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

Slide presentation from the AHRQ 2010 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

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

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.

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

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

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

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.

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

John Wooden—former UCLA basketball coach

Current as of December 2010
Internet Citation: Panel Discussion USPSTF Recommendations: Process and Impact on Real-World Provision of Care. December 2010. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/news/events/conference/2010/santa/index.html