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Impact of Two Studies on Future of NGC

Impact of Two Studies on Future of NGC. AHRQ Annual Conf Sept 19, 2011 1:30 – 3:00pm. What is the NGC?.

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Impact of Two Studies on Future of NGC

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  1. Impact of Two Studies on Future of NGC AHRQ Annual Conf Sept 19, 2011 1:30 – 3:00pm

  2. What is the NGC? Online database of structured summaries of evidence-based clinical practice guidelines (CPGs), describing more than 40 attributes of CPGs, including underlying methodology used to develop each guideline Freely available since 1999; Redesigned site launched July 2010 Currently has summaries for 2600 guidelines from over 200 different guideline developers

  3. Future of NGC • Moderator: Mary Nix, AHRQ • Speakers: • Michelle Tregear, AFYA Inc • Rick Shiffman, Yale School of Medicine • AHRQ Response: Mary Nix • Discussants: Panel + You

  4. 2 AHRQ-commissioned studies • Evaluation of NGC program impact • Has NGC had an impact? If so, how? • Not focused on Web site; focused on program • IOM study on developing trustworthy guidelines (sister study on systematic review)

  5. Michelle Tregear, PhD Rick Shiffman, MD

  6. AHRQ Response • IOM Standards for Developing Trustworthy Guidelines • Recommendation: NGC provide clear indication of the extent to which CPGs adhere to standards for trustworthiness • Right now: • Over 2600 guidelines summaries from 203 developers • How many would meet all the IOM standards for trustworthiness? • Zero!

  7. Response to IOM • It is not practical or possible for NGC to implement the IOM Committee’s recommendation immediately and across the board.

  8. Response to IOM • NGC will be providing the indication • Working with experts to prioritize • Assessing methods, web options • Determining when

  9. Response to IOM: specifics • NGC Team: • Plan to phase in documenting adherence, starting with 3 to 5 that seem feasible and most critical to ensure trustworthiness. • Inputs from experts • Conduct a small pilot using recent guidelines to determine which IOM standards they meet and where they fall short. • Make recommendations to AHRQ regarding how to proceed with implementation.

  10. Key Response to IOM

  11. AHRQ Response • Evaluation Study – AHRQ Opportunities • Increase physician awareness of NGC • Revisit NGC’s inclusion criteria • Revisit NGC’s age criterion • Increase knowledge among guideline developers about how to create and report trustworthy guidelines • Identify additional efforts to enhance the dissemination of guidelines • Invest in major enhancements that will increase the value of NGC

  12. Evaluation Study Response • AHRQ will work with the NGC team on: • Major enhancements (over next 2 years) • Customized site, email (my NGC, my NQMC) • Indicate trustworthiness • Adopting IOM definition • Exploring changing inclusion criteria • Systematic review • Aging

  13. Evaluation Study Response • AHRQ will consider in context of extremely tight budget • Best ways to raise awareness among physicians • Additional mechanisms for dissemination • Its and NGC’s role in helping guideline developers create and report trustworthy guidelines

  14. QUESTIONS?? Mary.Nix@ahrq.hhs.gov

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