Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:The Culture of Health Care
Unit:Evidence-Based Practice
Lecture:Definition and application of EBM
Slide content:CER Definition of CER from Federal Coordinating Council report Research comparing different interventions and strategies to prevent, diagnose, treat and monitor health conditions Must assess a comprehensive array of health-related outcomes for diverse patient populations Necessitates the development, expansion, and use of a variety of data sources and methods (informatics!) Healthcare reform legislation (Affordable Care Act, ACA) allocated funding for Patient-Centered Outcomes Research Institute (PCORI, http://www.pcori.org ) Independent body with multiple stakeholder representation to advance and carry out research in CER (Washington, 2011) 9
Slide notes:Some key points of the Federal Coordinating Councils definition of comparative effectiveness research are summarized here. CER is research comparing different interventions and strategies to prevent, diagnose, treat, and monitor health conditions. The key aspect of CER is that it directly compares two or more existing treatments or interventions to determine the effectiveness, benefits, and risks of each. For example, CER might compare two sleep medications head to head to determine which is best under specific conditionswhat it wouldnt do is draw conclusions from separate studies comparing each sleep medication with a placebo. Beyond the research, [quote] CER must assess a comprehensive array of health-related outcomes for diverse patient populations.[end quote] In other words, CER must consider factors such as gender and ethnic diversity as well as patients who have chronic conditions or multiple conditions that interact with each other. Finally, one point relevant especially to informatics [in- fer - mat - iks ] is that CER necessitates the development, expansion, and use of a variety of data sources, such as clinical trial and electronic health records, as well as methods, such as data mining algorithms, that gather useful information while also adhering to confidentiality laws. Furthering the agenda of CER is a mandate in the federal health reform legislation (the Affordable Care Act, or ACA [ay-see-ay]) for the funding of the Patient-Centered Outcomes Research Institute, or PCORI [pee-core- ee ] (www.pcori.org), an independent body with multiple stakeholder representation, to advance and carry out research in CER. PCORIs latest reports and research materials are publically available on the organizations website. 9