1. 1 Copyright © 2014 Winifred S. Hayes, Inc. Hayes, Inc. Knowledge Transfer Contractor Cici Collins –VP Government Contracting Susan Levine, MS, DVM, PhD –Project Director Karen Crotty, PhD, MPH –Project Manager

2. 2 Copyright © 2014 Winifred S. Hayes, Inc. About Hayes Hayes, Inc. was founded 25 years ago to provide objective, independent, evidence-based assessments as the foundation for decisions about coverage, acquisition, and use of medical tests, treatments, and preventive programs. We are a woman-owned small business that operates with a primarily distributed workforce of 55 staff.

3. 3 Copyright © 2014 Winifred S. Hayes, Inc. Our Clients Health plans Hospitals and health systems State Medicaid Agencies TRICARE VA Health Administration Center No conflicts of interest

4. 4 Copyright © 2014 Winifred S. Hayes, Inc. Current KT Task Orders Implementing AHRQ Tools for Nurses to Improve Quality of Care (KT-FY13-05) Continuing Education for Comparative Effectiveness Research (KT-FY13-02)

5. 5 Copyright © 2014 Winifred S. Hayes, Inc. Importance of Knowledge Transfer We believe strongly that the appropriate use of evidence is a critical factor in improving the safety, quality, and value of healthcare and that knowledge transfer is key to ensuring that evidence is understood and used. We believe that knowledge transfer includes all steps between the creation of new knowledge and its application.

6. 6 Copyright © 2014 Winifred S. Hayes, Inc. Knowledge Transfer

7. 7 Copyright © 2014 Winifred S. Hayes, Inc. Our Expertise Gathering relevant knowledge Literature searches Environmental scans Horizon scans Gray literature sources Clinical trials databases Regulatory information Synthesizing research evidence Systematic reviews Comparative effectiveness reviews Health technology assessments Rapid reviews

8. 8 Copyright © 2014 Winifred S. Hayes, Inc. Our Expertise Translating evidence Reports Graphics Algorithms/clinical pathways/clinical guidelines Coverage policies Learning modules Disseminating knowledge Live webinars In-person presentations and workshops On-site ‘embedded’ personnel Training materials/continuing medical education (CME) activities

9. 9 Copyright © 2014 Winifred S. Hayes, Inc. Medicaid Agency: Identify Evidence-Based Interventions Most Likely to Improve Pregnancy Outcomes in a Medicaid Population Medicaid beneficiaries Medicaid providers State Medicaid Agency Experts in maternal and child health

10. 10 Copyright © 2014 Winifred S. Hayes, Inc. Evidence-Based Interventions to Improve Pregnancy Outcomes Phase 1. Epidemiological, historical, and survey data about causes of poor pregnancy outcomes, with additional limit to modifiable causes Phase 2. Clinical trial and observational evidence about effectiveness of interventions to reduce risk of preterm birth Phase 1. Identification of preterm birth as the leading modifiable cause of poor pregnancy outcome Phase 2. Identification of causes of preterm birth and effective interventions for reducing risk of preterm birth Three evidence-based interventions: Screening for and treatment of short cervix; smoking cessation; family planning

11. 11 Copyright © 2014 Winifred S. Hayes, Inc. Evidence-Based Interventions to Improve Pregnancy Outcomes Concise white paper describing interventions and rationale, distributed to state Medicaid Agency and to Expert Panel on Improving Maternal and Infant Outcomes in Medicaid and Children’s Health Insurance Program (CHIP) Policy development; implementation of quality measures for Medicaid providers based on evidence-based interventions Budget allocation for provider training and program implementation; improved access to care, improved and more consistent quality of care for Medicaid recipients; better pregnancy outcomes [projected]

12. 12 Copyright © 2014 Winifred S. Hayes, Inc. Develop Evidence-Based Clinical Pathway for Assessment, Diagnosis, and Treatment of Community- Acquired Pneumonia in Primary Care Setting Physician-led Accountable Care Organization (ACO) Administration ACO Clinical Committee members Network providers Patients

13. 13 Copyright © 2014 Winifred S. Hayes, Inc. Evidence-Based Clinical Pathway for Community- Acquired Pneumonia Evidence-based clinical assessment tools, diagnostic algorithms, current therapeutic guidelines Extract key elements of clinical assessment tools, diagnostic pathways, and guidelines for treatment of community-acquired pneumonia in primary care practice Clinical pathways for management of adults and children with community-acquired pneumonia designed for use in primary care

14. 14 Copyright © 2014 Winifred S. Hayes, Inc. Evidence-Based Clinical Pathway for Community- Acquired Pneumonia Clinical pathways sent to ACO Clinical Committee and then disseminated as web-based documents to primary care provider network (~1500 providers) with link to ACO pharmacy to ensure alignment of prescribed drugs with current formulary Adherence to pathways will be used as a quality measure for providers in network Improve quality and consistency of primary care; avoid potential morbidity associated with hospitalization; reduce cost of care

15. 15 Copyright © 2014 Winifred S. Hayes, Inc. Public Payer (State): Systematic Review of Bilateral Versus Unilateral Cochlear Implants in Children and Adults Department of Social and Health Services (Medicaid) Department of Labor and Industries Department of Corrections Department of Veterans Affairs Healthcare providers Beneficiaries covered under state health plans Taxpayers

16. 16 Copyright © 2014 Winifred S. Hayes, Inc. Systematic Review of Bilateral Versus Unilateral Cochlear Implants in Children and Adults Existing systematic reviews and meta-analyses; primary studies not included in existing reviews Balance of benefits and harms for patient-important outcomes; considered within context of quality of the evidence Written report, including concise summary; accompanying PowerPoint summary, utilizing graphical representation of key findings

17. 17 Copyright © 2014 Winifred S. Hayes, Inc. Systematic Review of Bilateral Versus Unilateral Cochlear Implants in Children and Adults Presentation of findings to Clinical Committee in an open forum, with opportunity for public comment and written response to comments; full report and summary posted on public website Coverage policy developed at conclusion of presentation: Bilateral cochlear implants are a covered benefit for adults and children ≥ 12 months of age Improved access to care and consistency of care among populations served by the state healthcare authority

18. 18 Copyright © 2014 Winifred S. Hayes, Inc. Live CE Webinar Series Physicians Nurse practitioners and other advanced practice nurses Registered nurses Case managers Healthcare executives and administrators Value analysis specialists Nurse and patient educators Physical therapists Pharmacists Psychologists Genetic counselors

19. 19 Copyright © 2014 Winifred S. Hayes, Inc. CE Webinars Best available clinical studies; varies depending on technology, intervention, or program being addressed Conclusions regarding safety, efficacy, comparative effectiveness of technology/intervention Summary tables, graphics to illustrate findings, videos and animations, Hayes Rating

20. 20 Copyright © 2014 Winifred S. Hayes, Inc. CE Webinars Live and recorded webinar presentations, handouts and notes with additional information, question-and-answer session Learners share knowledge with peers, staff, patients; critically appraise research findings and apply evidence-based approach to decision making; change clinical practice 65 programs in past 3 years, with a total of 7303 attendees

21. 21 Copyright © 2014 Winifred S. Hayes, Inc. Collaborations Global Prairie Marketing, LLC –IDIQ subcontractor –CE for CER Task Order Deloitte Consulting, LLP –IDIQ subcontractor –CE for CER Task Order JumpStart Healthcare Communications, LLC –IDIQ subcontractor

22. 22 Copyright © 2014 Winifred S. Hayes, Inc. Knowledge Transfer