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Managed Uptake of Medical Methods (MUMM)

Impact of Managed Uptake of Medical Methods (MUMM) -program on uptake of new technologies in secondary health care in Finland. Sinikka Sihvo 1 , Tuija S Ikonen 1 , Sirpa-Liisa Hovi 1 , Marjukka Mäkelä 1 , Risto P. Roine 2 , Pirjo Räsänen 2,

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Managed Uptake of Medical Methods (MUMM)

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  1. Impact of ManagedUptake of MedicalMethods (MUMM) -program on uptake of new technologies in secondaryhealthcare in Finland Sinikka Sihvo1, Tuija S Ikonen1, Sirpa-Liisa Hovi1, Marjukka Mäkelä1, Risto P. Roine2, Pirjo Räsänen2, 1) Finohta, THL (National Institute of Health and Welfare) 2) Hospital District of Helsinki and Uusimaa Sinikka Sihvo

  2. Managed Uptake of Medical Methods (MUMM) A joint venture of the 20 hospital districts providing specialized care and Finnish Office for Health Technology Assessment (Finohta) started in 2006 The aim is to use critical appraisal and joint decisions in uptake of new methods Effectiveness / Efficacy Safety Costs Sinikka Sihvo 2

  3. Sinikka Sihvo

  4. MUMM recommendations(Traffic light model) Should be used- may have limitations Use while gathering information research, registry, literature Should not be used 4 Sinikka Sihvo

  5. Content: * Effectiveness * Safety * Costs * Restrictions * Distribution of work * Prodedure code (new) MUMM recommendation: Induced hypothermia in the treatment of acute brain damages Sinikka Sihvo

  6. Since 2008: 38 recommendations for 32 technologies: 3 red 19 yellow 14 green Sinikka Sihvo

  7. Objective • Since the program started in 2006, there is a need to evaluate its impact • The objective was to evaluate the impact of MUMM program on the uptake of assessed methods Sinikka Sihvo

  8. Methods 1) Methods in MUMM reviews/recommendations from years 2008-2010 were searched from the National Hospital Discharge Register using procedure codes. ► Correspondence of trend of a procedure and the colour of traffic light were compared 2) A query to hospital districts on one method (STAN) which had a red light recommendation 3) A survey for chief physicians responsible for decisions about uptake of new methods in hospital districts in May-June 2012 Sinikka Sihvo

  9. Results • Based on the Hospital Discharge Register: Sinikka Sihvo

  10. Green light Source: National Hospital Discharge Register

  11. Yellow light Spinal nerve stimulation in severe neuropathic pain (2009) Green laser treatment of benign prostatic hyperplasia (2009)

  12. Red light • Fetal intrapartum surveillance with STAN • recommendation in May 2009 • a survey for hospital districts in September 2009 (17/20 responded)

  13. Results from survey to chief physicians • ” The contents of MUMM recommendations are unambigious and easy to understand” Sinikka Sihvo

  14. ”There is enough informing about MUMM recommendations” Sinikka Sihvo

  15. ”MUMM recommendations are followed/obeyed well in my specialty” Sinikka Sihvo

  16. Conclusions (1) • This was a first attempt to evalute impact of recommendations in MUMM programme: • Hospital discharge registers are currently inadequate source for evaluation since prodedure codes are often missing • Impact of other factors than recommendations on seen changes cannot be ruled out • MUMM recommendations are not yet well known -> need for more informing Sinikka Sihvo

  17. Conclusions (2) • Large number of yellow lights makes evaluation difficult • Inclusion of the code on MUMM recommendations hopefully will increase use of codes in the future • Methods to follow impact of recommendations need to be developed • Especially for those methods that are not registered anywhere • Systematic follow-up for RED lights Sinikka Sihvo

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