2006 Healthcare Information Technology Conference - Panel Discussion Description
"Evidence-based Medicine: From Research to Practice"
Friday, February 3, 2006 - 8:00am-4:00pm
Marriott
Hotel, Rt 128 & 3A (One Mall Road), Burlington, MA |
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Panel Discussion Description:
"Evidence-based Medicine: Does it make a difference?"
Evidence-Based Medicine Can Improve Quality of Care |
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Studies show that nearly half of American adults do not receive optimal medical care. The reasons are multiple, but Evidence-Based Medicine can help by defining best practice with the supporting evidence needed to achieve consensus, according to Stan Hochberg, MD, Chief Operating Officer and Medical Director of MedVentive.
Dr. Hochberg will moderate the panel discussion "Evidence-based Medicine: Does it make a difference?" at the Consortium’s 2006 Healthcare Information Technology Conference. Joining him will be Jonathan Einbinder, MD, MPH, Corporate Manager for Quality Data Management, Clinical Informatics Research & Development, at Partners HealthCare System, Inc.; Isaac Kohane, MD, Chair of the Informatics Program at Children's Hospital; and Joseph Lau, MD, Director of the Center for Clinical Evidence Synthesis at Tufts-New England Medical Center.
According to Dr. Hochberg, the following are among the reasons patients do not receive recommended care:
- The increasing complexity of medical care and the rapid rate of biomedical advances make it difficult to develop and maintain up-to-date consensus guidelines.
- It is challenging to develop clinical guidelines that provide the right amount of direction for physicians, while respecting the individual aspects of each patient encounter.
- There are weak supports at the point of care to ensure compliance with best practice.
- There is not enough measurement and feedback about actual clinician performance against best practice benchmarks.
Ensuring the best possible care for each individual will grow more complex with technological advances and the advent of genomic medicine, said Dr. Hochberg. "We need our best minds working on this."
Dr. Lau, has directed the Tufts-New England Medical Center’s Agency for Healthcare Research and Quality-designated Evidence-based Practice Center since 1997. It has produced more than 20 comprehensive evidence reports and a similar number of technology assessments on diverse health care topics.
Drawing on his experience, Dr. Lau will discuss the current state of evidence-based medicine and the impetus for its development. He will address the process of bringing research discoveries to practice and the development of evidence-based clinical practice guidelines.
Dr. Einbinder, a practicing general internist who also is responsible for quality data management, will give his perspective on the Electronic Health Record and how it may be used to encourage adherence to evidence-based medicine. He will focus in particular on a diabetes registry/population management application and a diabetes Smart Form he is involved in developing and implementing at Partners.
"The Smart Form combines smart data review, documentation and actionable decision support in one screen and will be evaluated in a randomized controlled trial," said Dr. Einbinder.
Dr. Kohane who has been involved in biomedical informatics for about 25 years, will discuss his work with the National Center for Biomedical Computing on the "Informatics for Integrating Biology to the Bedside" project. This effort addresses the challenge of conducting clinical research in the genomic era using whole healthcare systems as living laboratories.
"For Evidence Based Medicine to have its full impact, information has to be brought to the point of care," said Dr. Hochberg. "Reminders and alerts based on evidence based medicine guidelines have to be integrated into the actual process of delivering care. Electronic disease registries, computerized order entry and electronic health records are moving us in the right directions."
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