1. Amir Qaseem, MD, PhD, MHA, FACP American College of Physicians May 11, 2011

2. Who We Are The largest medical specialty organization in the US 130,000 members Program was established in 1981 Clinical Guidelines Committee

3. How is ACP Implementing the IOM Standards? Systematic Reviews  AHRQ’s Evidence-based Practice Centers Transparency  Funded by ACP  Publicly available COI  Financial  Non-financial  Published

4. How is ACP Implementing the IOM Standards? Guideline Development Group  Patient and public involvement Grading  ACP Grading System – slightly modified GRADE Recommendations

5. How is ACP Implementing the IOM Standards? External Review  Some but not all Updating  Sunset policy & Updating Process

6. Accreditation? IOM recommends establishment of a public- private mechanism to certify:  Guidelines?  Organizations? Clinical Guidance Statements  Involves review of available guidelines

7. Questions