Richard Rosenfeld, Chairperson, Guideline Development Task Force, American Academy of Otolaryngology - Head and Neck Surgery

1. Consumers & Guidelines IOM Report on Guideline Standards Richard M. Rosenfeld, MD, MPH Professor and Chairman of Otolaryngology, SUNY Downstate Chair, Guideline Development Task Force, AAO-HNS Chair, G-I-N North America Steering Group

3. AAO-HNS Adult Sinusitis Guideline Rhinosinusitis Guideline Panel Patricia Hudgins (head and neck radiology) ASHNR Dickson Cheung (emergency medicine) ACEP Richard Shiffman (methodology) AAP John Mitchell (chest physicians) ACCP Theodore Ganiats, Martin Mahoney (family practice) AAFP Daniel Hamilos, Robert Nathan (allergy and immunology) AAAAI Helene Krouse (advance practice nursing) SOHN Steven Eisenberg, Larry Lee (United Healthcare), Andrea Gelzer (CIGNA) Insurance David Andes (infectious disease) IDSA Richard Rosenfeld (chair), Neil Bhattacharyya, Tim Smith, Bradley Marple (ARS, SAHP), Richard Haydon III (AAOA, SAHP), David Witsell AAO-HNS Participants Group

4. Begin with the End in Mind Covey S. The 7 Habits of Highly Effective People. Fireside Press, 1989 Habit #2, Stephen Covey Consumers

6. What do Consumers contribute to GDGs? Consumer Involvement in Guidelines What are the Possibilities? Passion Perspective Skepticism Respect for harms Patient education Shared decisions

8. What Are Clinical Practice Guidelines? Guidelines are systematically developed statements to assist practitioner and patient decisions about appropriate health care for specific clinical circumstances. Institute of Medicine 1990 www.iom.edu Guidelines are statements that include recommendations intended to optimize patient care that are informed by a systematic review of evidence and an assessment of the benefits and harms of alternative care options. Institute of Medicine 2011 New definition clearly distinguishes “Clinical Practice Guidelines” from other forms of clinical guidance derived from widely disparate development processes (e.g., consensus statements, appropriate use criteria, practice paramaters)

9. Forbes Magazine – November 30, 2009

11. G-I-N 2011 Conference, Seoul Korea August 28-31 2011

14. An Educated Consumer…Can be the Best Member of a Guideline Development Group Thank You for Your Kind Attention! Richard M. Rosenfeld, MD, MPH – richrosenfeld@msn.com