Center on Health Care Effectiveness Forum Archives: 2011

Can Shared Decision Making Improve Health Care Delivery and Control Costs? Current Perspectives and Possible Policy Levers
September 21, 2011

Presentation:

Webinar recording
PowerPoint presentation (PDF)
Issue briefs:
"Consumer and Provider Perspectives on Shared Decision Making: A Systematic Review of the Peer-Reviewed Literature"
"Policy Options to Encourage Patient-Physician Shared Decision Making"

Participants:

Richard J. Baron, M.D., Director, Seamless Care Models Group, Center for Medicare & Medicaid Innovation
Michael J. Barry, M.D., President
Foundation for Informed Medical Decision Making
Margaret Gerteis, Ph.D., Senior Researcher, Mathematica  

Ann S. O'Malley, M.D., M.P.H., Senior Health Researcher, Center for Studying Health System Change
Nyna Williams, Ph.D., Senior Researcher, Mathematica

Overview: Today there are significant discrepancies between patients’ preferences and the services they actually receive for many common health conditions. Shared decision making—a participatory process of a patient and clinician making a health care decision in the context of current evidence and a patient’s needs, preferences, and values—is an important tool to increase patient engagement. Expanding the use of the process among providers, patients, and health care systems requires a range of policy actions. Harnessing the potential of shared decision making may play an important role in improving health care delivery and controlling costs. In this forum, we discussed what shared decision making is, what consumers and providers think about the process, and potential policy levers to promote it.

Identifying Effective Health Care Services for Adults with Disabilities; Choosing Wisely: Why Study Designs and Outcome Measures Matter
July 7, 2011

Presentation:

Webinar recording
PowerPoint presentation (PDF)
Issue brief: "Choosing Wisely: Selecting Outcomes for Comparative Effectiveness Research on Services for Adults with Disabilities"
Research brief: "Matching Study Designs to Research Questions in Disability-Related Comparative Effectiveness Research"

Participants:

Jeff Ballou, Ph.D., Senior Researcher, Mathematica
Lisa I. Iezzoni, M.D., M.Sc., Professor of Medicine, Harvard Medical School
Director, Mongan Institute for Health Policy, Massachusetts General Hospital
Matt Kehn, M.P.P., Research Analyst, Mathematica
Debra Lipson, M.H.S.A., Senior Researcher, Mathematica

Eugene Rich, M.D., Director, Center on Health Care Effectiveness, Mathematica
Shoshanna Sofaer, Dr.P.H., Robert P. Luciano Professor of Health Care Policy, School of Public Affairs, Baruch College
Sean Tunis, M.D., M.Sc., Founder and Director, Center for Medical Technology Policy
Judy Zerzan, M.D., M.P.H., Chief Medical Officer/Deputy Medicaid Director, Colorado Department of Health Care Policy and Financing

Overview: Adults with disabilities have diverse, complex, and expensive needs for health care services, costing the health care system $398 billion in 2006. Furthermore, this group, which represented 14 percent of the adult population (approximately 32.5 million American adults) in 2008, will grow larger in the future. Policymakers, practitioners, and the public need a better understanding of what works and works best for these individuals. This forum discussed study designs and outcome measures that can be used to address different comparative effectiveness research questions effectively.

Evaluating the Comparative Effectiveness of Care Coordination for Disabled Populations
April 5, 2011

Presentation:

Webinar recording
PowerPoint presentation (PDF)
Research brief: "Comparative Effectiveness of Care Coordination for Adults with Disabilities"

Participants:

Melanie Au, M.P.P., Researcher, Mathematica
Karen Lohmann Siegel, P.T., M.A., Senior Scientist,
Food and Drug Administration, Center for Devices and Radiologic Health
Robert Master, M.D., President and CEO, Commonwealth Care Alliance

Eugene Rich, M.D., Director, Center on Health Care Effectiveness, Senior Fellow, Mathematica
Samuel Simon, Ph.D., Senior Researcher, Mathematica
Patricia Volland , M.S.W., M.B.A., Director, Social Work Leadership Institute
Senior Vice President for Strategy and Business Development, New York Academy of Medicine

Overview: Adults with disabilities are likely to use many costly services delivered by a diversity of providers, and coordinating their care has become a policy priority. Both the Institute of Medicine and Federal Coordinating Council have emphasized the importance of comparative effectiveness studies to clarify the value of care coordination programs for persons with disabilities living in the community. In this forum, we presented a framework for describing the range of personal characteristics, services, outcomes, and financing issues to consider in a systematic review of care coordination. We also reported on key findings from a systematic review of the recent care coordination literature, summarize what additional information is needed, and discussed implications for future research on which care coordination strategies work best for various disabled populations.