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Policy, Guidelines, and Disparities. Peter B. Bach, MD, MAPP Memorial Sloan-Kettering Cancer Center [email protected] Overview. The goal of practice guidelines is to: Improve the quality of care? Manage care? Save money? Monitor the quality of care? Reduce disparities?

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policy guidelines and disparities

Policy, Guidelines, and Disparities

Peter B. Bach, MD, MAPP

Memorial Sloan-Kettering Cancer Center

[email protected]

overview
Overview
  • The goal of practice guidelines is to:
    • Improve the quality of care?
    • Manage care?
    • Save money?
    • Monitor the quality of care?
    • Reduce disparities?
    • Give academics (with weird skills) something to do?
improve care quality
Improve care quality
  • Underlying assumption: care is sub-standard
  • Practice guidelines used broadly would raise average level
  • Have to assume that deviations from guidelines net harmful
    • As opposed to important personalization
  • Clinical decision support can have a guidelines background
manage care oncology example
Manage care (oncology example)
  • Pathways tell doctors which treatments to use in common conditions
  • Mostly payer contracts linked to pathways ask for 80% adherence
slide16

http://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm280536.htmhttp://www.fda.gov/NewsEvents/Newsroom/PressAnnouncements/ucm280536.htm

slide19

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