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The PIPC Blog

PIPC Weekly Update: October 4, 2017

10/4/2017

 
In This Week’s Issue:
 
1. Washington Post: When His Elderly Mother Broke Her Hip, Things Didn’t Go Well, click here to read the article. 
2. CMS Releases RFI on New Direction for CMMI, click here to view.
3. PatientEngagementHIT: What Patient Complaints Say About the Patient Experience, click here to read the article.
4. NPC Releases Guiding Practices for Patient-Centered Value Assessment, click here to read the article
5. CMS Measure Development Education and Outreach Series, see details below.
6. Epilepsy Foundation: 2017-2018 AAHD Frederick J. Krause Scholarship on Health and Disability, click here to apply. 
7. Upcoming Events and Webinars, see details below
8. Medical Journal Articles, see details below.
9. AHRQ Effective Program Updates, see details below.
1. Washington Post: When His Elderly Mother Broke Her Hip, Things Didn’t Go Well.
 
Timothy Hoff discusses his struggle to get his mother appropriate care through the CMS bundled payment program in The Washington Post. ”I repeatedly brought up the financial pressures of the bundled payment program. I wanted everyone to know that we knew about it, a subtle (maybe not so subtle, in hindsight) form of shaming that might get them to think like advocates for my mother. For 45 minutes, this back-and-forth continued between the dry, clinical analysis from the care team and the emotional, frustrated pleas from my brother and me. This was nothing like what the CMS website talked about. After the call, I left my office, feeling sick to my stomach, and went outside to clear my head. I felt increasingly powerless to help my mother.” Click here to read the article. 
 
2. CMS Releases RFI on New Direction for CMMI
 
Last week, 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.  Additional information on PIPC’s recommendations for patient engagement and patient-centeredness at CMMI can be found here.  Click here to view the RFI.
 
3. PatientEngagementHIT: What Patient Complaints Say About the Patient Experience
 
Sara Heath reports for PatientEngagementHIT on an analysis of patient complaints showed that communication and relationships are more valuable for the patient experience than care quality and patient safety. “Investigating the care experience in outpatient cancer care is especially important because of the unique nature of cancer care. Cancer treatment is often longitudinal, requiring long-term relationships with an extensive care team. Cancer being a serious illness that calls for complex treatment protocol also emphasizes the need for clear and empathetic communication. That communication – and other patient-centered care principles – often fall short, the researchers determined. In a content analysis of complaints submitted to the Patient/Family Relations Office at Dana Farber Cancer Institute, the researchers found that patients and families were more concerned with patient-provider relationships than with care quality and safety.” Click here to read the article. 
 
4.  NPC Releases Guiding Practices for Patient-Centered Value Assessment
 
Dan Leonard comments on NPC’s guiding practices for patient-centered value assessment for The American Journal of Pharmacy Benefits. “...In the United States, value assessments are a new and evolving area and have the potential to significantly affect payer coverage and reimbursement policies as well as the resulting access to treatments for patients. With this potential impact in mind, the National Pharmaceutical Council (NPC) developed a set of patient-centered guiding practices that can serve as a guidepost for framework developers and users. Establishing and adhering to guiding practices can help ensure that value assessment frameworks are effective tools for advancing patient care and achieving better outcomes for patients rather than well-intentioned but flawed tools that impede such progress. Click here to read the article. 
 
5. CMS Measure Development Education and Outreach Series
 
The Centers for Medicare and Medicaid announced that they are seeking participants for the Measure Development Education and Outreach series, specifically for stakeholders invested in the Quality Payment Program (QPP) quality measurement development. “In partnership with our Measure Management System (MMS) contractor, Battelle, CMS will be hosting a monthly series of educational presentations on the measure development process and related topics that will include the opportunity for open discussion on measure development with CMS and your peer organizations. In addition to these education and outreach sessions, we are also offering groups currently developing QPP quality measures an opportunity to share your proposed measures and measure concepts with CMS through a spotlight series.” Contact [email protected] if you are interested in participating. 
 
6. Epilepsy Foundation: 2017-2018 AAHD Frederick J. Krause Scholarship on Health and Disability
 
The American Association on Health and Disability’s Frederick J. Krause Scholarship on Health and Disability is currently accepting applications. The scholarship honors Frederick J. Krause, a lifelong advocate for those with disabilities who passed away in 2014. Beginning with his role as a special education teacher, Mr. Krause’s distinguished career in advocacy included service in the federal government and the cofounding of the American Association on Health and Disability. The scholarship pays tribute to Mr. Krause by awarding scholarships to students with disabilities that are pursuing an education on disability-related topics. Click here to apply. 
 
7. Upcoming Events and Webinars
 
Advisory Panel on Patient Engagement Fall 2017 Meeting
October 5, 2017
Click here for details.
 
Introduction to HEOR: Principles and Practice in Health Care Decision Making
October 5-8
Click here for details.
 
Cycle 2 2017 Application Submission Webinar
October 10, 2017
Click here for details.
 
Dissemination & Implementation Applicant Town Hall - Cycle 3 2017
October 12, 2017 
Click here for details.
 
Virtual Summit: High-Deductible Health Plans, They’re Here to Stay, so How Can Employers Enhance the Experience?
October 12, 2017
Click here for details.
 
ASHRM 2017 Conference and Exhibition
October 15-18
Click here for details.
 
NPC @ AMCP Nexus 2017 and AMCP Foundation Research Symposium
October 16, 2017 
Click here for details.
 
Navigating Research Partnerships that Include Patients with Serious Acute or Medically Complex Conditions
October 17, 2017 
Click here for details.
 
Accelerate Real World Evidence: Leveraging Data for Faster Time to Insight
October 18, 2017 
Click here for details.
 
Improving Methods PFA LOI Town Hall - Cycle 3 2017
October 24, 2017 
Click here for details.
 
2017 PCORI Annual Meeting
October 31-November 2
Click here for details.
 
NPC @ 13th Annual Personalized Medicine Conference
November 14-16, 2017
Click here for details.
 
8. Medical Journal Articles
 
Should Clinically Meaningful Outcomes in Cancer Be Based on Individual Survival Rather than Median Overall Survival? Click here to view. 
 
Extending the Reach of Evidence-Based Medicine: A Proposed Categorization of Lower-Level Evidence, click here to view. 
 
Evidence-Based Medicine in Otolaryngology, Part 6: Patient-Reported Outcomes in Clinical Practice, click here to view. 
 
Evolution of Patient-Reported Outcomes and Their Role in Multiple Sclerosis Clinical Trials, click here to view. 
 
Multivariate and Network Meta-Analysis of Multiple Outcomes and Multiple Treatments: Rationale, Concepts, and Examples, click here to view. 
 
Towards Evidence-Based Computational Statistics: Lessons from Clinical Research on the Role and Design of Real-Data Benchmark Studies, click hereto view. 
 
Cost-Effectiveness of Evolocumab Therapy for Reducing Cardiovascular Events in Patients With Atherosclerotic Cardiovascular Disease, click here to view. 
 
Using Patient-Reported Outcome Measurement to Improve Patient Care, click here to view. 
 
Different Weights of the Evidence-Based Medicine Triad in Regulatory, Health Technology Assessment, and Clinical Decision Making, click here to view. 
 
Addressing the Social Needs of Hypertensive Patients: The Role of Patient–Provider Communication as a Predictor of Medication Adherence, 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

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