Panel Discussion USPSTF Recommendations: Process and Impact on Real-World Provision of Care

Panel Discussion: USPSTF Recommendations: Process and Impact on Real-World Provision of Care

Slide Presentation from the AHRQ 2010 Annual Conference

On September 27, 2010, John Santa made this presentation at the 2010 Annual Conference. Select to access the PowerPoint® presentation (120 KB). Free PowerPoint® Viewer (Plugin Software Help).

Slide 1

Panel Discussion
USPSTF Recommendations:
Process and Impact on Real-World Provision of Care

John Santa MD MPH
Director, Health Ratings Center
Consumers Union

Slide 2

Disclosures

• General internist, most recent practice at the VA [Department of Veterans Affairs] in 2008.
• Employed by Consumers Union, publisher of:
  • Consumer Reports
  • ConsumerReportsHealth.org
  • Multiple other print and electronic publications
• Independent of industry
• Non profit, non partisan

Slide 3

Systems are perfectly designed to get the results they achieve.

Image: A billboard reads 'Illiterate? Write for free help'. A young man standing below looks confused.

Slide 4

Key Principles

• Consumers should be involved "from the start... at the top"... for appropriate tasks.
• Independence, transparency, a supportive environment needed for constructive and credible engagement.
• Playing field needs to be level. A "referee" needs to enforce "discipline."

Slide 5

Options

• Involve at key steps, in key roles.
• Make information available to consumers at crucial decision points. Accept input.
• Make decision making transparent and independent of subsets of stakeholders.
• Accept feedback on decisions, enable reconsideration if appropriate.

Slide 6

Input to USPSTF Draft Recommendations

• Make consumers aware:
  • Diverse media
  • Consider innovative strategies
  • Target for balance
• Define reasonable boundaries around input:
  • Limits on characters, time
  • ? able to submit data
• Access to comments.
• Focus on balance and level playing field:
  • Identity options
  • Conflict of interest options
• Feedback from USPSTF on impact of comments.

Slide 7

"When you're through learning, you're through."

—John Wooden—former UCLA basketball coach

Current as of November 2010

Internet Citation:

Panel Discussion: USPSTF Recommendations: Process and Impact on Real-World Provision of Care. Slide Presentation from the AHRQ 2010 Annual Conference (Text Version). November 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/about/annualconf10/santa_slutsky/santa.htm