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Collaboration Challenges: Inter-Organizational Guideline Forum (IOGF)

Collaboration Challenges: Inter-Organizational Guideline Forum (IOGF). Craig W. Robbins, MD, MPH KP Care Management Institute-Medical Director, Center for Clinical Information Services Guidelines International Network Board-Trustee. Conflicts of Interest. Financial: None Non-financial:

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Collaboration Challenges: Inter-Organizational Guideline Forum (IOGF)

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  1. Collaboration Challenges: Inter-Organizational Guideline Forum (IOGF) • Craig W. Robbins, MD, MPH • KP Care Management Institute-Medical Director, Center for Clinical Information Services • Guidelines International Network Board-Trustee

  2. Conflicts of Interest • Financial: None • Non-financial: • Guidelines International Network-Organizational Member • GRADE Working Group-Organizational Member

  3. IOGF: Origins • First meeting: April 2008 • Original Participating Organizations: • Institute for Clinical Systems Improvement (ICSI) • Veteran’s Health Administration (VA) • Geisinger Health Plan (GHP) • Institute of Medicine (IOM) • Agency for Healthcare Research & Quality (AHRQ) • Kaiser Permanente (KP): Convener • Integrated Delivery Systems, Government

  4. IOGF: 2008 White Paper Collaboration Opportunities: • Guideline Development: sharing systematic reviews, transparent methodologies • Guideline Implementation: sharing of successful strategies, including EMR/clinical decision support • Measurement: develop & validate evidence-based performance measures • Advocacy: influence policymakers and vendors to advance evidence-based practice

  5. IOGF: 2008 White Paper Conclusions: • Integrated health care delivery systems have a unique opportunity to leverage GL development and implementation work across organizations. • Through collaboration and sharing of resources, like minded organizations could make GL development more efficient and more implementation focused. • Barriers to more fluid collaboration include time constraints and cultural differences across the organizations.

  6. IOGF: 2010 Roundtable • Organizational Participants: • Agency for Healthcare Research & Quality (AHRQ) • American Academy of Neurology (AAN) • American College of Cardiology (ACC) • Geisinger Health Plan (GHP) • Kaiser Permanente (KP) • National Heart, Lung, & Blood Institute (NHLBI) • Veterans Health Administration (VA) • Institute for Clinical Systems Improvement (ICSI): host • Expansion to include some specialty societies

  7. IOGF: 2010 Roundtable Collaboration Opportunities: • Grading Systems: at least agree on common principles, if not a solitary system • Guideline Development: Collaborate to produce at least one guideline • Guideline Updates: as new information warrants • Conflicts of Interest: address uniformly

  8. IOGF: 2012 Status The more things change, the more they stay the same? • Opportunities to share resources and leverage each others work • No specific, collaborative IOGF guidelines produced to date • Different uses for guidelines (implementation, publication) • Different methodologies (GRADE, internally developed) • Venue for promoting G-I-N & G-I-N North America (Conferences, Webinars)

  9. Discussion

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