Collaboration Challenges: Inter- Organizational Guideline Forum (IOGF) Craig W. Robbins, MD, MPH KP Care Management Institute-Medical Director, Center.

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Presentation transcript:

Collaboration Challenges: Inter- Organizational Guideline Forum (IOGF) Craig W. Robbins, MD, MPH KP Care Management Institute-Medical Director, Center for Clinical Information Services Guidelines International Network Board-Trustee

Conflicts of Interest  Financial: None  Non-financial: Guidelines International Network-Organizational Member GRADE Working Group-Organizational Member Slide 2

IOGF: Origins  First meeting: April 2008  Original Participating Organizations: Institute for Clinical Systems Improvement (ICSI) Veteran’s Health Administration (VA) Geisinger Health Plan (GHP) Institute of Medicine (IOM) Agency for Healthcare Research & Quality (AHRQ) Kaiser Permanente (KP): Convener  Integrated Delivery Systems, Government

IOGF: 2008 White Paper Collaboration Opportunities:  Guideline Development: sharing systematic reviews, transparent methodologies  Guideline Implementation: sharing of successful strategies, including EMR/clinical decision support  Measurement: develop & validate evidence-based performance measures  Advocacy: influence policymakers and vendors to advance evidence- based practice

IOGF: 2008 White Paper Conclusions:  Integrated health care delivery systems have a unique opportunity to leverage GL development and implementation work across organizations.  Through collaboration and sharing of resources, like minded organizations could make GL development more efficient and more implementation focused.  Barriers to more fluid collaboration include time constraints and cultural differences across the organizations.

IOGF: 2010 Roundtable  Organizational Participants: Agency for Healthcare Research & Quality (AHRQ) American Academy of Neurology (AAN) American College of Cardiology (ACC) Geisinger Health Plan (GHP) Kaiser Permanente (KP) National Heart, Lung, & Blood Institute (NHLBI) Veterans Health Administration (VA) Institute for Clinical Systems Improvement (ICSI): host  Expansion to include some specialty societies

IOGF: 2010 Roundtable Collaboration Opportunities:  Grading Systems: at least agree on common principles, if not a solitary system  Guideline Development: Collaborate to produce at least one guideline  Guideline Updates: as new information warrants  Conflicts of Interest: address uniformly

IOGF: 2012 Status The more things change, the more they stay the same?  Opportunities to share resources and leverage each others work  No specific, collaborative IOGF guidelines produced to date  Different uses for guidelines (implementation, publication)  Different methodologies (GRADE, internally developed)  Venue for promoting G-I-N & G-I-N North America (Conferences, Webinars)

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