[Federal Register Volume 69, Number 236 (Thursday, December 9, 2004)]
[Notices]
[Pages 71416-71418]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 04-27058]


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DEPARTMENT OF HEALTH AND HUMAN SERVICES

Agency for Healthcare Research and Quality


Nominations of Topics for Evidence-based Practice Centers

AGENCY: Agency for Healthcare Research and Quality (AHRQ), DHHS.

ACTION: Nominations of topics for evidence reports and technology 
assessments.

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SUMMARY: AHRQ invites nominations of topics for evidence reports and 
technology assessments relating to the prevention, diagnosis, treatment 
and management of common diseases and clinical conditions, as well as 
topics relating to the organization and financing of health care. 
Previous evidence reports can be found at http://www.ahrq.gov/clinic.epcix.htm.

DATES: Topic nominations should be submitted by January 31, 2005, in 
order to be considered for fiscal year 2005. In addition to timely 
responses to this request for nominations, AHRQ also accepts topic 
nominations on an ongoing basis for consideration for future years. 
AHRQ will not reply to individual responses, but will consider all 
nominations during the selection process. Those who submitted topics 
that were selected will be notified by AHRQ.

ADDRESSES: Topics nominations should be submitted to Kenneth Fink, MD, 
MGA, MPH, Director, Evidence-based Practice Centers (EPC) Program, 
Center for Outcomes and Evidence, AHRQ, 540 Gaither Road, Rockville, MD 
20850.

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Electronic submissions to [email protected]. are preferred.

FOR FURTHER INFORMATION CONTACT: Kenneth Fink, MD, MGA, MPH, Center for 
Outcomes and Evidence, AHRQ, 540 Gaither Road, Rockville, MD 20850; 
Phone: (301) 427-1617; Fax: (301 427-1640; E-mail: [email protected].
    Arrangement for Public Inspection: All nominations will be 
available for public inspections at the Center for Outcomes and 
Evidence, telephone (301) 427-1600, weekdays between 8:30 a.m. and 5 
p.m. (eastern time).

SUPPLEMENTARY INFORMATION:

Background

    Under Title IX of the Public Heath Service Act (42 U.S.C. 299-299c-
7) as amended by Public Law 106-129 (1999), AHRQ is charged with 
enhancing the quality, appropriateness, and effectiveness of health 
care services and access to such services. AHRQ accomplishes these 
goals through scientific research and through the promotion of 
improvements in clinical practice and health systems practices, 
including the prevention of diseases and other health conditions.

2. Purpose and Overview

    The purpose of this notice is to solicit topic nominations for 
evidence reports and technology assessments. Professional societies, 
health systems, employers, insurers, providers, and consumer groups are 
encouraged to nominate topics and then collaborate with AHRQ, e.g., 
with suggestions for, and comments, on, draft assessments, as it 
carries out its mission to promote the practice of evidence-based 
health care. In this endeavor, AHRQ serves as a science partner with 
private-sector and public organizations in their efforts to improve the 
quality, effectiveness, and appropriateness of health care delivery in 
the United States, and to expedite the translation of evidence-based 
research findings into improved health care services. To undertake 
scientific analyses and evidence syntheses on topics of high-priority 
to its public and private health care partners and the health care 
community generally, AHRQ awards task order contracts to its Evidence-
based Practice Centers (EPCs).
    The EPCs produce science syntheses--evidence reports and technology 
assessments--that provide to public and private organizations the 
foundation for developing and implementing their own practice 
guidelines, performance measures, educational programs, and other 
strategies to improve the quality of health care and decisionmaking 
related to the effectiveness and appropriateness of specific health 
care technologies and services. The evidence reports and technology 
assessments also may be used to inform coverage and reimbursement 
policies. As the body of scientific studies related to organization and 
financing of health care grows, systematic review and analysis of these 
studies, in addition to clinical and behavioral research, can provide 
health system organizations with a scientific foundation for developing 
or improving system-wide policies and practices.
    Each year, the AHRQ supports approximately nine evidence reports in 
collaboration with non-Federal partners, including national 
associations, medical societies, health plans, and others. Nominations 
of topics from non-Federal partners are solicited annually through a 
notice in the Federal Register. However, topic nominations are accepted 
on an ongoing basis. All nominations received in the previous year as 
well as topics that were previously submitted but not selected are 
considered for the upcoming year.
    Reports and assessments usually require about 12 months for 
completion. AHRQ widely disseminates the EPC evidence reports and 
technology assessments, both electronically and in print. The EPC 
evidence reports and technology assessments do not make clinical 
recommendations or recommendations regarding reimbursement and coverage 
policies.

3. Role/Responsibilities of Partners

    Nominators of topics selected for development of an EPC evidence 
report or technology assessment assume the role of partners of AHRQ and 
the EPCs. Partners have defined roles and responsibilities. AHRQ places 
high value on these cooperative relationships, and takes into 
consideration a partner organization's past performance of these 
responsibilities, when considering whether to accept additional topics 
nominated by that organization in subsequent years. Specifically, 
partners are expected to serve as resources to EPCs as they develop the 
evidence reports and technology assessments related to the nominated 
topic; serve as external peer reviewers of relevant draft evidence 
reports and assessments; and commit to timely translation of the EPC 
reports and assessments into their own quality improvement tools (e.g., 
clinical practice guidelines, performance measures), educational 
programs, and reimbursement policies; and dissemination of these 
derivative products to their membership as appropriate. AHRQ also is 
interested in members' use of these derivative products and the 
products' impact on enhanced health care. AHRQ looks to its partners to 
provide the use and impact data on products that are based on EPC 
evidence reports and technology assessments.

4. Topics for Reports

    The EPCs prepare evidence reports and technology assessments on 
topics for which there is significant demand for information by health 
care providers, insurers, purchasers, health-related societies, and 
patient advocacy organizations. Such topics may include the prevention, 
diagnosis and/or treatment of particular clinical and behavioral 
conditions, use of alternative or complementary therapies, and 
appropriate use of commonly provided services, procedures, or 
technologies. Topics also may include issues related to the 
organization and financing of care such as risk adjustment 
methodologies, market performance measures, provider payment 
mechanisms, and insurance purchasing tools, as well as measurement or 
evaluation of provider integration of new scientific findings regarding 
health care and delivery innovations. Previous evidence reports can be 
found at http://www.ahrq.gov/clinic/epcix.htm.
    AHRQ is very interested in receiving topic nominations from 
professional societies and organizations comprised of members of 
minority populations, as well as topic nominations that have 
significant impact on AHRQ priority populations including low income 
groups, minority groups, women, children, the elderly, and individuals 
with special health care needs, such as those with disabilities, those 
who need chronic care or end-of-life health care, or those who live in 
inner-city and rural areas.

5. Topic Nomination

    Nominations of topics for AHRQ evidence reports and technology 
assessments should focus on specific aspects of prevention, diagnosis, 
treatment and/or management of a particular condition; an individual 
procedure, treatment, or technology; or a specific health care 
organizational or financial strategy. The processes that AHRQ employs 
to select clinical and behavioral topics as well as organization and 
financing topics nominated by the EPCs is described below. For each 
topic, the nominating organization must provide the following 
information:
    A. Rationale and supporting evidence on the relevance and 
importance of the topic;

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    B. Three to five focused questions on the topic to be addressed;
    C. Plans for rapid translation of the evidence reports and 
technology assessments into clinical guidelines, performance measures, 
educational programs, or other strategies for strengthening the quality 
of health care services, or plans to inform development of 
reimbursement or coverage policies;
    D. Plans for use and/or dissemination of these derivative products, 
e.g., to membership if appropriate; and,
    E. Process by which the nominating organization will measure the 
use of these products and impact of such use.

6. Topic Selection

    Factors that will be considered in the selection of topics for AHRQ 
evidence report and technology assessment topics include:
    A. Burden of disease including severity, incidence and/or 
prevalence or relevance of organizational/financial topic to the 
general population and/or AHRQ's priority populations;
    B. Controvery or uncertainty about the topic and availability of 
scientific data to support the systematic review and analysis of the 
topic;
    C. Total costs associated with a condition, procedure, treatment, 
technology, or organization/financial topic taking into account the 
number of people needing such care, the unit cost of care, and related 
or indirect costs;
    D. Potential for achieving clinically significant variations in the 
prevention, diagnosis, treatment, or management of a disease or 
condition; or in changing the use of a procedure or technology; 
informing and improving patient and/or provider decisionmaking; 
improving health outcomes; and/or reducing costs;
    E. Relevance to the needs of the Medicare, Medicaid and other 
Federal health care programs; and,
    F. Nominating organization's plan to disseminate derivative 
products, measure use and impact of these products on outcomes, or 
otherwise incorporate the report into its managerial or policy 
decisionmaking.

7. Submission of Nominations

    Topics nominations should be submitted to Kenneth Fink, MD, MGA, 
MPH, Director, Evidence-based Practice Centers (EPC) Program, Center 
for Outcomes and Evidence, AHRQ, 540 Gaither Road, Rockville, MD 20850. 
Electronic submissions to [email protected] are preferred.

    Dated: November 30, 2004.
Carolyn M. Clancy,
Director.
[FR Doc. 04-27058 Filed12-8-04; 8:45 am]
BILLING CODE 4160-90-M