Category Archives: Health Care Reform: Comparative Effectiveness Research

Improving Quality and Containing Costs

One the more controversial concepts in contemporary health care policy is comparative effectiveness research (CER). This research attempts to directly compare the effectiveness of different treatments and interventions for various diagnoses and conditions. For example, when a woman is diagnosed with breast cancer, what is her best choice for treatment – surgery, chemotherapy, radiation, or a combination of all three? In what sequence and what dosage? The attention to comparative effectiveness research was significantly raised when $1.1 billion was made available to support CER in the American Recovery and Reinvestment Act.

The concern is that this research will be used to deny coverage or payment for certain treatments or interventions, or otherwise “ration” health care services. Accordingly, the Patient Protection and Affordable Care Act no longer used the term “comparative effectiveness research” and instead established the Patient-Centered Outcomes Research Institute.

I have compiled some key background documents on the $1.1 billion being invested in CER as well as some policy analyses of what implications comparative effectiveness research might have for health care quality improvement and cost containment.

Patient-Centered Outcomes Research Institute: Methodology Standards

These are the methodology standards published by the Patient-Centered Outcomes Research Institute for its patient-centered outcomes research. The standards describe how patient-reported outcomes (PROs) should be used in patient-centered outcomes research. Research Question Standard 6 is: Measure outcomes that people … Continue reading

Posted in Health Care Reform, Health Care Reform: Comparative Effectiveness Research, Health Care Reform: Quality Improvement, Patient-Centeredness | Leave a comment

National Institutes of Health: Patient-Reported Outcomes in Comparative Effectiveness Research

The National Institutes of Health’s (NIH) Health Care Systems Research Collaboratory has several resources on the use of patient-reported outcomes in comparative effectiveness research.  A “living textbook” chapter provides background information on patient-reported outcome measures. This paper describes strategies to overcome … Continue reading

Posted in Health Care Reform, Health Care Reform: Comparative Effectiveness Research, Health Care Reform: Quality Improvement, Patient-Centeredness | Leave a comment

Resources to Advance Patient-Centeredness and Health Equity

I have compiled key publications and resources on some current topics in health care policy.  Below are descriptions of the key topic areas, which also can be accessed using the menu on the right side of this page. Health Care … Continue reading

Posted in Cultural Competency, Cultural Competency: Assessments, Cultural Competency: Curricula, Cultural Competency: Evaluation, Cultural Competency: Frameworks, Cultural Competency: Training, Demographic Data, Demographic Data: Gender Identity, Demographic Data: Language Need, Demographic Data: Race and Ethnicity, Demographic Data: Sexual Orientation, Health Care Disparities, Health Care Disparities: Effective Interventions, Health Care Disparities: Stakeholders Engaged, Health Care Disparities: The Evidence of Disparities, Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Advancing Equity, Health Care Reform: Comparative Effectiveness Research, Health Care Reform: General Analysis, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement, Health Care Reform: Workforce Development, Health Information Technology, Health Information Technology: Meaningful Use, Health Information Technology: Mobile Health, Health Information Technology: Personal Health Records, Health Literacy, Health Workforce Diversity, Health Workforce Diversity: Building the Demand Side, Health Workforce Diversity: Pipelines and pathways, Health Workforce Diversity: Who is Underrepresented, Language Access, Language Access: Best Practices, Language Access: Certification, Language Access: Government Funding, Language Access: Making the Case, Language Access: Standards, Lesbian, Gay, Bisexual and Transgender Health, Patient-Centeredness, The iBau Blog | Leave a comment

Side-by-Side Analysis of Equity Provisions in Final Senate and House Health Care Reform Bills

This is my side-by-side analysis of the provisions in the final Senate and House health reform bills related to equity, health disparities, demographic data, language access, cultural competency, health workforce diversity and community health. 

Posted in Author, Cultural Competency, Cultural Competency: Training, Demographic Data, Demographic Data: Language Need, Demographic Data: Race and Ethnicity, Health Care Disparities, Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Advancing Equity, Health Care Reform: Comparative Effectiveness Research, Health Care Reform: General Analysis, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement, Health Care Reform: Workforce Development, Health Status Disparities, Health Workforce Diversity, Health Workforce Diversity: Pipelines and pathways, Healthy Neighborhoods and Communities, Ignatius Bau: Ignatius' Consultant Services, Ignatius Bau: Policy Analysis, Language Access, Patient-Centeredness, Prevention, Social Determinants of Health | Leave a comment

Joint Center for Political and Economic Studies: Advancing Health Equity for Racially and Ethnically Diverse Patient Populations

This is a comprehensive analysis of the equity-related provisions of the Patient Protection and Affordable Care Act published by the Joint Center for Political and Economic Studies.   Link to Original Source

Posted in Cultural Competency, Cultural Competency: Training, Demographic Data, Demographic Data: Language Need, Demographic Data: Race and Ethnicity, Health Care Disparities, Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Advancing Equity, Health Care Reform: Comparative Effectiveness Research, Health Care Reform: General Analysis, Health Care Reform: Medical Homes, Health Care Reform: Payment Reform, Health Care Reform: Quality Improvement, Health Care Reform: Workforce Development, Health Status Disparities, Health Workforce Diversity, Health Workforce Diversity: Pipelines and pathways, Healthy Neighborhoods and Communities, Prevention, Social Determinants of Health | Leave a comment

Presentation at California Pan-Ethnic Health Network Conference: Moving Health Care Towards Patient-Centeredness, Equity and Prevention

Plenary session presentation at California Pan-Ethnic Health Network “Building Quality and Equitable Health Care Systems” conference on June 8, 2010. Link to Original Source

Posted in Cultural Competency, Cultural Competency: Frameworks, Demographic Data, Health Care Disparities, Health Care Disparities: Stakeholders Engaged, Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Advancing Equity, Health Care Reform: Comparative Effectiveness Research, Health Care Reform: General Analysis, Health Care Reform: Medical Homes, Health Care Reform: Quality Improvement, Health Information Technology, Health Status Disparities, Health Workforce Diversity, Ignatius Bau: Ignatius' Consultant Services, Ignatius Bau: Meeting & Conference Planning, Ignatius Bau: Presentations, Language Access, Language Access: Best Practices, Presenter, Prevention, TCE | Leave a comment

California Pan-Ethnic Health Network Conference: Resource Handout

Resources on patient-centeredness, equity and prevention from California Pan-Ethnic Health Network “Building Quality and Equitable Health Care Systems” conference June 7-9, 2010. Link to Original Source

Posted in Author, Cultural Competency, Cultural Competency: Frameworks, Demographic Data, Health Care Disparities, Health Care Disparities: Stakeholders Engaged, Health Care Reform, Health Care Reform: Accountable Care Organizations, Health Care Reform: Advancing Equity, Health Care Reform: Comparative Effectiveness Research, Health Care Reform: General Analysis, Health Care Reform: Medical Homes, Health Care Reform: Quality Improvement, Health Information Technology, Health Status Disparities, Health Workforce Diversity, Health Workforce Diversity: Pipelines and pathways, Healthy Neighborhoods and Communities, Ignatius Bau: Ignatius' Consultant Services, Ignatius Bau: Meeting & Conference Planning, Ignatius Bau: Presentations, Language Access, Language Access: Best Practices, Language Access: Certification, Language Access: Standards, Prevention, TCE | Leave a comment

Patient-Centered Outcomes Research Institute

On September 23, 2010, the General Accountability Office announced the nineteen members of the Board of Governors of the Patient-Centered Outcomes Research Institute which will oversee comparative effectiveness research.  The Institute was established by the Patient Protection and Affordable Care … Continue reading

Posted in Health Care Reform, Health Care Reform: Comparative Effectiveness Research | Leave a comment

Institute of Medicine: Initial National Priorities for Comparative Effectiveness Research

This report from the Institute of Medicine prioritizes one hundred potential topics and research questions for comparative effectiveness research.  While there will be significant methodology and research design challenges to implement some of this research, some of these priorities reflect … Continue reading

Posted in Health Care Reform, Health Care Reform: Comparative Effectiveness Research | Leave a comment

Federal Coordinating Council for Comparative Effectiveness Research

This federal coordinating council for comparative Effectiveness research was convened to provide federal government-wide input and guidance into the $1.1 billion appropriated for comparative effectiveness research by the American Recovery and Reinvestment Act.   Link to Original Source The council … Continue reading

Posted in Health Care Reform, Health Care Reform: Comparative Effectiveness Research | Leave a comment