National Academies Press: OpenBook

Clinical Practice Guidelines: Directions for a New Program (1990)

Chapter: Deadlines and Priorities

Suggested Citation:"Deadlines and Priorities." Institute of Medicine. 1990. Clinical Practice Guidelines: Directions for a New Program. Washington, DC: The National Academies Press. doi: 10.17226/1626.
Page 25

Below is the uncorrected machine-read text of this chapter, intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text of each book. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

INTRODUCTION AND BACKGROUND 25 Deadlines and Priorities By January 1, 1991, AHCPR—acting through the Forum—must arrange for the development of an initial set of guidelines, standards, performance measures, and review criteria for at least three clinical treatments or conditions. AHCPR is also responsible for seeing that the guidelines developed under its auspices are updated. OBRA 89 created the Advisory Council for Health Care Policy, Research, and Evaluation to advise the Secretary of the Department of Health and Human Services (DHHS) and the administrator of AHCPR on priorities and strategy. It also established the Subcouncil on Outcomes and Guidelines (of the Advisory Council) to provide advice on priorities and strategy for guidelines development and outcomes research. A key explicit objective of the guidelines legislation is to help improve the quality, appropriateness, and effectiveness of health care. More implicit—yet widely recognized—is the hope that guidelines will help control health care costs. In selecting conditions for guidelines development, the agency is to consider the extent to which guidelines for the condition can be expected to reduce variations in health care services and outcomes and to improve care for significant numbers of people. Priorities for the initial sets of guidelines to be developed by January 1, 1991, are more specific and stipulate that the clinical conditions involved (1) account for significant expenditures in Medicare, (2) show significant variation in the frequency or type of treatment provided, or (3) otherwise meet the needs and priorities of the Medicare program. Target users for the guidelines, standards, review criteria, and performance measures are "physicians, health care practitioners, medical educators, medical review organizations, and consumers." At this writing, the Forum is considering initial guidelines development activities in the following areas: • Cataract surgery • Benign prostatic hyperplasia • Clinical depression • Sickle-cell disease • Management of incontinence • Management of chronic pain • Management of skin integrity and decubitus ulcers • Ambulatory care for human immunodeficiency virus infection All of these areas except ambulatory care for patients with human immunodeficiency virus had panel chairs appointed as of July 1, 1990. These areas cover a wide variety of patients (not exclusively the elderly) and are

Next: Development Procedures and Requirements »
Clinical Practice Guidelines: Directions for a New Program Get This Book
Buy Paperback | $50.00
MyNAP members save 10% online.
Login or Register to save!
Download Free PDF
  1. ×

    Welcome to OpenBook!

    You're looking at OpenBook,'s online reading room since 1999. Based on feedback from you, our users, we've made some improvements that make it easier than ever to read thousands of publications on our website.

    Do you want to take a quick tour of the OpenBook's features?

    No Thanks Take a Tour »
  2. ×

    Show this book's table of contents, where you can jump to any chapter by name.

    « Back Next »
  3. ×

    ...or use these buttons to go back to the previous chapter or skip to the next one.

    « Back Next »
  4. ×

    Jump up to the previous page or down to the next one. Also, you can type in a page number and press Enter to go directly to that page in the book.

    « Back Next »
  5. ×

    To search the entire text of this book, type in your search term here and press Enter.

    « Back Next »
  6. ×

    Share a link to this book page on your preferred social network or via email.

    « Back Next »
  7. ×

    View our suggested citation for this chapter.

    « Back Next »
  8. ×

    Ready to take your reading offline? Click here to buy this book in print or download it as a free PDF, if available.

    « Back Next »
Stay Connected!