A Consortium for Assessing Medical Technology Planning Study Report (1983) / Chapter Skim
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Conclusions and Recommendation
Conclusions and Recommendation
Pages 11-20
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From page 11... ...
In searching for the appropriate organizational structure, the committee was especially interested in the extent of governmental control, responsiveness to the needs of potential constituencies, and fuming of various organizational models that were public, private, or some hybrid of the two. Reasonable and effective approaches to such technical issues as energy regulation, consumer product safety, occupational health and safety, and technology assessment require that business and government become successful partners in accommodating divergent views (Fox, 1981~.
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From page 12... ...
The committee chose to blend these two examples, deciding that a private/public partnership for technology assessment could best be fostered under the auspices of a private non-profit organization, established either _ nova or as an appendage to an existing private non-profit corporation. A privately based organization was seen as likely to attract broader support from the private sector because it would be less subject to governmental pressures and perhaps more accessible and responsive to its supporters.
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From page 13... ...
Role THE ROLE OF THE ENTITY IS TO PROMOTE THE EMERGENCE AND APPLICATION OF APPROPRIATE MEDICAL TECHNOLOGIES, AND THE RETIREMENT OF INAPPROPRIATE OR OBSOLETE HELICAL TECHNOLOG IES BY: o SERVING AS A CLEARINGHOUSE OF INFORMATION ON MEDICAL TECHNOLOGIES AND MEDICAL TECHNOLOGY ASSES SMENT o AS SEMBLING AND EVALUATING INFORMAT ION AND MAKING RECOMMENDAT IONS CONCERNING INDIVIDUAL MEDICAL TECHNOLOGIES o ACTING WHEN NECKS SARY AND APPROPRIATE TO STIMULATE, COORDINATE, UNDERTAKE, OR COMMISSION MEDICAL TECHNOLOGY ASSESSMENT, INCLUDING ACTIVITIES TILAT WOULD COMPLEMENT THOSE OF OTHERS 0 IDENTIFYING NEEDS IN THE ASSESStIE:NT OF SPECIFIC MEDICAL TECHNOLOGIES o DEVELOPING AD EVALUATING ASSESSMENT CRITERIA AD METHODS 0 PROVIDING EDUCATION, TRAINING, AND TECHNICAL ASSISTANCE IN THE USE OF MEDICAL TECHNOLOGY ASSESSMENT METHODS AND RESULTS. In identifying the breadth of functions of the proposed consortium, the committee chose to endow it with enough f legibility to be maximally responsive to its users.
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From page 14... ...
The committee recognized the complexity of setting up a truly expert clearinghouse, but that complexity would be greatly reduced by the consortium's association with the IOM/NAS. Current resources of the NAS complex that would aid the consortium's clearinghouse function include: the NAS Library, with state-of-the-art bibliographic and electronic retrieval capability; the IOM experience in convening its members and other experts for specific inquiries; and the information-gathering experience gained by this committee and the parallel Committee on Evaluating Medical Technologies in Clinical Use, which have become conversant with most other existing technology assessment entities and with rosters of entities in other countries developed by staff of the congressional Office of Technology Assessment.
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From page 15... ...
Board members, selected from both private and public sectors, should be knowledgeable in such matters as the financing of health care, the provision of health care, the management of health care institutions, and research, development, and marketing of health care technologies. The responsibilities of the board will be to: o adopt by-laws for the consortium o set policy for the consortium o establish broad priorities for the consortium o employ the chief executive officer o approve the budget.
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From page 16... ...
The organization also should be able to detect trends and developments that could affect the development, diffusion, and utilization of medical technology and the need for its assessment. The operations described below may be implemented in any of a number of organizational frameworks, depending upon such factors as the resources available to the consortiums its relationship to a parent organization, and preferences of its governing board and administration.
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From page 17... ...
IN MOVING TOWARD SELF-SUFEICIENCY, IT SHOULD SEEK BOTH PUBLIC AND PRIVATE SEC rOR FINANCIAL SUPPORT. The committee determined that several different strategies should be used to secure sufficient funds for operating the Medical Technology Assessment Consortium.
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From page 18... ...
Potential users or supporters of services and products of the consort ium might include: 0 federal, state 5 and local governmental agencies 0 health care financing organizations 0 health and medical care professionals and related associations 18
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From page 19... ...
, who suggested that an assessment of two-tenths of one percent of total expenditures by private and public third-party payers would yield $100-$200 million for a new national program of support for a comprehensive system of technology assessment. The committee believes that because it would take time to hire staff, develop programs, and establish the consortium, first- and second-year operations might call for budgets of one-third and two-thirds of a million dollars, respectively.
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From page 20... ...
This budget should be sufficient to support preliminary efforts needed to develop the coordinating and clearinghouse functions. As activities of the new entity grow, additional funds could be raised to parallel increasing functions.
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