We think you have liked this presentation. If you wish to download it, please recommend it to your friends in any social system. Share buttons are a little bit lower. Thank you!
Presentation is loading. Please wait.
Published byCasey Gambell
Modified about 1 year ago
©PPRNet 2014 Designing a PPRNet PCORI Application to Improve Adherence to USPSTF Grade D Recommendations for Cancer Screening
©PPRNet 2014 PCORI Communication and Dissemination Fall Research Announcement Seeking research that: Compares strategies meant to generate conversations between patients and providers about what is appropriate and necessary treatment based on patients’ preferences and conditions. Compares innovative approaches in the use of existing electronic clinical data and other electronic modalities (e.g., electronic health records) to enhance clinical decision making by patients and providers.
©PPRNet 2014 PCORI’S PATIENT- CENTERED STANDARDS Patients, clinicians and other stakeholders should be engaged in the processes of: Formulating research questions Defining study design Identifying outcomes of interest Monitoring study progress Suggesting plans for dissemination
©PPRNet 2014 BACKGROUND Inappropriate screening occurs frequently in ambulatory care Given rising health care costs, increasing national effort to reduce overuse of medical services for which harms outweigh benefits http://youtu.be/FqQ-JuRDkl8
©PPRNet 2014 BACKGROUND USPSTF and Choosing Wisely campaign recommend against routine screening for: Prostate cancer Cervical ca in women 65, or HPV testing in women<30 National rates of inappropriate PSA screening or pap testing are high Over 2/3 of women age>65 have had a pap smear Inappropriate PSA screening rate between 16-36% even before new D recommendation
©PPRNet 2014 BACKGROUND Barriers include: Lack of time and skills needed for discussing potential risks of screening Lack of awareness of recommendations Lack of knowledge of harms of screening Over-estimation of benefits of screening tests by patients
©PPRNet 2014 BACKGROUND Choosing wisely intended to promote conversations between physicians and patients to help patients choose care that is evidence- based, necessary and free from harm. USPSTF recognizes common use of PSA screening. “Decision to initiate or continue PSA screening should reflect understanding of the possible benefits and harms and respect patient’s preferences.”
©PPRNet 2014 RESEARCH QUESTION Can a primary care model be developed to promote conversations between patients and providers about what cancer screening tests are appropriate and necessary based on patients’ preferences and conditions?
©PPRNet 2014 Designing a project to improve adherence to USPSTF Grade D Recommendations for Cancer Screening Should we study other Grade D or Choosing Wisely recommendations?
©PPRNet 2014 Designing a project to improve adherence to USPSTF Grade D Recommendations for Cancer Screening What strategies or tools could be used to improve patient-centered communication about adhering to Grade D/Choosing Wisely recommendations?
©PPRNet 2014 Designing a project to improve adherence to USPSTF Grade D Recommendations for Cancer Screening What outcomes are important to study?
©PPRNet 2014 Designing a project to improve adherence to USPSTF Grade D Recommendations for Cancer Screening How do we engage patients to be our advisors for this study?
©PPRNet 2014 NEXT STEPS September 2014- Additional stakeholder input (patients, clinicians) on study design October 2014- Letters of Support needed November 2014- Application deadline July/August 2015- Earliest project start date
©PPRNet 2014 Impact of Patient Engagement on Treatment Decisions and Patient-Centered Outcomes in the Implementation of New Guidelines for the Treatment.
CANCER SCREENING 2011 DELAWARE CANCER EDUCATION ALLIANCE STEPHEN S. GRUBBS, M.D. HELEN F. GRAHAM CANCER CENTER DELAWARE CANCER CONSORTIUM OCTOBER 5, 2011.
Screening of genital cancers Evidence Based Presented by Dr\ Heba Nour.
1 Health Action /24/2015 Kim Bailey Engagement Officer Engaging Patients and Other Stakeholders in Clinical Research.
PERIODIC MEDICAL EXAMINATION BY DR. ANGELA ESOIMEME MBBS, MPH, FWACGP.
Introduction to Healthcare and Public Health in the US The Evolution and Reform of Healthcare in the US Lecture b This material (Comp1_Unit9b) was developed.
Consumer and Provider Education and Engagement Breakout Session Betsy Abramson, Wisconsin Coalition Against Domestic Violence Alison Bergum, UW Population.
What does sexual & reproductive health have to do with clinical trials? Providing contraception & reproductive health care helps.
How to Overcome Barriers and Develop Collaborative Guidelines Amir Qaseem, MD, PhD, MHA, FACP Chair, Guidelines International Network Director, Clinical.
Component 1: Introduction to Health Care and Public Health in the U.S. 1.9: Unit 9: The evolution and reform of healthcare in the US 1.9c: Quality Indicators.
Shared Decision Making MAGIC — Making Good decisions In Collaboration — Shared decision making the norm — Multi-centre, large scale implementation programme.
Shared Decision Making in the NHS Sue Kennedy National Shared Decision Making Programme Manager.
Routine PSA: Evaluating the Evidence Sheldon Greenfield, MD Health Policy Research Institute University of California, Irvine October 23, 2012.
TOWARDS RECOVERY CLINICS Patient Care. Community Fit. An Integrated Approach to Comprehensive Treatment.
EUROCHIP-2 results in Lithuania Varenna October 18, 2007 Presented by Ruta Kurtinaitiene
Workshop 18 th May 2010, Brussels Applying the Value+ model on patient involvement in HTA processes.
Shared decision making and Australian general practitioner training Dr Ronald McCoy, Education Strategy Senior Advisor, Royal Australian College of General.
HW215: Models of Health & Wellness Unit 7: Health and Wellness Models Geo-political Influences.
Geriatric Health Maintenance: Cancer Screening Linda DeCherrie, MD Geriatric Fellow Mount Sinai Hospital.
Finding an Evidence- Based Program. Objectives Know how to use your needs assessment and program goals and objectives to help you select your program.
Introduction to the User’s Guide for Developing a Protocol for Observational Comparative Effectiveness Research Prepared for: Agency for Healthcare Research.
HOW STANDING ORDERS HELPED US IMPROVE CANCER SCREENING: REPORT FROM A NEW PPRNet MEMBER JULIO A SAVINON, MD RIO GRANDE MEDICINE INC. HARLINGEN, TX.
M Ravanbod Medical oncologist Bushehr – 11/91 A 50 y/o white man comes for check up and wants to discuss about prostate cancer. Negative family history.
Implementing Patient Decision Aids in Clinical Practice October 2014 Dawn Stacey RN, PhD Research Chair in Knowledge Translation to Patients Full Professor,
1 Understanding How the U.S. Preventive Services Task Force Works USPSTF 101.
1 Evidence and the next stage of health care reform: Why consumer engagement is so important Steven D. Pearson, MD, MSc President, Institute for Clinical.
Prostate Cancer Coalition of NC A statewide collaborative effort by concerned organizations and individuals to support awareness, early detection, and.
Julia Andrieni, MD, FACP Vice President, Population Health and Primary Care HOUSTON METHODIST POPULATION HEALTH MANAGEMENT A Value-Based Healthcare Delivery.
QSEN Primer Or, “QSEN in a Nutshell” 1. 1999—Institute of Medicine published “To Err is Human” Determined errors have an effect on both patient satisfaction.
San Francisco Hep B Free: Physician Engagement November 16, 2015 Stuart Fong, MD Chinese Hospital, San Francisco, CA
Monitoring and Screening HINF Medical Methodologies Session 10.
The Burden of Cancer and an Action Plan for Change in Monroe County January 2013 Byron Kennedy, MD, PhD, MPH Deputy Director of Health Monroe County, NY.
How Do We Individualize Guidelines in an Era of Personalized Medicine? Douglas K. Owens, MD, MS VA Palo Alto Health Care System Stanford University, Stanford.
Evaluation of Primary Versus Secondary Prevention of Cervical Cancer: an evidence based literature review Jennifer Vestle, PA-S, John Carter, PhD Department.
The Interface between Primary Care and Specialty Care in Primary Treatment of Cancer Jonathan Sussman Supportive Cancer Care Research Unit Laura-Mae Baldwin.
More care is not necessarily better care An initiative of the Council of Medical Colleges in New Zealand.
| Strathmore University Medical Centre Cancer Awareness Month October 2013.
Standard 10: Preventing Falls and Harm from Falls Accrediting Agencies Surveyor Workshop, 13 August 2012.
Health Promotion and Screening WOMEN’S HEALTHCARE: DIAGNOSIS AND MANAGEMENT.
Clinical Decision Support Implementation Victoria Ferguson, COO - Program Manager Christopher Taylor, CIO – Business Owner Monica Kaileh, CMIO – Steering.
Presenter Name Date. Choosing Wisely Australia Starting a national conversation about tests, treatments and procedures to question Supporting conversations.
Developing the GP Cancer Lead Community Dr P Sawyer Herts Valleys Macmillan Cancer Lead.
Critical Appraisal of Clinical Practice Guidelines Manit Srisurapanont, MD Department of Psychiatry Chiang Mai University For Evidence-Based Medicine Workshop,
Hepatitis and Liver Cancer A National Strategy for Prevention and Control of Hepatitis B and C.
Massachusetts Cancer Prevention Community Research Network (MCPCRN) CPCRN Boston Meeting November 1-2, 2007.
The US Preventive Services Task Force: Potential Impact on Medicare Coverage Ned Calonge, MD, MPH Chair, USPSTF.
Put Prevention Into Practice. Understand the PPIP Program What is Put Prevention Into Practice (PPIP)? What is Put Prevention Into Practice (PPIP)? Why.
©PPRNet 2014 The Feasibility of Primary Care Promotion of mHealth Technology for Weight Loss.
Brought to you by: What is Shared Decision Making? Why is it important?
© 2017 SlidePlayer.com Inc. All rights reserved.