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Appendix D: Comparative Effectiveness Research Priorities: FCCCER Recommendations (2009)
Pages 511-518

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From page 511...
... This area of investment should represent a large portion of the OS funds. It best fulfills the full range of pri oritization criteria and requires scaled investment in order to be successful.
From page 512...
... These areas should not be the major focus of OS funding as they do not fulfill the prioritization criteria as well as primary and secondary investments, but some funding may be necessary to support and enable investments in higher priority areas and fill identified gaps. The Council recommends that Human and Scientific Capital, Research, and Conditions receive supporting investments.
From page 513...
... The Council based its rationale for each level of investment in the strategy on the prioritization criteria described above, as well as representative examples of investment in each area proposed through the public comment process and by federal agencies. Primary Investment CER data infrastructure development is the most distinctive opportunity for OS ARRA funding.
From page 514...
... Despite important efforts by the federal government, especially AHRQ, NIH, VA and DoD, the majority of current funding goes to building evidence as opposed to ensuring that the existing evidence base is utilized in
From page 515...
... Investments in dissemination and translation programs also have the potential to generate additional investments, especially from providers, if private institutions elect to implement similar efforts or partner with the Federal Government on translation efforts. There are a wide range of potential dissemination, translation and adoption programs that the OS could support, including: • Investing in dissemination and translation of CER findings through out the Federal delivery system.
From page 516...
... The Council identified several populations for whom the Secretary should consider allocating CER funds: • Racial and ethnic minorities • Persons with disabilities • Elderly • Children • Patients with multiple chronic conditions Investment in specific types of interventions in a cross-cutting manner also presents a unique opportunity for the nation's health system. The Council has identified six specific interventions for the Secretary to consider that address large and varied populations, resulting in high potential impact, are areas of high clinical uncertainty, and are not being adequately addressed by other entities.
From page 517...
... Because these investments and topics are the major foci of CER activities at NIH and AHRQ, both of which will likely utilize ARRA funds administered by those organizations for these purposes, they do not represent distinctive investment for OS funds. However, there will likely be targeted investments in these areas that could support other OS ARRA efforts, such as training new researchers in CER methods or addressing gaps not addressed elsewhere in the federal government.
From page 518...
...  LEARNING WHAT WORKS a data infrastructure investment that can also be used for a cross-cutting priority theme would be of higher value than an investment that has more limited applications. Doing so will help to ensure that the funds allocated to the Office of the Secretary for CER will have a significant positive impact on the quality of patient care in the near term, and lay the foundations for continued improvements going forward.


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