Consensus Development at the NIH Improving the Program (1990) / Chapter Skim
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1. Introduction
1. Introduction
Pages 3-8
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in NIH, is one of the more prominent health technology~ assessment activities in the United States. The strengths of the NTH consensus development process are in its potential to translate a large body of research evidence into practical clinical policy, bring together apparently conflicting viewpoints, with the evidence as the "common denominator," draw public as well as professional attention to important clinical issues, obtain front-line practitioner input on the feasibility of evidence-generated clinical policy, and increase the exposure of all parties to the existing research evidence in an area" (Lomas, 1986~.
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. In response to a request from NIH to review the elements of its consensus development process and to develop recommendations to improve the process, lOM formed the Committee to Improve the National Institutes of Health Consensus Development Program under the aegis of the Council on Health Care Technology.
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Also, the results of an evaluation of the NTH CDP's impact have been presented in a recent report by the RAND Corporation, Changing Medical Practice Through Technology Assessment: An Evaluation of the National Institutes of Health Consensus Development Program (Kanouse et al., 19891. The committee found its charge to be narrow.
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Once a conference topic is selected, a planning committee is formed consisting of OMAR staff, sponsoring institute staff, the prospective conference chair, and outside experts. The planning committee identifies key conference issues and drafts questions relating to the topic being assessed.
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The meeting agenda was organized to correspond with the following components of the NIH CDP: topic selection planning committee formation agenda formulation: question drafting and speaker selection consensus panel selection and composition preparation of speakers, data synthesis, and data presentation development of consensus and group dynamics initial and final consensus statement preparation In addition to committee members, persons with experience in group judgment and with the NTH CDP were invited to participate in the meeting. Participants were provided with resource materials to help Hem prepare for the meeting.
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Jacqueline Kosecoff, executive vice president, Value Health Sciences, Inc., and adjunct professor of medicine and public health, University of California at Loos Angeles, presented the relevant findings of the 1987 RAND Corporation study of me NTH CDP, Changing Medical Practice Through Technology Assessment: An Evaluation of the National Institutes of Health Consensus Development Program (Kanouse et al., 1989~. A set of recommendations for improving the NTH CDP were developed during the meeting and further refined in subsequent committee conference cans and related discussions involving committee members and staff.
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