In This Week’s Issue:
1. Join PIPC Chairman Tony Coelho on Wednesday, for the 5th Annual PIPC Forum: Building a Patient-Centered Health System, click here to RSVP.
2. Inside Health Policy: PIPC Comments on MedPAC Consideration of Part B Drug Payment Policy, click here to view the article.
3. Brookings: What the 2014 Election Results Really Mean for Health Care, click here to view the blog.
4. NEJM: The Concept of Risk in Comparative-Effectiveness Research, clickhere to view the article.
5. Modern Healthcare: Comments Sought on Informed Consent in Rules for Comparison Studies, click here to view the article (subscription required).
6. Annals of Family Medicine: Publishing Patient-Centered Outcomes Research, click here to view the article.
7. PCORnet: In the News: Data Driven Medicine – Informing the Cure, clickhere to view the full post.
8. IOM: Ethical Review and Oversight Issues in Research Involving Standard of Care Interventions: A Workshop, click here for details.
9. Health Affairs: Twitter Chat With PCORI, click here for details.
10. Medical Journal Articles, see details below.
11. AHRQ Effective Program Updates, see details below.
1. Join PIPC Chairman Tony Coelho on Wednesday, for the 5th Annual PIPC Forum: Building a Patient-Centered Health System, click here to RSVP.
2. Inside Health Policy: PIPC Comments on MedPAC Consideration of Part B Drug Payment Policy, click here to view the article.
3. Brookings: What the 2014 Election Results Really Mean for Health Care, click here to view the blog.
4. NEJM: The Concept of Risk in Comparative-Effectiveness Research, clickhere to view the article.
5. Modern Healthcare: Comments Sought on Informed Consent in Rules for Comparison Studies, click here to view the article (subscription required).
6. Annals of Family Medicine: Publishing Patient-Centered Outcomes Research, click here to view the article.
7. PCORnet: In the News: Data Driven Medicine – Informing the Cure, clickhere to view the full post.
8. IOM: Ethical Review and Oversight Issues in Research Involving Standard of Care Interventions: A Workshop, click here for details.
9. Health Affairs: Twitter Chat With PCORI, click here for details.
10. Medical Journal Articles, see details below.
11. AHRQ Effective Program Updates, see details below.
1. Join PIPC Chairman Tony Coelho on Wednesday, for the 5th Annual PIPC Forum: Building a Patient-Centered Health System
Wednesday, November 19, 2014, between noon and 2:00 PM, the Partnership to Improve Patient Care (PIPC) will hold our fifth annual forum, entitled “Building a Patient-Centered Health System.” We anticipate a lively discussion on the translation of patient-centered outcomes research to practice. We also will discuss the challenges and opportunities for alternative payment models such as accountable care organizations and patient-centered medical homes to support patient-centered strategies for translating evidence to practice. Click here to RSVP.
Confirmed Participants Include:
Honorable Tony Coelho, Chairman, PIPC (Moderator)
Ms. Karen Fisher, Senate Finance Committee
Ms. Kristin Welsh, Senate Finance Committee
Dr. Kavita Patel, Managing Director of Clinical Transformation, Brookings’ Engelberg Center for Healthcare Reform
Ms. Sally Okun, Vice President for Advocacy, Policy and Patient Safety, PatientsLikeMe
Dr. Kristin Carman, Vice President, AIR
Ms. Sue Sheridan, Director of Patient Engagement, PCORI
Dr. Tanisha Carino, Executive Vice President, Avalere
2. Inside Health Policy: PIPC Comments on MedPAC Consideration of Part B Drug Payment Policy
PIPC Chairman Tony Coelho was quoted in an article by Inside Health Policy regarding Medicare Part B's drug payment policy. The Medicare Payment Advisory Commission (MedPAC) recently discussed support—expressed by a small number of commissioners—for allowing CMS to return to the controversial “least costly alternative” model it used from 2005 to 2010, as MedPAC discussed at its September meeting. “As the Commission moves forward in their deliberations to improve outcomes and reduce costs in the Medicare program, PIPC hopes that MedPAC will pursue policies that activate patients and lead to long-term health improvements, rather than focusing on those that could threaten to jeopardize the nature of the doctor-patient relationship,” said Chairman Coelho. PIPC also publicly responded to MedPAC's discussion in September. Click here to view the article.
3. Brookings: What the 2014 Election Results Really Mean for Health Care
After the midterm elections, Kavita Patel of the Brookings Institute broke down what the results mean for the ACA and PCORI. “There have already been numerous descriptions for last night’s election results- everything from “worst news ever for democrats” to “greatest opportunity for the GOP to gain control of Washington.” When it comes to health care, there are mainly three important areas to watch that really matter, despite the headlines. […] Also, expect a version of dismantling through increased scrutiny of programs or entities established by the ACA (this is very necessary and I would encourage this need for balanced oversight). These include the Center for Medicare and Medicaid Innovation (CMMI) and the Patient-Centered Outcomes Research Institute (PCORI). Both CMMI and PCORI have been criticized, and the oversight process will allow for opportunities to better understand and improve existing activities." Click here to view the blog.
4. NEJM: The Concept of Risk in Comparative-Effectiveness Research
Writing in the New England Journal of Medicine, John D. Lantos and John A. Spertus reported, “On October 24, 2014, the federal Office for Human Research Protections (OHRP) issued draft guidelines to clarify its policies regarding the evaluation and disclosure of risks in comparative-effectiveness research (CER). The proposed guidelines are confused and confusing. They are not simply a clarification of current federal policy. Instead, they are a radical reinterpretation of that policy.” Click here to view the article.
5. Modern Healthcare: Comments Sought on Informed Consent in Rules for Comparison Studies
Sabriya Rice of Modern Healthcare, wrote, “The federal government is considering possible changes to what risks and benefits researchers must describe to patients who participate in studies comparing the effectiveness of already approved treatments and procedures. But those recently issued draft recommendations are not sitting well with some researchers, who say they would lead to an informed consent process that confuses researchers and misleads patients.” Click here to view the article (subscription required).
6. Annals of Family Medicine: Publishing Patient-Centered Outcomes Research
In the November/December edition of the Annals of Family Medicine, “Whatever the final form of the PCORI process, Annals of Family Medicine is committed to the principles of patient-centered outcomes research, the involvement of relevant stakeholders in all phases of the process from the generation of the question to the conduct of the research, and the participatory, evolving implementation and dissemination of the findings. We look forward to working with authors, diverse stakeholders, and with PCORI on being part of a larger process to make patient-centered outcomes research easily, credibly, and interactively accessible.” Click hereto view the article.
7. PCORnet: In the News: Data Driven Medicine – Informing the Cure
Early last week, PCORnet blogged, “Getting a firm handle on what's best for whom is a pressing quest of national healthcare reform — and Temple is working at its leading edge. Anuradha Paranjape, MD, MPH, FACP, Professor of Medicine and Chief of General Internal Medicine at Temple is lead investigator within a four-university consortium awarded a $7 million grant to build the mid-Atlantic portion of what will ultimately become an online national clinical data network called PCORnet.” Clickhere to view the full post.
8. IOM: Ethical Review and Oversight Issues in Research Involving Standard of Care Interventions: A Workshop
The Institute of Medicine's Board on Health Sciences Policy is convening a one-and-a-half day workshop on December 2-3, 2014 to explore questions related to ethics and review of human subject protections in research trials studying standard of care interventions. Common clinical practices might lack a robust evidence base if there have not been empirical interventional research studies to compare an array of available routine or standard treatment options. Clinical trials that study these "standard of care" interventions examine and compare treatments that fall within the range of what is considered usual clinical practice. This workshop is open to the public. Click here for details.
9. Health Affairs: Twitter Chat With PCORI
The Health Affairs Blog commented, “Health Affairs recently partnered with the Patient Centered Outcomes Research Institute (PCORI) to produce three videos about ways patients and practitioners are incorporating patient engagement in health care decisions.[...] To further the conversation, Health Affairs and PCORI will host a Twitter chat with Sue Sheridan, director of patient engagement for PCORI, on Monday, November 17 at 2 p.m. ET on the topic of patient engagement in research.” Click here for details.
10. Medical Journal Articles
Practice-Based Research Networks (PBRNs) Are Promising Laboratories for Conducting Dissemination and Implementation Research: Click here to view.
Teaching Evidence-Based Medicine at Complementary and Alternative Medicine Institutions: Strategies, Competencies, and Evaluation: Click here to view.
The Role of Health Technology Assessment Bodies in Shaping Drug Development: Click here to view.
Beyond Open Big Data: Addressing Unreliable Research: Click here to view.
Prospective Cohort Study of the Effectiveness of Varenicline Versus Nicotine Replacement Therapy for Smoking Cessation in the "Real World": Click here to view.
Load Balancing for Imbalanced Data Sets: Classifying Scientific Artefacts for Evidence Based Medicine: Click here to view.
11. AHRQ Effective Program Updates
Emerging Approaches to Diagnosis and Treatment of Non-Muscle-Invasive Bladder Cancer: Click here to view the report.
Wednesday, November 19, 2014, between noon and 2:00 PM, the Partnership to Improve Patient Care (PIPC) will hold our fifth annual forum, entitled “Building a Patient-Centered Health System.” We anticipate a lively discussion on the translation of patient-centered outcomes research to practice. We also will discuss the challenges and opportunities for alternative payment models such as accountable care organizations and patient-centered medical homes to support patient-centered strategies for translating evidence to practice. Click here to RSVP.
Confirmed Participants Include:
Honorable Tony Coelho, Chairman, PIPC (Moderator)
Ms. Karen Fisher, Senate Finance Committee
Ms. Kristin Welsh, Senate Finance Committee
Dr. Kavita Patel, Managing Director of Clinical Transformation, Brookings’ Engelberg Center for Healthcare Reform
Ms. Sally Okun, Vice President for Advocacy, Policy and Patient Safety, PatientsLikeMe
Dr. Kristin Carman, Vice President, AIR
Ms. Sue Sheridan, Director of Patient Engagement, PCORI
Dr. Tanisha Carino, Executive Vice President, Avalere
2. Inside Health Policy: PIPC Comments on MedPAC Consideration of Part B Drug Payment Policy
PIPC Chairman Tony Coelho was quoted in an article by Inside Health Policy regarding Medicare Part B's drug payment policy. The Medicare Payment Advisory Commission (MedPAC) recently discussed support—expressed by a small number of commissioners—for allowing CMS to return to the controversial “least costly alternative” model it used from 2005 to 2010, as MedPAC discussed at its September meeting. “As the Commission moves forward in their deliberations to improve outcomes and reduce costs in the Medicare program, PIPC hopes that MedPAC will pursue policies that activate patients and lead to long-term health improvements, rather than focusing on those that could threaten to jeopardize the nature of the doctor-patient relationship,” said Chairman Coelho. PIPC also publicly responded to MedPAC's discussion in September. Click here to view the article.
3. Brookings: What the 2014 Election Results Really Mean for Health Care
After the midterm elections, Kavita Patel of the Brookings Institute broke down what the results mean for the ACA and PCORI. “There have already been numerous descriptions for last night’s election results- everything from “worst news ever for democrats” to “greatest opportunity for the GOP to gain control of Washington.” When it comes to health care, there are mainly three important areas to watch that really matter, despite the headlines. […] Also, expect a version of dismantling through increased scrutiny of programs or entities established by the ACA (this is very necessary and I would encourage this need for balanced oversight). These include the Center for Medicare and Medicaid Innovation (CMMI) and the Patient-Centered Outcomes Research Institute (PCORI). Both CMMI and PCORI have been criticized, and the oversight process will allow for opportunities to better understand and improve existing activities." Click here to view the blog.
4. NEJM: The Concept of Risk in Comparative-Effectiveness Research
Writing in the New England Journal of Medicine, John D. Lantos and John A. Spertus reported, “On October 24, 2014, the federal Office for Human Research Protections (OHRP) issued draft guidelines to clarify its policies regarding the evaluation and disclosure of risks in comparative-effectiveness research (CER). The proposed guidelines are confused and confusing. They are not simply a clarification of current federal policy. Instead, they are a radical reinterpretation of that policy.” Click here to view the article.
5. Modern Healthcare: Comments Sought on Informed Consent in Rules for Comparison Studies
Sabriya Rice of Modern Healthcare, wrote, “The federal government is considering possible changes to what risks and benefits researchers must describe to patients who participate in studies comparing the effectiveness of already approved treatments and procedures. But those recently issued draft recommendations are not sitting well with some researchers, who say they would lead to an informed consent process that confuses researchers and misleads patients.” Click here to view the article (subscription required).
6. Annals of Family Medicine: Publishing Patient-Centered Outcomes Research
In the November/December edition of the Annals of Family Medicine, “Whatever the final form of the PCORI process, Annals of Family Medicine is committed to the principles of patient-centered outcomes research, the involvement of relevant stakeholders in all phases of the process from the generation of the question to the conduct of the research, and the participatory, evolving implementation and dissemination of the findings. We look forward to working with authors, diverse stakeholders, and with PCORI on being part of a larger process to make patient-centered outcomes research easily, credibly, and interactively accessible.” Click hereto view the article.
7. PCORnet: In the News: Data Driven Medicine – Informing the Cure
Early last week, PCORnet blogged, “Getting a firm handle on what's best for whom is a pressing quest of national healthcare reform — and Temple is working at its leading edge. Anuradha Paranjape, MD, MPH, FACP, Professor of Medicine and Chief of General Internal Medicine at Temple is lead investigator within a four-university consortium awarded a $7 million grant to build the mid-Atlantic portion of what will ultimately become an online national clinical data network called PCORnet.” Clickhere to view the full post.
8. IOM: Ethical Review and Oversight Issues in Research Involving Standard of Care Interventions: A Workshop
The Institute of Medicine's Board on Health Sciences Policy is convening a one-and-a-half day workshop on December 2-3, 2014 to explore questions related to ethics and review of human subject protections in research trials studying standard of care interventions. Common clinical practices might lack a robust evidence base if there have not been empirical interventional research studies to compare an array of available routine or standard treatment options. Clinical trials that study these "standard of care" interventions examine and compare treatments that fall within the range of what is considered usual clinical practice. This workshop is open to the public. Click here for details.
9. Health Affairs: Twitter Chat With PCORI
The Health Affairs Blog commented, “Health Affairs recently partnered with the Patient Centered Outcomes Research Institute (PCORI) to produce three videos about ways patients and practitioners are incorporating patient engagement in health care decisions.[...] To further the conversation, Health Affairs and PCORI will host a Twitter chat with Sue Sheridan, director of patient engagement for PCORI, on Monday, November 17 at 2 p.m. ET on the topic of patient engagement in research.” Click here for details.
10. Medical Journal Articles
Practice-Based Research Networks (PBRNs) Are Promising Laboratories for Conducting Dissemination and Implementation Research: Click here to view.
Teaching Evidence-Based Medicine at Complementary and Alternative Medicine Institutions: Strategies, Competencies, and Evaluation: Click here to view.
The Role of Health Technology Assessment Bodies in Shaping Drug Development: Click here to view.
Beyond Open Big Data: Addressing Unreliable Research: Click here to view.
Prospective Cohort Study of the Effectiveness of Varenicline Versus Nicotine Replacement Therapy for Smoking Cessation in the "Real World": Click here to view.
Load Balancing for Imbalanced Data Sets: Classifying Scientific Artefacts for Evidence Based Medicine: Click here to view.
11. AHRQ Effective Program Updates
Emerging Approaches to Diagnosis and Treatment of Non-Muscle-Invasive Bladder Cancer: Click here to view the report.
