Performance Improvement 2000. Evidence-Based Medicine

01/01/2000

Development and Implementation of Evidence-Based Practice Center (EPC) Program Evaluation

The Agency for Health Care Policy and Research (AHCPR) supports 12 Evidence-based Practice Centers (EPCs) to undertake scientific analyses and evidence syntheses on high-priority topics. The science syntheses-evidence reports and technology assessments produced by the EPCs provide the scientific foundation for public and private organizations to use in developing and implementing their own practice guidelines, performance measures and other tools to improve the quality of health care and make decisions related to the effectiveness or appropriateness of specific health care technologies.

AGENCY SPONSOR: Center for Practice and Technology Assessment

FEDERAL CONTACT: Coopey, Margaret
301-594-4022

PIC ID: 7037

PERFORMER: Medstat Group
Washington, DC

EXPECTED DATE OF COMPLETION: 06/02/2000

Empirical Analysis of a Guideline-developed Clinical Performance Measure

Assessing and categorizing whether actual care conforms to clinical practice guidelines is an increasingly common approach to measuring appropriateness and quality of health services. Often, however, the process of care that is to be categorized simply as conforming or not may involve several different components or dimensions. This project will analyze existing data concerning one example of such a summary measure, conformance with American Academy of Pediatrics recommendations regarding gastroenteritis, for the purpose of evaluating the extent to which the overall measurements of whether practices conform may be sensitive to choices between alternative approaches for assessing the different components or dimensions of care.

AGENCY SPONSOR: Agency for Healthcare Research and Quality

FEDERAL CONTACT: Fox, Steve, M.D.
301-597-1485

PIC ID: 7403

PERFORMER: Medstat Group
Washington, DC

EXPECTED DATE OF COMPLETION: 12/29/2000

Evaluation of the National Guideline Clearinghouse

The National Guideline Clearinghouse (NGC) is a web-based source of clinical practice guidelines. Guidelines are available in both abstract and full-text with links to original sources. Guidelines can be downloaded in various formats and mechanisms. It offers comparisons of guidelines that cover similar topic areas, with major interventions and areas of agreement and disagreement. A structured program evaluation will be completed on the National Guideline Clearinghouse to look at what works and doesn't work and how it can be improved. The evaluation will: (1) identify and survey the intended NGC users to understand the quality and usefulness of NGC products, and how the information is being applied to health care delivery; (2) identify and survey the intended users who have not yet accessed the NGC to determine why they are not using the site; (3) evaluate the website functionality, content and linkages to identify opportunities to improve the products and services; and (4) provide a limited assessment of the impact of the NGC on the development of guidelines and quality improvement initiatives to affect clinical behavior.

AGENCY SPONSOR: Center for Practice and Technology Assessment

FEDERAL CONTACT: Coopey, Margaret
301-594-4022

PIC ID: 5955

PERFORMER: Lewin Group
San Francisco, CA

EXPECTED DATE OF COMPLETION: 03/15/2001