First PCORI Report Short on Specifics

Cheryl Clark, for HealthLeaders Media , January 24, 2012

2. Improving Healthcare Systems
This area is designed to focus more on how care is delivered rather than what care is delivered. For example, the agency wants to study such delivery modalities as disease management, telemonitoring, telemedicine, integrative health practices, care coordination, performance measurement and incentives, protocols. This is said to include alternative system approaches, such as methods of communication and documentation in electronic health records.

It also is to examine "new and extended roles for allied health professionals" such as pharmacists, nurses, physician assistants, dentists, patient navigators and volunteers."

3. Communication and Dissemination Research
How should the healthcare system increase clinician and/or patient shared decision making and awareness of options is the focus of this targeted area for research. This area includes research in how the healthcare system can provide information using understandable language in a variety of settings.

4. Addressing Disparities
The institute wants to reduce or eliminate disparities by studying differences in patient preferences or differences in response to therapy across socioeconomic, demographic and other patient characteristics.

5. Accelerating PCOR and Methodological Research
This area is designed to address research on better ways to conduct comparative effectiveness research, such as better ways to engage patients and those at risk, "particularly those who have been historically hard-to-reach," and assure their validity.

The agency asks the public to comment on this draft report until March 15.

Cheryl Clark is senior quality editor and California correspondent for HealthLeaders Media. She is a member of the Association of Health Care Journalists.
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1 comments on "First PCORI Report Short on Specifics"

Robert Finney PhD (1/24/2012 at 1:20 PM)
Cut Bureaucrats, Not Health Care Kaiser Permanente dominates PCORI. Kaiser's Research Director, Joe Selby MD is its Executive Director. Sharon Levine MD is on its Board of Governors. CEO George Halvorson had unfettered special access to the White House in stealth sessions during the health reform process with Ezekiel Emanuel MD, Obama's Dr. Death. Kaiser Permanente invented the drive-by delivery and harmed thousands of patients by forcing them into the HMO's in-house kidney transplant program. Kaiser appointment clerks were paid bonuses not to give patients appointments. Kaiser's Emergency Room had a policy to keep patients waiting until they left without care. Drs. Selby and Levine and Mr. Halvorson demonstrate an inhumane pattern and practice to intentionally harm patients to make money to enrich the HMO and themselves. Mr. Halvorson's unfeeling reply at the Commonwealth Club: "We screwed up." Kaiser Permanente's love for patients means never having to say the HMO is sorry. PCORI's $3 billion government-subsidized budget means that Kaiser can screw up the lives of all plain folks Americans




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