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Integrating Stakeholder Preferences in Comparative Effectiveness Research: Potential Uses of Multi-Criteria Decision Analysis Techniques August 27, 2012 Community Forum Moderator: Penny Mohr Vice President for Program Development, Cent

SLIDE 1

Community Forum

Integrating Stakeholder Preferences in Comparative Effectiveness Research: Potential Uses of Multi-Criteria Decision Analysis Techniques

August 27, 2012

SLIDE 2

Community Forum

Community Forum Community Forum

Vice President for Program Development,

Cent er for Medical Technology Policy

AHRQ’s Communit y Forum proj ect Expert ise in st akeholder engagement and

comparat ive effect iveness research

Moderator: Penny Mohr

SLIDE 3

Community Forum

Community Forum Community Forum

Underst and different formal st ruct ured approaches t o

elicit ing and quant ifying st akeholder preferences

Compare and cont rast Conj oint Analysis and Analyt ic

Hierarchy Processes as preference assessment t ools

Describe applicat ions of preference met hods t o inform

Comparat ive Effect iveness Research (CER)

Goals

SLIDE 4

Community Forum

Community Forum Community Forum

AHRQ Community Forum

To expand st akeholder involvement in comparat ive

effect iveness research in AHRQ’ s Effect ive Healt h Care Program

To advance met hods for gat hering public input on value-

based healt hcare quest ions

SLIDE 5

Community Forum

Community Forum Community Forum

“ … The purpose of CER is to assist consumers, clinicians, purchasers and policy makers to make informed decisions that will improve health care at both the individual and population levels.”

Comparative Effectiveness Research

~Institute of Medicine, 2009

SLIDE 6

Community Forum

Categories of CER Methods

 S

ystematic reviews of existing research

 Decision modeling, with or without cost information  Retrospective analysis of existing clinical or

administrative data

 Prospective non-experimental studies, including

registries

 Experimental studies, including randomized clinical

trials (RCTs)

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Community Forum

Community Forum Community Forum

Ident ifying maj or gaps in exist ing research S

et t ing research priorit ies

Refining research quest ions Developing st udy prot ocols Translat ing research findings S

hared decision making

Activities of CER

SLIDE 8

Community Forum

Community Forum Community Forum

Chair, Depart ment of Healt h Technology & S

ervices Research, Universit y of Twent e, Net herlands.

Expert ise in pat ient report ed out comes, elicit at ion of

pat ient preferences in HTA, mult iple crit eria decision making and discret e choice met hods.

Dr. IJzerman will provide an int roduct ion t o

Mult i-crit eria decision models used for healt hcare decision making.

Speaker: Maarten IJzerman, PhD

SLIDE 9

Community Forum

Community Forum Community Forum

Professor of Medicine & Public Healt h &

Associat e Vice President for Populat ion Healt h S ciences, in t he Office of Healt h Affairs at t he Universit y of Illinois Hospit al & Healt h S ciences S yst em.

Chair of t he S

t eering Commit t ee for t he COPD Out comes-based Net work for Clinical Effect iveness and Research Translat ion (CONCERT).

Dr. Krishnan will describe t he applicat ion of Analyt ic

Hierarchy Process (AHP) to identify patient, clinician & other

stakeholder preferences for CER in COPD.

Speaker: Jerry Krishnan, MD, PhD

SLIDE 10

Community Forum

Community Forum Community Forum

Dist inguished Fellow and principal economist at Research

Triangle Inst it ut e (RTI).

Chair of t he IS

POR Conj oint Analysis (CA) Experiment al Design Task Force.

Dr. Johnson will describe t he applicat ion of CA for

elicit ing pat ient preferences about healt h out comes t o guide t he design of a st udy prot ocol.

Speaker: F. Reed Johnson, PhD

SLIDE 11

Community Forum

Agenda

Introduction (Present er: Penny Mohr, Communit y Forum Team) 10:30-10:40 AM An introduction to the use of Analytical Hierarchy Process and Conjoint Analysis in health research (Present er: Maart en Ij zerman) 10:40-11:00 AM

(Last 5 minut es reserved f or Q&A)

The use of AHP to elicit stakeholder input for prioritizing research (Present er: Jerry Krishnan) 11:00-11:20 AM

(Last 5 minut es reserved f or Q&A)

The use of CA to elicit patient preferences in selecting treatment endpoints (Present er: F . Reed Johnson) 11:20-11:40 AM

(Last 5 minut es reserved f or Q&A)

Community Forum

Integrating Stakeholder Preferences in Comparative Effectiveness Research: Potential Uses of Multi-Criteria Decision Analysis Techniques

August 27, 2012

Vice President for Program Development,

Cent er for Medical Technology Policy

AHRQ’s Communit y Forum proj ect Expert ise in st akeholder engagement and

comparat ive effect iveness research

Moderator: Penny Mohr

Underst and different formal st ruct ured approaches t o

elicit ing and quant ifying st akeholder preferences

Compare and cont rast Conj oint Analysis and Analyt ic

Hierarchy Processes as preference assessment t ools

Describe applicat ions of preference met hods t o inform

Comparat ive Effect iveness Research (CER)

Goals

AHRQ Community Forum

To expand st akeholder involvement in comparat ive

effect iveness research in AHRQ’ s Effect ive Healt h Care Program

To advance met hods for gat hering public input on value-

based healt hcare quest ions

“ … The purpose of CER is to assist consumers, clinicians, purchasers and policy makers to make informed decisions that will improve health care at both the individual and population levels.”

Comparative Effectiveness Research

~Institute of Medicine, 2009

Categories of CER Methods

 S

ystematic reviews of existing research

 Decision modeling, with or without cost information  Retrospective analysis of existing clinical or

administrative data

 Prospective non-experimental studies, including

registries

 Experimental studies, including randomized clinical

trials (RCTs)

Ident ifying maj or gaps in exist ing research S

et t ing research priorit ies

Refining research quest ions Developing st udy prot ocols Translat ing research findings S

hared decision making

Activities of CER

Chair, Depart ment of Healt h Technology & S

ervices Research, Universit y of Twent e, Net herlands.

Expert ise in pat ient report ed out comes, elicit at ion of

pat ient preferences in HTA, mult iple crit eria decision making and discret e choice met hods.

Dr. IJzerman will provide an int roduct ion t o

Mult i-crit eria decision models used for healt hcare decision making.

Speaker: Maarten IJzerman, PhD

Professor of Medicine & Public Healt h &

Associat e Vice President for Populat ion Healt h S ciences, in t he Office of Healt h Affairs at t he Universit y of Illinois Hospit al & Healt h S ciences S yst em.

Chair of t he S

t eering Commit t ee for t he COPD Out comes-based Net work for Clinical Effect iveness and Research Translat ion (CONCERT).

Dr. Krishnan will describe t he applicat ion of Analyt ic

Hierarchy Process (AHP) to identify patient, clinician & other

stakeholder preferences for CER in COPD.

Speaker: Jerry Krishnan, MD, PhD

Dist inguished Fellow and principal economist at Research

Triangle Inst it ut e (RTI).

Chair of t he IS

POR Conj oint Analysis (CA) Experiment al Design Task Force.

Dr. Johnson will describe t he applicat ion of CA for

elicit ing pat ient preferences about healt h out comes t o guide t he design of a st udy prot ocol.

Speaker: F. Reed Johnson, PhD

Agenda

Introduction (Present er: Penny Mohr, Communit y Forum Team) 10:30-10:40 AM An introduction to the use of Analytical Hierarchy Process and Conjoint Analysis in health research (Present er: Maart en Ij zerman) 10:40-11:00 AM

The use of AHP to elicit stakeholder input for prioritizing research (Present er: Jerry Krishnan) 11:00-11:20 AM

The use of CA to elicit patient preferences in selecting treatment endpoints (Present er: F . Reed Johnson) 11:20-11:40 AM

General Q&A 11:40 AM- 12:00 PM