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OCR for page 93
B
Workshop on Setting Priorities
for Practice Guidelines
The Institute of Medicine's Committee on Methods for Setting Priorities for
Practice Guidelines convened a workshop on Monday, August 15, 1994, in
Woods Hole, Massachusetts. The meeting was designed to provide information
and ideas for the committee, which met the next day to discuss its
recommendations end report. At the request ofthe AHCPR, the agenda included
discussion of priority setting in the context of health care restructuring,
intergovernmental relationships, and other broad policy issues. Also reflecting
discussions with the agency's new leadership, the workshop discussion was not
narrowly restricted to priority setting but extended to a much broader range of
questions related to the agency's overall responsibilities for guidelines and
outcomes research. Jerome H. Grossman, chair of the IOM committee, presided
over the meeting. The agenda and list of participants follow.
Agenda
8:30 WELCOME, INTRODUCTIONS, AND OVERVIEW
Jerome H. Grossman, M.D., Chair, New England Medical Center
Marilyn J. Field, Ph.D., Study Director, Institute of Medicine
Clifton R. Gaus, Sc.D., Agency for Health Care Policy and Research
9:00 PRIORITIES AND HE:ALTH CARE RESTRUCTURING AND
REFORM
Sean Tunis, M.D., Office of Health Technology Assessment
John T. Kelly, M.D., GMIS
Jacqueline B. Kosecoff, Ph.D., Value Health Sciences
93
OCR for page 94
94
10:30 Break
SEWING PRIORITIES FOR CLINICALPR~CTICE GUIDELINES
Greg A. Gifford, Ph.D., Practice Parameter Advisory Committee, State
of Minnesota
10:45 PRIORITIES AND RESTRUCTURING: SPECIFIC TOPICS
Steven A. Warden, M.D., Ph.D., Mt. Sinai Medical Center, Miami
Troyen Brennan, M.D., J.D., Harvard University
12:15 Lunch
1:15 PRIORITY SETTING AND USERS OF GUIDELINES
Susan D. Horn, Ph.D., Intermountain Health Care
Joseph Selby, M.D., Kaiser Permanente of Northern California
William E. Golden, M.D., University of Arkansas
George E. Thibault, M.D., Boston-West Roxbury VA Medical Center
2:45 Break
3:00 PRIORITY SETTING AND OTHER GOVERNMENT AGENCIES
John H. Ferguson, M.D., National Institutes of Health
Thomas V. Holohan, M.D., Office of Health Technology Assessment
Discussants: Carolyn DiGuiseppi, M.D., U.S.P.H.S.; Virginia Miller, Ph.D.,
Department of Labor; Dixie E. Snider, M.D., Center for Disease Control and
Prevention
RESOURCES, OBJECTIVES, AND PRIORITY SETTING
Committee members will raise questions about issues covered earlier in
the workshop.
5:15 SUMMING UP
Jerome H. Grossman, M.D.
Richard Adelson, D.D.S.
Director
Regional Medical Education Center
for Minnesota
Minneapolis, MN
List of Participants
Galen L. Barbour, M.D.
Acting Deputy Under Secretary for
Health
Veterans Administration
Washington, DC
OCR for page 95
APPENDLY B
Robert A. Berenson, M.D.
C - Founder and Co-Medical
Director
National Capital Preferred Provider
Organization
Bethesda, MD
Catherine Borbas, Ph.D.
Executive Director
Healthcare Education and Research
Foundation, Inc.
St. Paul, MN
Troyen Brennan, M.D.
Harvard School of Public Health
Department of Health Policy and
Management
Boston, MA
Robert H. Brook, M.D., Sc.D.
Professor of Medicine and Health
Services
UCLA Center for Health Sciences
Health Sciences Program Director
The RAND Corporation
Santa Monica, CA
Colonel Edward Burkhalter
Director of Clinical Review Group
Department of Defense
Washington, DC
Paul D. Cleary, Ph.D.
Associate Professor of Medical
Sociology
Department of Health Care Policy
Harvard Medical School
Boston, MA
95
Christine Crofton, Ph.D.
Social Science Analyst
Agency for Health Care Policy
Research
Rockville, MD
Francis Jay Crosson, M.D.
Associate Executive Director
The Permanente Group
Oakland, CA
Norman Daniels, Ph.D.
Professor, Department of
Philosophy
Tufts University
Medford, MA
Jan DeLaMare
C.A.S.E.T. Associates
Fairfax City, VA
Jane Deng, AMSA
Health Policy Fellow
University of California, Berkeley
Berkeley, CA
Carolyn DiGuiseppi, M.D., M.P.H.
Principal Staff Member
U.S. Preventive Services Task
Force
Office of Disease Prevention and
Health Promotion
Washington, DC
John H. Ferguson, M.D.
Director
Office of Medical Applications and
Research
National Institutes of Health
Bethesda, MD
OCR for page 96
96
Marilyn J. Field, Ph.D.
Senior Staff Officer
Institute of Medicine
Washington, DC
Greg Gifford, Ph.D.
Research Analysis Specialist
Minnesota Department of Health
Health Care Delivery Systems
Division
Minneapolis, MN
William Golden, M.D.
Director, Division of General
Internal Medicine
University of Arkansas Medical
Sciences
Little Rock, AR
Lawrence Gottlieb, M.D., M.P.P.
Associate Medical Director
Clinical Quality Management
Harvard Community Health Plan
Brookline, MA
Jerome H. Grossman, M.D.
Chair and Chief Executive Officer
The New England Medical Center
Boston, MA
David H. Gustafson, Ph.D.
Professor of Industrial Engineering
and Preventive Medicine
Center for Health Systems Research
and Analysis
University of Wisconsin
Madison, WI
SETTING PRIORITIES FOR CLINICAL PRACTICE GUIDELINES
Michael A.W. Hattwick, M.D.
President
Woodburn Internal Medicine
Associates
Annandale, VA
Clark C. Havighurst, J.D.
William Neal Reynolds Professor of
Law
Duke University School of Law
Durham, NC
Neil Hollander
Vice President
Corporate Health Strategies
Blue Cross and Blue Shield of
Western Pennsylvania
Pittsburgh, PA
Susan D. Horn, Ph.D.
Senior Scientist
Intermountain Health Care
Salt Lake City, UT
Rosamond Katz
Assistant Director
Health Finances and Policy Issues
General Accounting Office
Washington, DC
John T. Kelly, M.D.
Chief Medical Officer and Senior
Vice President for Clinical
Information Services
GMIS
Malvern, PA
Jacqueline B. Kosecoff, Ph.D.
President and Chief Operating
Officer
Value Health Sciences, Inc.
Santa Monica, CA
OCR for page 97
APPENDIX B
David Lamer, M.D.
Medical Officer
Agency for Health Care Policy and
Research
Rockville, MD
Kathleen N. Lohr, Ph.D.
Director
Division of Health Care Services
Institute of Medicine
Washington, DC
William R. Lohr, Ph.L.
Program Director, MCHB Block
Grant
Maternal and Child Health Bureau
Health Resources and Services
Administration
Rockville, MD
Bryan Luce, Ph.D.
Director, Center for Public Health
Research and Evaluation
Batelle
Arlington, VA
Carole J. Magoffm
Executive Director
American Medical Review Research
Center
Washington, DC
William L. Medd, M.D.
Internist
Oxford Hills Internal Medicine
Group
Norway, ME
97
Christine A. Miaskowski, Ph.D.
Associate Professor
School of Nursing
Department of Physiological
Nursing
University of California, San
Francisco
San Franciso, CA
Virginia Miller, M.D.
Medical Director
Office of Workers' Compensation
Program
U.S. Department of Labor
Washington, DC
Sandra Robinson
Planning Officer
Agency for Health Care Policy and
Research
Rockville, MD
William L. Roper, M.D., M.P.H.
President
The Prudential Center for Health
Care Research
Atlanta, GA
Joseph Selby, M.D.
Assistant Director for Health
Services Research
Kaiser Permanente of Northern
California
Oakland, CA
Cary S. Sennett, M.D., Ph.D.
Medical Staff Director
Clinical Placating and Improvement
Group Health Cooperative of Puget
Sound
Seattle, WA
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98
SEITING PRIORITIES FOR CLINICS PRACTICE GUIDELINES
Richard N. Shiffman, M.D.
Assistant Professor of Pediatrics
Center for Medical Informatics
Yale School of Medicine
New Haven, CT
Lisa Simpson, M.B., B.Ch.
Senior Advisor
Agency for Health Care Policy and
Research
Rockville, MD
Dixie E. Snider, Jr., M.D., M.P.H.
Acting Associate Director for
Science
Centers for Disease Control and
Prevention
Atlanta, GA
George E. Thibault, M.D.
Chief of Medicine
Brockton-West Roxbury Veterans
Administration Medical Center
W. Roxbury, MA
Donna D. Thompson
Administrative Assistant
Institute of Medicine
Washington, DC
Sean Tunis, M.D.
Senior Health Policy Analyst
Office of Technology Assessment
U.S. Congress
Washington, DC
Steven A. Wartman, M.D., Ph.D.
Chair
Department of Medicine and
Professor of Medicine
Mt. Sinai Medical Center
Miami, FL
Linda Johnson White
Director
Department of Scientific Policy
American College of Physicians
Philadelphia, PA
Art Young
Benefits Manager
Hewlett-Packard
Palo Alto, CA
Representative terms from entire chapter:
research rockville
