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Translating Evidence into Practice 1997

Conference Summary

The following summaries are from the conference "Translating Evidence Into Practice: What Do We Know? What Do We Need?," which was hosted by the Agency for Health Care Policy and Research (AHCPR) in Washington, DC, July 21-23, 1997. The conference featured two major themes: (1) innovative strategies that work—health care quality enhancement through use of evidence-based clinical guidelines and other quality improvement tools—and (2) legal and ethical issues that help shape the purchase and delivery of quality health care.


Clinical Evidence: Creation, Assessment, and Implementation

Keynote Address
Evidence-based Medicine: What Have We Learned?

Medical Ethics in the New Medical Marketplace, or How I Learned to Stop Worrying and Love Managed Care

Session A: ERISA: Interplay of State and Federal Responsibilities in Health Care
Interplay of State and Federal Responsibilities in Health Care
ERISA Preemption of Medical Malpractice and Related Remedies Against Managed Care Entities
ERISA Implications for State Activities in Health Care Quality
Interplay of State and Federal Responsibilities in Health Care
Enterprise Liability: A Reappraisal

Session B: Scientific Evidence and the Courts
When Courts Review Clinical Practice Guidelines
The Daubert Case and Expert Opinion

Session C: Implementation of Evidence-based Practice: Differing Perspectives
Strategies for Guideline Implementation: Some Ways to Approach the Issue of "Usability"
Implementation of Evidence-based Practice

Session D: Implementation of Technology Assessments
The Veterans Health Administration (VHA) Technology Assessment Program: Structures, Processes, and Models for Implementing Assessment Results
Translating Evidence into Practice: Implementation of Technology Assessments
Implementing Technology Assessment for Medicare Coverage Decisions

Session E: Ethical Issues in Health Care Delivery
Physicians' Use of Outcomes Data: Moral Conflicts and Potential Resolutions
Insurance Coverage for Promising But Unproven Last Change Therapies: Ethical Issues and Practical Policies

Session F: Evidence-based Medicine: Implementation in Managed Care—Lessons Learned
Translating Evidence into Practice at the Department of Veterans Affairs
Translating Evidence into Practice at PacifiCare, Washington
Translating Evidence into Practice at HealthPartners, Minneapolis

Session G: Using Information Systems to Support Evidence-based Practice
Using Information Systems to Support Evidence-based Practice
Implementing Guidelines in Systems of Care
How Does Practice Translate Into Evidence?

Session H: Implementing Guidelines in Systems of Care
Implementing Guidelines: Designing and Selecting Effective Strategies
Texas Medication Algorithm Project

Health Policy and Quality

Practice Guidelines and Malpractice Litigation: Collision or Cohesion?

Learning Errors

Session I: Implementation and Adaptation of Guidelines Developed at a National Level
Interpreting Evidence: Some Caveats in Implementing and Adapting Guidelines Based on Evidence from Randomized Controlled Trials
The Need to Include Empiric Clinical Data in Formulating Medical Practice Guidelines
AHCPR Guidelines on Heart Failure: Comparison of a Family Medicine and Internal Medicine

Session J: Using Adverse Event Data to Improve Quality of Care
Every Defect a Treasure: Using Defect Data to Reduce Adverse Drug Events
Using Adverse Event Data to Improve Quality of Care

Session K: Educating Physicians for Evidence-based Practice
Evidence-based Information Resources for Clinical Learning and Practice
Evidence-based Medicine: A Cultural Shift in Residency Training
Changing Physician Performance: Use of Enabling and Reinforcing Techniques in Maintenance of Learning and Change

Session L: Legislating Clinical Care
Legislating Clinical Care
Legislation and Clinical Care

Session M: Using Evidence-based Quality Indicators
Using Evidence-based Quality Indicators
Cataloging and Evaluating Clinical Performance Measures: CONQUEST and the QMNet Initiative
Using Evidence-based Quality Indicators

Session N: Using Quality Indicators: Useful Tools for Investigation, Regulation, and Accreditation
The Next Wave of Quality Measurement: Key Challenges
Regional Quality Assurance Organizations: Regulator or Disseminator of Guidelines?
Quality Improvement Initiatives of the Health Care Financing Administration
Translating Evidence Into Practice

Session O: Overcoming Barriers to Implementation
Implementing Changes in Health Care Organizations: Lessons Learned and Future Challenges
Overcoming Barriers to Implementation

Session P: Implementing Guidelines in Specific Populations and Settings
Evidence-based Implementation of Clinical Practice Guidelines
Implementing Pressure Ulcer Guidelines in Long-Term Care
Comprehensive Health Enhancement Support System (CHESS): In-Home, Computer-Based Patient Education and Support

Data Needs for Quality Measurement and Improvement

Health Information Privacy

Final Session: Evidence-based Practice—An International Perspective
Evidence-based Practice: An International Perspective
International Perspectives on Implementation Research
Developing Evidence-based Health Care in the United Kingdom
Logic Methodology of Clinical Practice Guidelines

Page last reviewed January 1997
Internet Citation: Translating Evidence into Practice 1997: Conference Summary. January 1997. Agency for Healthcare Research and Quality, Rockville, MD.


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