SlideShare a Scribd company logo
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
Standards for Developing Trustworthy Clinical Practice Guidelines ,[object Object],[object Object],http://www.iom.edu/Reports/2011/Clinical-Practice-Guidelines-We-Can-Trust/Standards.aspx
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
Begin with the End in Mind Covey S. The 7 Habits of Highly Effective People. Fireside Press, 1989 Habit #2, Stephen Covey Consumers
Standards for Developing Trustworthy Clinical Practice Guidelines ,[object Object],[object Object],[object Object],[object Object],[object Object],http://www.iom.edu/Reports/2011/Clinical-Practice-Guidelines-We-Can-Trust/Standards.aspx
What do Consumers contribute to GDGs? Consumer Involvement in Guidelines What are the Possibilities? Passion Perspective Skepticism Respect for harms Patient education Shared decisions
Anticipated Balance Between Benefits and Harms/Costs ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Preponderance permits stronger recommendation
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)
Forbes Magazine – November 30, 2009
Standards for Developing Trustworthy Clinical Practice Guidelines ,[object Object],[object Object],[object Object],http://www.iom.edu/Reports/2011/Clinical-Practice-Guidelines-We-Can-Trust/Standards.aspx
G-I-N 2011 Conference, Seoul Korea August 28-31 2011
G-I-N North America ,[object Object],[object Object],[object Object],[object Object],[object Object],Guidelines International Network North American Community http://www.g-i-n.net/activities/g-i-n-na
G-I-N North America ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Steering Group Sandra Zelman Lewis, PhD American College Chest Physicians Sam Shortt, MD, PhD, FCFP Canadian Medical Association Holger Sch ünemann, MD, MSc, PhD McMaster Univ. Health Sciences Centre Richard Shiffman, MD, MCIS Yale Center for Medical Informatics Philip van der Wees, PhD, PT Chair, G-I-N Executive Committee Peter Wyer, MD NY Academy of Medicine
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

More Related Content

What's hot

CER 2016 Phillips cer symposium pcori 2016 from 012716
CER 2016 Phillips cer symposium pcori 2016 from 012716CER 2016 Phillips cer symposium pcori 2016 from 012716
CER 2016 Phillips cer symposium pcori 2016 from 012716
CTSI at UCSF
 
CER 2016 Trontell pcori cer presentation 2016 02 02 final
CER 2016 Trontell pcori cer presentation 2016 02 02 finalCER 2016 Trontell pcori cer presentation 2016 02 02 final
CER 2016 Trontell pcori cer presentation 2016 02 02 final
CTSI at UCSF
 
General practice: clinical governance & pati...
General practice:       clinical governance &                            pati...General practice:       clinical governance &                            pati...
General practice: clinical governance & pati...
Health Informatics New Zealand
 
CER 2016 Dohan EQUIP
CER 2016 Dohan EQUIPCER 2016 Dohan EQUIP
CER 2016 Dohan EQUIP
CTSI at UCSF
 
CLINICAL GOVERNANCE SYSTEMS - AS A TOOL FOR IMPROVING PATIENT SAFETY
CLINICAL GOVERNANCE SYSTEMS - AS A TOOL FOR  IMPROVING PATIENT SAFETY CLINICAL GOVERNANCE SYSTEMS - AS A TOOL FOR  IMPROVING PATIENT SAFETY
CLINICAL GOVERNANCE SYSTEMS - AS A TOOL FOR IMPROVING PATIENT SAFETY
Ruby Med Plus
 
CER 2016 Hernandez patient engagement
CER 2016 Hernandez patient engagementCER 2016 Hernandez patient engagement
CER 2016 Hernandez patient engagement
CTSI at UCSF
 
Clinical Governance
Clinical GovernanceClinical Governance
Clinical Governance
David Stonehouse
 
CER 2016 Nguyen ctsi collaborative research
CER 2016 Nguyen ctsi collaborative researchCER 2016 Nguyen ctsi collaborative research
CER 2016 Nguyen ctsi collaborative research
CTSI at UCSF
 
CU Errors, clinical governance and patient safety
CU Errors, clinical governance and patient safetyCU Errors, clinical governance and patient safety
CU Errors, clinical governance and patient safetyMedic-ELearning
 
Implementing Clinical Governance in an AOD treatment service
Implementing Clinical Governance in an AOD treatment serviceImplementing Clinical Governance in an AOD treatment service
Implementing Clinical Governance in an AOD treatment service
Uniting ReGen
 
What is clinical governance
What is clinical governance What is clinical governance
What is clinical governance
Josie Winter
 
Brookman final last 5 nov
Brookman final last 5 nov Brookman final last 5 nov
Brookman final last 5 nov
Nowgen
 
Global Healthcare Innovation: A Framework for Implementation
Global Healthcare Innovation: A Framework for ImplementationGlobal Healthcare Innovation: A Framework for Implementation
Global Healthcare Innovation: A Framework for Implementation
Wiljeana Glover, Ph.D.
 
Global issues 12.5.13
Global issues 12.5.13Global issues 12.5.13
Global issues 12.5.13dbrown2014
 
Needs Analysis of Primary Care Physicians and Other Providers in Terms of Obe...
Needs Analysis of Primary Care Physicians and Other Providers in Terms of Obe...Needs Analysis of Primary Care Physicians and Other Providers in Terms of Obe...
Needs Analysis of Primary Care Physicians and Other Providers in Terms of Obe...
Clinical Tools, Inc
 
John-Peter Bradford, Life-Savings Therapies Network
John-Peter Bradford, Life-Savings Therapies Network John-Peter Bradford, Life-Savings Therapies Network
John-Peter Bradford, Life-Savings Therapies Network
Canadian Organization for Rare Disorders
 
Certificate Antimicrobial Stewardship Module 9 - The CMS Core Performance Mea...
Certificate Antimicrobial Stewardship Module 9 - The CMS Core Performance Mea...Certificate Antimicrobial Stewardship Module 9 - The CMS Core Performance Mea...
Certificate Antimicrobial Stewardship Module 9 - The CMS Core Performance Mea...
Dr. Richard May MD, PhD, DHSc.
 
Clinical Governance Presentation by Michael Gorton AM - 21 July 2016
Clinical Governance Presentation by Michael Gorton AM - 21 July 2016Clinical Governance Presentation by Michael Gorton AM - 21 July 2016
Clinical Governance Presentation by Michael Gorton AM - 21 July 2016
Russell_Kennedy
 
Perspectives on the Relationship Between Cost Effectiveness and Affordability
Perspectives on the Relationship Between Cost Effectiveness and AffordabilityPerspectives on the Relationship Between Cost Effectiveness and Affordability
Perspectives on the Relationship Between Cost Effectiveness and Affordability
Office of Health Economics
 
A paradigm shift from blame to fair and just culture –a middle east hospital ...
A paradigm shift from blame to fair and just culture –a middle east hospital ...A paradigm shift from blame to fair and just culture –a middle east hospital ...
A paradigm shift from blame to fair and just culture –a middle east hospital ...
Krishnan Sankara Narayanan MS, MBA, CPHQ, FASHRM, LHRM
 

What's hot (20)

CER 2016 Phillips cer symposium pcori 2016 from 012716
CER 2016 Phillips cer symposium pcori 2016 from 012716CER 2016 Phillips cer symposium pcori 2016 from 012716
CER 2016 Phillips cer symposium pcori 2016 from 012716
 
CER 2016 Trontell pcori cer presentation 2016 02 02 final
CER 2016 Trontell pcori cer presentation 2016 02 02 finalCER 2016 Trontell pcori cer presentation 2016 02 02 final
CER 2016 Trontell pcori cer presentation 2016 02 02 final
 
General practice: clinical governance & pati...
General practice:       clinical governance &                            pati...General practice:       clinical governance &                            pati...
General practice: clinical governance & pati...
 
CER 2016 Dohan EQUIP
CER 2016 Dohan EQUIPCER 2016 Dohan EQUIP
CER 2016 Dohan EQUIP
 
CLINICAL GOVERNANCE SYSTEMS - AS A TOOL FOR IMPROVING PATIENT SAFETY
CLINICAL GOVERNANCE SYSTEMS - AS A TOOL FOR  IMPROVING PATIENT SAFETY CLINICAL GOVERNANCE SYSTEMS - AS A TOOL FOR  IMPROVING PATIENT SAFETY
CLINICAL GOVERNANCE SYSTEMS - AS A TOOL FOR IMPROVING PATIENT SAFETY
 
CER 2016 Hernandez patient engagement
CER 2016 Hernandez patient engagementCER 2016 Hernandez patient engagement
CER 2016 Hernandez patient engagement
 
Clinical Governance
Clinical GovernanceClinical Governance
Clinical Governance
 
CER 2016 Nguyen ctsi collaborative research
CER 2016 Nguyen ctsi collaborative researchCER 2016 Nguyen ctsi collaborative research
CER 2016 Nguyen ctsi collaborative research
 
CU Errors, clinical governance and patient safety
CU Errors, clinical governance and patient safetyCU Errors, clinical governance and patient safety
CU Errors, clinical governance and patient safety
 
Implementing Clinical Governance in an AOD treatment service
Implementing Clinical Governance in an AOD treatment serviceImplementing Clinical Governance in an AOD treatment service
Implementing Clinical Governance in an AOD treatment service
 
What is clinical governance
What is clinical governance What is clinical governance
What is clinical governance
 
Brookman final last 5 nov
Brookman final last 5 nov Brookman final last 5 nov
Brookman final last 5 nov
 
Global Healthcare Innovation: A Framework for Implementation
Global Healthcare Innovation: A Framework for ImplementationGlobal Healthcare Innovation: A Framework for Implementation
Global Healthcare Innovation: A Framework for Implementation
 
Global issues 12.5.13
Global issues 12.5.13Global issues 12.5.13
Global issues 12.5.13
 
Needs Analysis of Primary Care Physicians and Other Providers in Terms of Obe...
Needs Analysis of Primary Care Physicians and Other Providers in Terms of Obe...Needs Analysis of Primary Care Physicians and Other Providers in Terms of Obe...
Needs Analysis of Primary Care Physicians and Other Providers in Terms of Obe...
 
John-Peter Bradford, Life-Savings Therapies Network
John-Peter Bradford, Life-Savings Therapies Network John-Peter Bradford, Life-Savings Therapies Network
John-Peter Bradford, Life-Savings Therapies Network
 
Certificate Antimicrobial Stewardship Module 9 - The CMS Core Performance Mea...
Certificate Antimicrobial Stewardship Module 9 - The CMS Core Performance Mea...Certificate Antimicrobial Stewardship Module 9 - The CMS Core Performance Mea...
Certificate Antimicrobial Stewardship Module 9 - The CMS Core Performance Mea...
 
Clinical Governance Presentation by Michael Gorton AM - 21 July 2016
Clinical Governance Presentation by Michael Gorton AM - 21 July 2016Clinical Governance Presentation by Michael Gorton AM - 21 July 2016
Clinical Governance Presentation by Michael Gorton AM - 21 July 2016
 
Perspectives on the Relationship Between Cost Effectiveness and Affordability
Perspectives on the Relationship Between Cost Effectiveness and AffordabilityPerspectives on the Relationship Between Cost Effectiveness and Affordability
Perspectives on the Relationship Between Cost Effectiveness and Affordability
 
A paradigm shift from blame to fair and just culture –a middle east hospital ...
A paradigm shift from blame to fair and just culture –a middle east hospital ...A paradigm shift from blame to fair and just culture –a middle east hospital ...
A paradigm shift from blame to fair and just culture –a middle east hospital ...
 

Similar to **Rosenfeld - Consumers and Guidelines: Lessons Learned, Opportunities Ahead

Oncology Treatment Guidelines : The Rules and Rationale
Oncology  Treatment Guidelines :The Rules and RationaleOncology  Treatment Guidelines :The Rules and Rationale
Oncology Treatment Guidelines : The Rules and Rationale
Pharmacy @ Institut Kanser Negara
 
Comparative Effectiveness Research
Comparative Effectiveness ResearchComparative Effectiveness Research
Comparative Effectiveness Research
Rick Mathis
 
Practice guidelines for postanesthetic care 2013
Practice guidelines for postanesthetic care 2013Practice guidelines for postanesthetic care 2013
Practice guidelines for postanesthetic care 2013Ann Sodders
 
New microsoft office power point presentation
New microsoft office power point presentationNew microsoft office power point presentation
New microsoft office power point presentation
Emani Aparna
 
Evidence Based Practice Lecture 7_slides
Evidence Based Practice Lecture 7_slidesEvidence Based Practice Lecture 7_slides
Evidence Based Practice Lecture 7_slides
ZakCooper1
 
A Catalyst For Transforming Health Systems And Person-Centred Care Canadian ...
A Catalyst For Transforming Health Systems And Person-Centred Care  Canadian ...A Catalyst For Transforming Health Systems And Person-Centred Care  Canadian ...
A Catalyst For Transforming Health Systems And Person-Centred Care Canadian ...
Becky Gilbert
 
rti_innovation_brief_evidence_synthesis
rti_innovation_brief_evidence_synthesisrti_innovation_brief_evidence_synthesis
rti_innovation_brief_evidence_synthesisAnupa Bir
 
Clinical policy guidelines
Clinical policy guidelinesClinical policy guidelines
Clinical policy guidelines
Lucas Bispo
 
Meaningful engagement of decision makers in priority-setting
Meaningful engagement of decision makers in priority-settingMeaningful engagement of decision makers in priority-setting
Meaningful engagement of decision makers in priority-settingCochrane.Collaboration
 
The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...
The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...
The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...Effective Health Care Program
 
JRA 2.pdf
JRA 2.pdfJRA 2.pdf
JRA 2.pdf
shelladepari
 
Designing clinical trials on lifestyle interventions using patient reported o...
Designing clinical trials on lifestyle interventions using patient reported o...Designing clinical trials on lifestyle interventions using patient reported o...
Designing clinical trials on lifestyle interventions using patient reported o...
Jim Roldan
 
Evidence and guidelines COMEP
Evidence and guidelines COMEPEvidence and guidelines COMEP
Evidence and guidelines COMEP
NES
 
Newhouse arkansas 4-7-14(v2)
Newhouse arkansas 4-7-14(v2)Newhouse arkansas 4-7-14(v2)
Newhouse arkansas 4-7-14(v2)
TRIuams
 
Final Medical Guideline Paper
Final Medical Guideline PaperFinal Medical Guideline Paper
Final Medical Guideline PaperSumaiya Sarawat
 
Improving practice through evidence not only helps lower healthcare improve.docx
Improving practice through evidence not only helps lower healthcare improve.docxImproving practice through evidence not only helps lower healthcare improve.docx
Improving practice through evidence not only helps lower healthcare improve.docx
write4
 
communication Interdisciplinary communication.pdf
communication Interdisciplinary communication.pdfcommunication Interdisciplinary communication.pdf
communication Interdisciplinary communication.pdf
bkbk37
 
3KEY TERMS AND ACRONYMSAgency for Healthcare Research .docx
3KEY TERMS AND ACRONYMSAgency for Healthcare Research .docx3KEY TERMS AND ACRONYMSAgency for Healthcare Research .docx
3KEY TERMS AND ACRONYMSAgency for Healthcare Research .docx
tamicawaysmith
 
WhereArePatientsinDecisionMaking
WhereArePatientsinDecisionMakingWhereArePatientsinDecisionMaking
WhereArePatientsinDecisionMakingPhilippa Göranson
 
WhereArePatientsinDecisionMaking
WhereArePatientsinDecisionMakingWhereArePatientsinDecisionMaking
WhereArePatientsinDecisionMakingSuzanne Parsons
 

Similar to **Rosenfeld - Consumers and Guidelines: Lessons Learned, Opportunities Ahead (20)

Oncology Treatment Guidelines : The Rules and Rationale
Oncology  Treatment Guidelines :The Rules and RationaleOncology  Treatment Guidelines :The Rules and Rationale
Oncology Treatment Guidelines : The Rules and Rationale
 
Comparative Effectiveness Research
Comparative Effectiveness ResearchComparative Effectiveness Research
Comparative Effectiveness Research
 
Practice guidelines for postanesthetic care 2013
Practice guidelines for postanesthetic care 2013Practice guidelines for postanesthetic care 2013
Practice guidelines for postanesthetic care 2013
 
New microsoft office power point presentation
New microsoft office power point presentationNew microsoft office power point presentation
New microsoft office power point presentation
 
Evidence Based Practice Lecture 7_slides
Evidence Based Practice Lecture 7_slidesEvidence Based Practice Lecture 7_slides
Evidence Based Practice Lecture 7_slides
 
A Catalyst For Transforming Health Systems And Person-Centred Care Canadian ...
A Catalyst For Transforming Health Systems And Person-Centred Care  Canadian ...A Catalyst For Transforming Health Systems And Person-Centred Care  Canadian ...
A Catalyst For Transforming Health Systems And Person-Centred Care Canadian ...
 
rti_innovation_brief_evidence_synthesis
rti_innovation_brief_evidence_synthesisrti_innovation_brief_evidence_synthesis
rti_innovation_brief_evidence_synthesis
 
Clinical policy guidelines
Clinical policy guidelinesClinical policy guidelines
Clinical policy guidelines
 
Meaningful engagement of decision makers in priority-setting
Meaningful engagement of decision makers in priority-settingMeaningful engagement of decision makers in priority-setting
Meaningful engagement of decision makers in priority-setting
 
The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...
The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...
The AHRQ Training Modules for the Systematic Reviews Methods Guide: An Introd...
 
JRA 2.pdf
JRA 2.pdfJRA 2.pdf
JRA 2.pdf
 
Designing clinical trials on lifestyle interventions using patient reported o...
Designing clinical trials on lifestyle interventions using patient reported o...Designing clinical trials on lifestyle interventions using patient reported o...
Designing clinical trials on lifestyle interventions using patient reported o...
 
Evidence and guidelines COMEP
Evidence and guidelines COMEPEvidence and guidelines COMEP
Evidence and guidelines COMEP
 
Newhouse arkansas 4-7-14(v2)
Newhouse arkansas 4-7-14(v2)Newhouse arkansas 4-7-14(v2)
Newhouse arkansas 4-7-14(v2)
 
Final Medical Guideline Paper
Final Medical Guideline PaperFinal Medical Guideline Paper
Final Medical Guideline Paper
 
Improving practice through evidence not only helps lower healthcare improve.docx
Improving practice through evidence not only helps lower healthcare improve.docxImproving practice through evidence not only helps lower healthcare improve.docx
Improving practice through evidence not only helps lower healthcare improve.docx
 
communication Interdisciplinary communication.pdf
communication Interdisciplinary communication.pdfcommunication Interdisciplinary communication.pdf
communication Interdisciplinary communication.pdf
 
3KEY TERMS AND ACRONYMSAgency for Healthcare Research .docx
3KEY TERMS AND ACRONYMSAgency for Healthcare Research .docx3KEY TERMS AND ACRONYMSAgency for Healthcare Research .docx
3KEY TERMS AND ACRONYMSAgency for Healthcare Research .docx
 
WhereArePatientsinDecisionMaking
WhereArePatientsinDecisionMakingWhereArePatientsinDecisionMaking
WhereArePatientsinDecisionMaking
 
WhereArePatientsinDecisionMaking
WhereArePatientsinDecisionMakingWhereArePatientsinDecisionMaking
WhereArePatientsinDecisionMaking
 

More from CUE - Consumers United for Evidence-based Healthcare

More from CUE - Consumers United for Evidence-based Healthcare (20)

Panel: Where Do We Get Our Info?- Q&A
Panel: Where Do We Get Our Info?- Q&APanel: Where Do We Get Our Info?- Q&A
Panel: Where Do We Get Our Info?- Q&A
 
What's New in CUE- Nancy Fitton
What's New in CUE- Nancy FittonWhat's New in CUE- Nancy Fitton
What's New in CUE- Nancy Fitton
 
Panel: CUE in Partnership- Marguerite Koster
Panel: CUE in Partnership- Marguerite KosterPanel: CUE in Partnership- Marguerite Koster
Panel: CUE in Partnership- Marguerite Koster
 
Welcoming remarks: Lorraine Johnson
Welcoming remarks: Lorraine JohnsonWelcoming remarks: Lorraine Johnson
Welcoming remarks: Lorraine Johnson
 
Panel: Open Access- Kate Ryan
Panel: Open Access- Kate RyanPanel: Open Access- Kate Ryan
Panel: Open Access- Kate Ryan
 
Panel: Open Access- Steven Salzberg
Panel: Open Access- Steven SalzbergPanel: Open Access- Steven Salzberg
Panel: Open Access- Steven Salzberg
 
Panel: Open Access to Data- Q&A
Panel: Open Access to Data- Q&APanel: Open Access to Data- Q&A
Panel: Open Access to Data- Q&A
 
Panel: PCORI- Q&A
Panel: PCORI- Q&APanel: PCORI- Q&A
Panel: PCORI- Q&A
 
Panel: Where Do We Get Information?- Sally Okun
Panel: Where Do We Get Information?- Sally OkunPanel: Where Do We Get Information?- Sally Okun
Panel: Where Do We Get Information?- Sally Okun
 
How to Survive a Plague- Tim Horn
How to Survive a Plague- Tim HornHow to Survive a Plague- Tim Horn
How to Survive a Plague- Tim Horn
 
Panel: Open Access- Peter Doshi
Panel: Open Access- Peter DoshiPanel: Open Access- Peter Doshi
Panel: Open Access- Peter Doshi
 
Panel: Where Do We Get Information?- Carol Sakala
Panel: Where Do We Get Information?- Carol SakalaPanel: Where Do We Get Information?- Carol Sakala
Panel: Where Do We Get Information?- Carol Sakala
 
CUE's 10th Anniversary- Kay Dickersin
CUE's 10th Anniversary- Kay DickersinCUE's 10th Anniversary- Kay Dickersin
CUE's 10th Anniversary- Kay Dickersin
 
Panel: CUE in partnership- John Santa
Panel: CUE in partnership- John SantaPanel: CUE in partnership- John Santa
Panel: CUE in partnership- John Santa
 
Welcoming Remarks: Rebecca Burkholder
Welcoming Remarks: Rebecca BurkholderWelcoming Remarks: Rebecca Burkholder
Welcoming Remarks: Rebecca Burkholder
 
Panel: PCORI- Ann Fonfa
Panel: PCORI- Ann FonfaPanel: PCORI- Ann Fonfa
Panel: PCORI- Ann Fonfa
 
Panel: PCORI- Claire Snyder
Panel: PCORI- Claire SnyderPanel: PCORI- Claire Snyder
Panel: PCORI- Claire Snyder
 
Panel: PCORI- Jim Hulbert
Panel: PCORI- Jim HulbertPanel: PCORI- Jim Hulbert
Panel: PCORI- Jim Hulbert
 
Panel: PCORI- Sue Sheridan
Panel: PCORI- Sue SheridanPanel: PCORI- Sue Sheridan
Panel: PCORI- Sue Sheridan
 
Panel Q&A: CUE in Partnership
Panel Q&A: CUE in PartnershipPanel Q&A: CUE in Partnership
Panel Q&A: CUE in Partnership
 

Recently uploaded

How to Give Better Lectures: Some Tips for Doctors
How to Give Better Lectures: Some Tips for DoctorsHow to Give Better Lectures: Some Tips for Doctors
How to Give Better Lectures: Some Tips for Doctors
LanceCatedral
 
Pictures of Superficial & Deep Fascia.ppt.pdf
Pictures of Superficial & Deep Fascia.ppt.pdfPictures of Superficial & Deep Fascia.ppt.pdf
Pictures of Superficial & Deep Fascia.ppt.pdf
Dr. Rabia Inam Gandapore
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
KafrELShiekh University
 
New Drug Discovery and Development .....
New Drug Discovery and Development .....New Drug Discovery and Development .....
New Drug Discovery and Development .....
NEHA GUPTA
 
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
i3 Health
 
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradeshBasavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Dr. Madduru Muni Haritha
 
Evaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animalsEvaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animals
Shweta
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
pal078100
 
Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
MedicoseAcademics
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
NephroTube - Dr.Gawad
 
heat stroke and heat exhaustion in children
heat stroke and heat exhaustion in childrenheat stroke and heat exhaustion in children
heat stroke and heat exhaustion in children
SumeraAhmad5
 
Sex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skullSex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skull
ShashankRoodkee
 
KDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologistsKDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologists
د.محمود نجيب
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Prof. Marcus Renato de Carvalho
 
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptxHow STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
FFragrant
 
Superficial & Deep Fascia of the NECK.pptx
Superficial & Deep Fascia of the NECK.pptxSuperficial & Deep Fascia of the NECK.pptx
Superficial & Deep Fascia of the NECK.pptx
Dr. Rabia Inam Gandapore
 
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTSARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
Dr. Vinay Pareek
 
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdfARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
Anujkumaranit
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
MedicoseAcademics
 
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
bkling
 

Recently uploaded (20)

How to Give Better Lectures: Some Tips for Doctors
How to Give Better Lectures: Some Tips for DoctorsHow to Give Better Lectures: Some Tips for Doctors
How to Give Better Lectures: Some Tips for Doctors
 
Pictures of Superficial & Deep Fascia.ppt.pdf
Pictures of Superficial & Deep Fascia.ppt.pdfPictures of Superficial & Deep Fascia.ppt.pdf
Pictures of Superficial & Deep Fascia.ppt.pdf
 
Ophthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE examOphthalmology Clinical Tests for OSCE exam
Ophthalmology Clinical Tests for OSCE exam
 
New Drug Discovery and Development .....
New Drug Discovery and Development .....New Drug Discovery and Development .....
New Drug Discovery and Development .....
 
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...
 
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradeshBasavarajeeyam - Ayurvedic heritage book of Andhra pradesh
Basavarajeeyam - Ayurvedic heritage book of Andhra pradesh
 
Evaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animalsEvaluation of antidepressant activity of clitoris ternatea in animals
Evaluation of antidepressant activity of clitoris ternatea in animals
 
Ocular injury ppt Upendra pal optometrist upums saifai etawah
Ocular injury  ppt  Upendra pal  optometrist upums saifai etawahOcular injury  ppt  Upendra pal  optometrist upums saifai etawah
Ocular injury ppt Upendra pal optometrist upums saifai etawah
 
Physiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdfPhysiology of Chemical Sensation of smell.pdf
Physiology of Chemical Sensation of smell.pdf
 
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.GawadHemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
Hemodialysis: Chapter 3, Dialysis Water Unit - Dr.Gawad
 
heat stroke and heat exhaustion in children
heat stroke and heat exhaustion in childrenheat stroke and heat exhaustion in children
heat stroke and heat exhaustion in children
 
Sex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skullSex determination from mandible pelvis and skull
Sex determination from mandible pelvis and skull
 
KDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologistsKDIGO 2024 guidelines for diabetologists
KDIGO 2024 guidelines for diabetologists
 
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidadeNovas diretrizes da OMS para os cuidados perinatais de mais qualidade
Novas diretrizes da OMS para os cuidados perinatais de mais qualidade
 
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptxHow STIs Influence the Development of Pelvic Inflammatory Disease.pptx
How STIs Influence the Development of Pelvic Inflammatory Disease.pptx
 
Superficial & Deep Fascia of the NECK.pptx
Superficial & Deep Fascia of the NECK.pptxSuperficial & Deep Fascia of the NECK.pptx
Superficial & Deep Fascia of the NECK.pptx
 
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTSARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
ARTHROLOGY PPT NCISM SYLLABUS AYURVEDA STUDENTS
 
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdfARTIFICIAL INTELLIGENCE IN  HEALTHCARE.pdf
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdf
 
Non-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdfNon-respiratory Functions of the Lungs.pdf
Non-respiratory Functions of the Lungs.pdf
 
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?
 

**Rosenfeld - Consumers and Guidelines: Lessons Learned, Opportunities Ahead

  • 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
  • 2.
  • 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
  • 5.
  • 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
  • 7.
  • 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
  • 10.
  • 11. G-I-N 2011 Conference, Seoul Korea August 28-31 2011
  • 12.
  • 13.
  • 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