Translating Evidence into Practice 1997: Conference Summary

What Do We Know? What Do We Need?

The following summaries are from the conference "Translating Evidence Into Practice: What Do We Know? What Do We Need?," which was hosted by the Agency for Health Care Policy and Research (AHCPR) in Washington, DC, July 21-23, 1997. The conference featured two major themes: (1) innovative strategies that work—health care quality enhancement through use of evidence-based clinical guidelines and other quality improvement tools—and (2) legal and ethical issues that help shape the purchase and delivery of quality health care.

Contents

Clinical Evidence: Creation, Assessment, and Implementation

Keynote Address
right pointing triangle arrowEvidence-based Medicine: What Have We Learned?

Medical Ethics in the New Medical Marketplace, or How I Learned to Stop Worrying and Love Managed Care

Session A: ERISA: Interplay of State and Federal Responsibilities in Health Care
right pointing triangle arrowInterplay of State and Federal Responsibilities in Health Care
right pointing triangle arrowERISA Preemption of Medical Malpractice and Related Remedies Against Managed Care Entities
right pointing triangle arrowERISA Implications for State Activities in Health Care Quality
right pointing triangle arrowInterplay of State and Federal Responsibilities in Health Care
right pointing triangle arrowEnterprise Liability: A Reappraisal

Session B: Scientific Evidence and the Courts
right pointing triangle arrowWhen Courts Review Clinical Practice Guidelines
right pointing triangle arrowThe Daubert Case and Expert Opinion

Session C: Implementation of Evidence-based Practice: Differing Perspectives
right pointing triangle arrowStrategies for Guideline Implementation: Some Ways to Approach the Issue of "Usability"
right pointing triangle arrowImplementation of Evidence-based Practice

Session D: Implementation of Technology Assessments
right pointing triangle arrowThe Veterans Health Administration (VHA) Technology Assessment Program: Structures, Processes, and Models for Implementing Assessment Results
right pointing triangle arrowTranslating Evidence into Practice: Implementation of Technology Assessments
right pointing triangle arrowImplementing Technology Assessment for Medicare Coverage Decisions

Session E: Ethical Issues in Health Care Delivery
right pointing triangle arrowPhysicians' Use of Outcomes Data: Moral Conflicts and Potential Resolutions
right pointing triangle arrowInsurance Coverage for Promising But Unproven Last Change Therapies: Ethical Issues and Practical Policies

Session F: Evidence-based Medicine: Implementation in Managed Care—Lessons Learned
right pointing triangle arrowTranslating Evidence into Practice at the Department of Veterans Affairs
right pointing triangle arrowTranslating Evidence into Practice at PacifiCare, Washington
right pointing triangle arrowTranslating Evidence into Practice at HealthPartners, Minneapolis

Session G: Using Information Systems to Support Evidence-based Practice
right pointing triangle arrowUsing Information Systems to Support Evidence-based Practice
right pointing triangle arrowImplementing Guidelines in Systems of Care
right pointing triangle arrowHow Does Practice Translate Into Evidence?

Session H: Implementing Guidelines in Systems of Care
right pointing triangle arrowImplementing Guidelines: Designing and Selecting Effective Strategies
right pointing triangle arrowTexas Medication Algorithm Project

Health Policy and Quality

Practice Guidelines and Malpractice Litigation: Collision or Cohesion?

Learning Errors

Session I: Implementation and Adaptation of Guidelines Developed at a National Level
right pointing triangle arrowInterpreting Evidence: Some Caveats in Implementing and Adapting Guidelines Based on Evidence from Randomized Controlled Trials
right pointing triangle arrowThe Need to Include Empiric Clinical Data in Formulating Medical Practice Guidelines
right pointing triangle arrowAHCPR Guidelines on Heart Failure: Comparison of a Family Medicine and Internal Medicine

Session J: Using Adverse Event Data to Improve Quality of Care
right pointing triangle arrowEvery Defect a Treasure: Using Defect Data to Reduce Adverse Drug Events
right pointing triangle arrowUsing Adverse Event Data to Improve Quality of Care

Session K: Educating Physicians for Evidence-based Practice
right pointing triangle arrowEvidence-based Information Resources for Clinical Learning and Practice
right pointing triangle arrowEvidence-based Medicine: A Cultural Shift in Residency Training
right pointing triangle arrowChanging Physician Performance: Use of Enabling and Reinforcing Techniques in Maintenance of Learning and Change

Session L: Legislating Clinical Care
right pointing triangle arrowLegislating Clinical Care
right pointing triangle arrowLegislation and Clinical Care

Session M: Using Evidence-based Quality Indicators
right pointing triangle arrowUsing Evidence-based Quality Indicators
right pointing triangle arrowCataloging and Evaluating Clinical Performance Measures: CONQUEST and the QMNet Initiative
right pointing triangle arrowUsing Evidence-based Quality Indicators

Session N: Using Quality Indicators: Useful Tools for Investigation, Regulation, and Accreditation
right pointing triangle arrowThe Next Wave of Quality Measurement: Key Challenges
right pointing triangle arrowRegional Quality Assurance Organizations: Regulator or Disseminator of Guidelines?
right pointing triangle arrowQuality Improvement Initiatives of the Health Care Financing Administration
right pointing triangle arrowTranslating Evidence Into Practice

Session O: Overcoming Barriers to Implementation
right pointing triangle arrowImplementing Changes in Health Care Organizations: Lessons Learned and Future Challenges
right pointing triangle arrowOvercoming Barriers to Implementation

Session P: Implementing Guidelines in Specific Populations and Settings
right pointing triangle arrowEvidence-based Implementation of Clinical Practice Guidelines
right pointing triangle arrowImplementing Pressure Ulcer Guidelines in Long-Term Care
right pointing triangle arrowComprehensive Health Enhancement Support System (CHESS): In-Home, Computer-Based Patient Education and Support

Data Needs for Quality Measurement and Improvement

Health Information Privacy

Final Session: Evidence-based Practice—An International Perspective
right pointing triangle arrowEvidence-based Practice: An International Perspective
right pointing triangle arrowInternational Perspectives on Implementation Research
right pointing triangle arrowDeveloping Evidence-based Health Care in the United Kingdom
right pointing triangle arrowLogic Methodology of Clinical Practice Guidelines

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