applicant Town Hall
October 17, 2018
Click here for details.
eyeforpharma Value Summit 2018
November 7-8, 2018
Click here for details.
Advisory Panel on Clinical Effectiveness and Decision Science Fall 2018 Meeting
November 30, 2018
Click here for details.
2019 NEC Symposium
June 2 - 5, 2019,
Click here for details.
9. Medical Journal Articles
Industry Sponsorship and Research Outcome: Systematic Review with Meta-Analysis, click here to view.
Picture This: Presenting Longitudinal Patient-Reported Outcome Research Study Results to Patients, click here to view.
Patient-Reported Outcome Measures in the Food and Drug Administration Pilot Compendium: Meeting Today's Standards for Patient Engagement in Development, click here to view.
A Qualitative Study of Patients' Perceptions of the Utility of Patient-Reported Outcome Measures of Symptoms in Primary Care Clinics, click here to view.
Building Meaningful Patient Engagement in Research: Case Study From ADVANCE Clinical Data Research Network, click here to view.
A Novel Stakeholder Engagement Approach for Patient-Centered Outcomes Research, click here to view.
Multistakeholder Engagement in PCORnet, the National Patient-Centered Clinical Research Network, click here to view.
Return of Research Results to Study Participants: Uncharted and Untested, click here to view.
10. AHRQ Effective Program Updates
Labor Dystocia, click here to view.
Nonsurgical Treatments for Urinary Incontinence in Women: A Systematic Review Update, click here to view.
Randomized Trial of a Patient-Centered Decision Aid for Promoting Informed Decisions about Lung Cancer Screening: Implementation of a PCORI Study Protocol and Lessons Learned, click here to view.
Collaboration Is Key to Accelerating Diagnostics Access to Optimize Benefits of Precision Medicines, click here to view.
Registries for Evaluating Patient Outcomes: A User’s Guide Call for Case Examples, click here to view.
Telehealth for Acute and Chronic Care Consultations, click here to view.
Library of Patient-Centered Outcomes Research Resources, click here to view.
Mobile Health Applications for Self-Management of Diabetes, click here to view.
Role of Immunotherapy in the Treatment of Asthma, click here to view.
Library of Common Data Definitions: Atrial Fibrillation, click here to view.
Library of Common Data Definitions: Asthma, click here to view.
Patient or Participant Generated Registries, click here to view.
Effects of Dietary Sodium and Potassium Intake on Chronic Disease Outcomes and Related Risk Factors, click here to view.
Prioritization and Selection of Harms for Inclusion in Systematic Reviews, click here to view.
