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Ecri identifies 1,000 interventions for ahrq healthcare horizonscanning system - China Jacquard Wov by e55he swrzsnb





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Ecri identifies 1,000 interventions for ahrq healthcare horizonscanning system - China Jacquard Wov by
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Ecri identifies 1,000 interventions for ahrq healthcare horizonscanning system - China Jacquard Wov


 
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PLYMOUTH MEETING, Pa. – Nearly 1,000 new and emerginghealthcare technologies and services have been identified as havingpotential to address an unmet patient need during the first year ofhealthcare horizon scanning conducted by ECRI Institute on behalfof the U.S. Agency for Healthcare Research and Quality (AHRQ) . ECRI Institute, an independent nonprofit that researches the bestapproaches to improving patient care, was selected by the Agency inSeptember 2010 to develop, implement, and maintain the nation'sfirst Healthcare Horizon Scanning System. These interventions, which cut across scores of diseases andconditions, are described in newly published reports that are freeand available to the public on AHRQ's Effective Health Carewebsite.

One report, Horizon Scanning Status Update, is acompendium of the topics being tracked in the system and includes ashort description of each technology or service detailing the unmetneed, potential patient population, intervention, developer, phaseof development, comparators, and potential health impacts. The Potential High Impact Reportsdiscuss topics within eachpriority condition that may have potential for high impact based oncomments and opinions of various experts with clinical, healthsystems, health administration, and/or research backgrounds. "The horizon scanning system is intended to help inform AHRQ'sdeliberations for allocating resources for patient-centeredoutcomes research," says ECRI Institute's Karen Schoelles, MD,SM, project director for the Healthcare Horizon Scanning System."Other groups engaging in comparative effectiveness researchmay also find these resources useful to identify potentialcomparators or even technologies or procedures in development thatmight disrupt current treatment paradigms," adds Schoelles. As the nation's first and only initiative of its kind, theHealthcare Horizon Scanning System is a multi-year project designedto provide a comprehensive, systematic, transparent process foridentifying, tracking, and monitoring new healthcare interventionsand technologies across 14 priority areas identified by AHRQ. Thesepriority areas include arthritis, cancer, cardiovascular diseases,dementia, depression, developmental delays, diabetes, functionallimitations, infectious disease, obesity, peptic ulcer disease,pregnancy, pulmonary disease, and substance abuse.

ECRI Institutealso added a "cross-cutting" area to track interventionsthat impact more than 1 of the 14 priority areas identified byAHRQ. Since December 2010, more than 10,000 leads have been uploaded intothe system for consideration, and about 1,400 topics have beenidentified and moved through the system, according to theprocedures outlined in the protocol. Topics in the system must bein development for humans and intended for use in the U.S.healthcare system. Topics that meet criteria for inclusion in theHorizon Scanning System are tracked not only while interventionsare in development, but up to 2 years after initialdiffusion/commercial availability in the United States. The criteria and process for identifying interventions to betracked in the AHRQ Healthcare Horizon Scanning System aredescribed in detail in the Horizon Scanning Protocol and OperationsManual.

An unmet need may arise from a gap in effective ways to screen,diagnose, treat, monitor, manage, or provide or deliver care for ahealth condition or disease. Interventions might be lackingentirely (e.g., treatment for Duchenne muscular dystrophy) orexisting options might be less than optimal. Unmet need also arisesfrom conditions for which significant barriers exist to obtainingeffective care, such as heart transplantation, or conditions forwhich availability of certain treatments is limited by location,access, or cultural or ethnic barriers that could cause healthdisparities. In the just-published Horizon Scanning Status Updatereport, fivepriority areas comprise about 76% of the interventions (includingprograms) being tracked. Interventions related to cancer accountfor 30% of identified and monitored topics.

Other areas indescending order of number of topics being tracked are in thepriority areas of functional limitations and disability (18%),cardiovascular diseases (11%), infectious diseases (11%), anddiabetes (6%). Interventions being tracked in the remaining eightpriority conditions (arthritis; dementia; depression and othermental illness; obesity; peptic ulcer disease and dyspepsia;pregnancy and childbirth; pulmonary diseases; substance abuse)account for 4% or less each, or a combined total of almost 24% ofthe interventions being tracked in the system. "Overall, more than 84% of topics in the system fall into oneof four general categories," notes program manager DianeRobertson. "About 62% are a pharmaceutical/biotechnology;about 14% are devices—either implanted or used to delivertreatments externally; about 5% are technologies intended toscreen, diagnose, and/or monitor a disease state; and about 3% areprograms/services/care-delivery innovations." The most recent Potential High Impact Reportsinclude 108 topicsthat are expected to have potential for high impact in the 14priority areas and a cross-cutting category. The determination ofpotential impact is made using a systematic process of gatheringopinions and impressions about potential impact from a variety ofexperts.

Perspectives of an expert with a conflict of interest(COI) are balanced by perspectives of experts without COIs. No morethan two experts with a possible COI are considered out of a totalof the seven or eight experts who are sought to provide comment foreach topic. Future reports that AHRQ intends to publish in the coming monthsinclude the following: Topic Profiles present detailed information on the interventions approachingdiffusion into practice. These reports identify and examine factorsthat are likely to influence the potential for diffusion and futureuse of the health care technology or innovation.

Draft TopicProfiles are shared with a variety of experts with clinical, healthsystem, health administration, and/or research backgrounds forcomment and opinions about potential for impact. The comments andopinions received are then considered and synthesized by ECRIInstitute to identify those interventions that experts deem,through the comment process, to have potential for high impact. A Systematic Review of evidence on methods for horizon scanning employed by otherentities. About ECRI Institute ECRI Institute, a nonprofit organization, dedicates itself tobringing the discipline of applied scientific research tohealthcare to discover which medical procedures, devices, drugs,and processes are best to enable improved patient care.

As pioneersin this science for nearly 45 years, ECRI Institute marriesexperience and independence with the objectivity of evidence-basedresearch. Strict conflict-of-interest guidelines ensureobjectivity. ECRI Institute is designated an Evidence-basedPractice Center by the U.S. Agency for Healthcare Research andQuality.

ECRI Institute PSO is listed as a federally certifiedPatient Safety Organization by the U.S. Department of Health andHuman Services. Find ECRI Institute on Facebook ( /ECRIInstitute ) and on Twitter ( /ECRI_Institute ). For more information, visit https:// .

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