PCORI releases report proposing national priorities for patient-centered clinical effectiveness

Posted on January 24, 2012 | No Comments
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The Patient-Centered Outcomes Research Institute (PCORI) proposed national priorities for patient-centered comparative clinical effectiveness in their first version of PCORI’s Research Agenda. PCORI expects to learn and update this as
we move forward. We are not specifying or prioritizing any particular condition or disease for
research, although we may do so in the future. Consistent with the criteria outlined in the Affordable Care Act (ACA), PCORI’s first research agenda looks at:

-Comparisons of Prevention, Diagnosis, and Treatment Options
Research should focus on 1) clinical options with emphasis on patient preferences and decision-making, 2) biological,
clinical, social, economic, and geographic factors that may affect patient outcomes.

-Improving Health care Systems
Research should focus on 1) ways to improve access to care,
receipt of care, coordination of care, self-care, and decision-making, 2) use of non-physician
healthcare providers, such as nurses and physician’s assistants, and the impact on patient
outcomes, 3) system-level changes affecting all populations, diseases, and health conditions.

-Communication and Dissemination
Research should focus on 1) strategies to improve
patient and clinician knowledge about prevention, diagnosis and treatment options, 2)
methods to increase patient participation in care and decision-making and the impact on
health outcomes, 3) communication tools that enhance decision-making and achieve desired
outcomes, 4) ways to use electronic data (“e-health records”) to support decision-making, 5)
best practices for sharing research results.

-Addressing Disparities
Research should focus on 1) ways to reduce disparities in health
outcomes, 2) benefits and risks of health care options across populations, 3) strategies to
address health care barriers that can affect patient preferences and outcomes.

-Accelerating Patient-Centered and Methodological Research
Research should focus on 1)
ways to improve the quality and usefulness of clinical data in follow-up studies, 2) methods
to combine and analyze clinical data that follow patients over time, 3) use of registries and
clinical data networks to support research about patient-centered outcomes, including rare
diseases, 4) strategies to train researchers and enable patients and caregivers to participate
in patient-centered outcomes research.

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PCORI amends research agenda after comment period

May 4, 2012

The Patient-Centered Outcomes Research Institute (PCORI) Board of Governors recently amended its January 2012 draft research agenda in response to public comments. The board found 15 major themes that emerged from 474 public comments. The purpose of the National Priorities for Research and Research Agenda is to guide funding for comparative clinical effectiveness research. The agenda amendments address PCORI's focus on patient engagement and transparency, patients with multiple chronic conditions, patients with rare diseases, improvement of health delivery systems, and health literacy. The final version of the agenda and the national research priorities...

RWJF and Urban Institute paper addresses patient-centered care in the ACA

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CER board seeks public input

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Health Affairs article suggests how the ACA can improve long-term care services

March 9, 2011

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IRS releases NPRM on Patient-Centered Outcomes Research Trust Fund

April 16, 2012

The Affordable Care Act (ACA) includes provisions that promote research to evaluate and compare health outcomes and the clinical effectiveness, risks, and benefits of medical treatments, services, procedures, drugs, and other strategies or items that treat, manage, diagnose, or prevent illness or injury. One provision relates to the establishment of the private, nonprofit corporation, the Patient-Centered Outcomes Research Institute. The Institute will assist, through research, patients, clinicians, purchasers, and policy-makers in making informed health decisions by advancing the quality and relevance of evidence-based medicine through the synthesis and dissemination of comparative clinical effectiveness research findings. The Internal Revenue Service (IRS) released a notice of proposed rulemaking (NPRM) regarding fees on health insurance policies and self-insured plans for the patient-centered outcomes research trust fund. The NPRM contains proposed regulations that implement and provide guidance on the fees imposed by the Affordable Care Act (ACA) on issuers of certain health insurance policies and plan sponsors of certain self-insured health plans to fund the Patient-Centered Outcomes Research Trust Fund. These proposed regulations affect the issuers and plan sponsors that are directed to pay those fees.

HHS awards funds to establish a Center of Excellence in Research on Disability Services, Care Coordination and Integration

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The Department of Health and Human Services announced May 6 that it has awarded six million dollars under the American Recovery and Reinvestment Act of 2009 to Mathematica Policy Research, Inc. to establish a Center of Excellence in Research on Disability Services, Care Coordination, and Integration. http://www.hhs.gov/news/press/2010pres/05/20100506a.html.

Comparative Clinical Effectiveness Research

July 1, 2010

The recently enacted Patient Protection and Affordable Care Act (PPACA) builds on federal efforts to support and direct research comparing patient treatments.