The American Recovery and Reinvestment
Act (ARRA) appropriated $1.1 billion for comparative effectiveness
research (CER), of which $300 million was made available to the
Agency for Healthcare Research and Quality (AHRQ). The goal of CER
is to improve patient outcomes by providing clinicians and patients
the information they need to choose between preventive and
diagnostic treatments, and other health care options to identify
the options that best fit an individual patient's needs and
preferences. The EHC Program was created in response to Section
1013 of the Medicare Prescription Drug, Improvement, and
Modernization Act (MMA) of 2003. To better inform comparative
effectiveness research investments at the EHC Program, AHRQ used
some of the ARRA funds to develop a horizon scanning system to
identify and monitor emerging health care technologies and
innovations. While horizon scanning systems exist in other
countries, these systems do not take into account the unique
political, regulatory, cultural, and economic context of the U.S.
health care system. To meet this need, the AHRQ Healthcare Horizon
Scanning System was implemented in November 2010. The AHRQ
Healthcare Horizon Scanning System provides a systematic process to
identify and monitor target technologies and innovations in health
care and to create an inventory of target technologies that have
the highest potential for impact on clinical care, the health care
system, patient outcomes, and costs. It is also a tool for the
public to identify and find information on new health care
technologies and interventions. Additionally, the AHRQ Healthcare
Horizon Scanning System serves as a resource for those involved in
decision making about adoption, implementation, and coverage of new
health care interventions. To fulfill its purpose, the AHRQ
Healthcare Horizon Scanning System performs three functions: (1)
identification and prioritization of interventions in late phase
development for tracking and monitoring; (2) monitoring of target
interventions through the development of detailed information on
interventions in late phase development; and (3) assessment of
potential impact of target interventions through the gathering and
synthesizing the perspectives of experts from various areas of the
health care community about the potential impact those target
interventions may have on the health care system, clinical care,
patient outcomes, and health care costs. As the first and only U.S.
horizon scanning system, it is important to understand whether the
AHRQ Healthcare Horizon Scanning System is implementing its
functions effectively. This evaluation is also essential to
determining whether the AHRQ Healthcare Horizon Scanning System is
meeting the needs of patients, clinicians, private industry, and
policymakers and how it can be improved to better meet those needs.
The evaluation will address the following research questions: 1.
How successfully did the AHRQ Healthcare Horizon Scanning System
identify and prioritize interventions for monitoring? 2. How
successfully did the AHRQ Healthcare Horizon Scanning System
monitor the selected target interventions? 3. How accurately did
the AHRQ Healthcare Horizon Scanning System assess the potential
impact of the interventions? 4. How can the processes for
identification, prioritization, monitoring, and assessment of
potential impact of the interventions be improved?
US Code:
42
USC 299 Name of Law: Healthcare Research and Quality Act of
1999
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