1 copyright © 2014 winifred s. hayes, inc. hayes, inc. knowledge transfer contractor cici collins...
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1Copyright © 2014 Winifred S. Hayes, Inc.
Hayes, Inc.Knowledge Transfer Contractor
Cici Collins– VP Government Contracting
Susan Levine, MS, DVM, PhD– Project Director
Karen Crotty, PhD, MPH– Project Manager
2Copyright © 2014 Winifred S. Hayes, Inc.
About Hayes
Hayes, Inc. was founded 25 years ago to provide objective, independent, evidence-based assessments as the foundation for decisions about coverage, acquisition, and use of medical tests, treatments, and preventive programs.
We are a woman-owned small business that operates with a primarily distributed workforce of 55 staff.
3Copyright © 2014 Winifred S. Hayes, Inc.
Our Clients
• Health plans• Hospitals and health systems• State Medicaid Agencies• TRICARE• VA Health Administration Center
No conflicts of interest
4Copyright © 2014 Winifred S. Hayes, Inc.
Current KT Task Orders
Implementing AHRQ Tools for Nurses to Improve Quality of Care (KT-FY13-05)
Continuing Education for Comparative Effectiveness Research (KT-FY13-02)
5Copyright © 2014 Winifred S. Hayes, Inc.
Importance of Knowledge Transfer
We believe strongly that the appropriate use of evidence is a critical factor in improving the safety, quality, and value of healthcare and that knowledge transfer is key to ensuring that evidence is understood and used.
We believe that knowledge transfer includes all steps between the creation of new knowledge and its application.
6Copyright © 2014 Winifred S. Hayes, Inc.
Knowledge Transfer
7Copyright © 2014 Winifred S. Hayes, Inc.
Our ExpertiseGathering relevant knowledge
Literature searches
Environmental scans
Horizon scans
Gray literature sources
Clinical trials databases
Regulatory information
Synthesizing research evidence
Systematic reviews
Comparative effectiveness reviews
Health technology assessments
Rapid reviews
8Copyright © 2014 Winifred S. Hayes, Inc.
Our ExpertiseTranslating evidence
Reports
Graphics
Algorithms/clinical pathways/clinical guidelines
Coverage policies
Learning modules
Disseminating knowledge
Live webinars
In-person presentations and workshops
On-site ‘embedded’ personnel
Training materials/continuing medical education (CME) activities
9Copyright © 2014 Winifred S. Hayes, Inc.
Medicaid Agency: Identify Evidence-Based Interventions Most Likely to Improve Pregnancy Outcomes in a
Medicaid Population
Medicaid beneficiaries
Medicaid providers
State Medicaid Agency
Experts in maternal and child health
10Copyright © 2014 Winifred S. Hayes, Inc.
Evidence-Based Interventions to Improve Pregnancy Outcomes
Phase 1. Epidemiological, historical, and survey data about causes of poor pregnancy outcomes, with additional limit to modifiable causes
Phase 2. Clinical trial and observational evidence about effectiveness of interventions to reduce risk of preterm birth
Phase 1. Identification of preterm birth as the leading modifiable cause of poor pregnancy outcome
Phase 2. Identification of causes of preterm birth and effective interventions for reducing risk of preterm birth
Three evidence-based interventions: Screening for and treatment of short cervix; smoking cessation; family planning
11Copyright © 2014 Winifred S. Hayes, Inc.
Evidence-Based Interventions to Improve Pregnancy Outcomes
Concise white paper describing interventions and rationale, distributed to state Medicaid Agency and to Expert Panel on Improving Maternal and Infant Outcomes in Medicaid and Children’s Health Insurance Program (CHIP)
Policy development; implementation of quality measures for Medicaid providers based on evidence-based interventions
Budget allocation for provider training and program implementation; improved access to care, improved and more consistent quality of care for Medicaid recipients; better pregnancy outcomes [projected]
12Copyright © 2014 Winifred S. Hayes, Inc.
Develop Evidence-Based Clinical Pathway for Assessment, Diagnosis, and Treatment of Community-
Acquired Pneumonia in Primary Care Setting
Physician-led Accountable Care Organization (ACO) Administration
ACO Clinical Committee members
Network providers
Patients
13Copyright © 2014 Winifred S. Hayes, Inc.
Evidence-Based Clinical Pathway for Community-Acquired Pneumonia
Evidence-based clinical assessment tools, diagnostic algorithms, current therapeutic guidelines
Extract key elements of clinical assessment tools, diagnostic pathways, and guidelines for treatment of community-acquired pneumonia in primary care practice
Clinical pathways for management of adults and children with community-acquired pneumonia designed for use in primary care
14Copyright © 2014 Winifred S. Hayes, Inc.
Evidence-Based Clinical Pathway for Community-Acquired Pneumonia
Clinical pathways sent to ACO Clinical Committee and then disseminated as web-based documents to primary care provider network (~1500 providers) with link to ACO pharmacy to ensure alignment of prescribed drugs with current formulary
Adherence to pathways will be used as a quality measure for providers in network
Improve quality and consistency of primary care; avoid potential morbidity associated with hospitalization; reduce cost of care
15Copyright © 2014 Winifred S. Hayes, Inc.
Public Payer (State): Systematic Review of Bilateral Versus Unilateral Cochlear Implants in Children and
Adults
Department of Social and Health Services (Medicaid)
Department of Labor and Industries
Department of Corrections
Department of Veterans Affairs
Healthcare providers
Beneficiaries covered under state health plans
Taxpayers
16Copyright © 2014 Winifred S. Hayes, Inc.
Systematic Review of Bilateral Versus Unilateral Cochlear Implants in Children and Adults
Existing systematic reviews and meta-analyses; primary studies not included in existing reviews
Balance of benefits and harms for patient-important outcomes; considered within context of quality of the evidence
Written report, including concise summary; accompanying PowerPoint summary, utilizing graphical representation of key findings
17Copyright © 2014 Winifred S. Hayes, Inc.
Systematic Review of Bilateral Versus Unilateral Cochlear Implants in Children and Adults
Presentation of findings to Clinical Committee in an open forum, with opportunity for public comment and written response to comments; full report and summary posted on public website
Coverage policy developed at conclusion of presentation: Bilateral cochlear implants are a covered benefit for adults and children ≥ 12 months of age
Improved access to care and consistency of care among populations served by the state healthcare authority
18Copyright © 2014 Winifred S. Hayes, Inc.
Live CE Webinar Series
Physicians
Nurse practitioners and other advanced practice nurses
Registered nurses
Case managers
Healthcare executives and administrators
Value analysis specialists
Nurse and patient educators
Physical therapists
Pharmacists
Psychologists
Genetic counselors
19Copyright © 2014 Winifred S. Hayes, Inc.
CE Webinars
Best available clinical studies; varies depending on technology, intervention, or program being addressed
Conclusions regarding safety, efficacy, comparative effectiveness of technology/intervention
Summary tables, graphics to illustrate findings, videos and animations, Hayes Rating
20Copyright © 2014 Winifred S. Hayes, Inc.
CE Webinars
Live and recorded webinar presentations, handouts and notes with additional information, question-and-answer session
Learners share knowledge with peers, staff, patients; critically appraise research findings and apply evidence-based approach to decision making; change clinical practice
65 programs in past 3 years, with a total of 7303 attendees
21Copyright © 2014 Winifred S. Hayes, Inc.
Collaborations• Global Prairie Marketing, LLC
– IDIQ subcontractor– CE for CER Task Order
• Deloitte Consulting, LLP– IDIQ subcontractor– CE for CER Task Order
• JumpStart Healthcare Communications, LLC– IDIQ subcontractor
22Copyright © 2014 Winifred S. Hayes, Inc.
Knowledge Transfer
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