Interface Guidelines vs Accreditation · Monitoring Research Indicators 6 /Updating Clinical Practice Guidelines: Lifecycle Cost analysis Policy, social determinants Barriers and

Experts workshop

Ispra, 21-22 February, 2013

Jesús López Alcalde

Iberoamerican Cochrane Centre

(Hospital de la Santa Creu i Sant Pau, Barcelona)

Iberoamerican Cochrane Centre

Interface Guidelines vs Accreditation

Agenda

1. Purpose of the presentation

2. Clinical Practice Guidelines lifecycle:

inputs and outputs

3. Points discussed in the breakout sessions

4. Ideas collected

5. Summary of the presentation

Accreditation

Databases and

cancer registries

GuidelinesInte

rfa

ce

Gu

ide

lin

es

vs

Acc

red

ita

tio

n

Consumer centered

1.- Purpose of the presentation

Agenda

1. Purpose of the presentation

2. Clinical Practice Guideline lifecycle:

inputs and outputs

3. Points discussed in the breakout sessions

4. Ideas collected

5. Summary of the presentation

Clinical Practice

GuidelinesEvidence based

recommendations

Facilitate the decision making

process in healthcareFinal Goal:

Inputs

Development

Implementation Dissemination

Updating

Research gaps

Monitoring

Research

Indicators6

/Updating

Clinical Practice Guidelines: Lifecycle

Cost analysis

Policy, social determinants

Barriers and

facilitators

Experts

Literature

review

Experts consensus

Systematic review

People´s values

Recommendations

Outputs

Development

Implementation

DisseminationUpdating

Research gaps

Monitoring

Promotion of best

practices in breast

cancer services

Journal articles

Monitoring reports

Electronic formats (e.g. PDAs)

Electronic medical records

Cancer registries

requirements

Agenda

1. Purpose of the presentation

2. Clinical Practice Guidelines lifecycle:

inputs and outputs

3. Points discussed in the breakout

sessions

4. Ideas collected

5. Summary of the presentation

3.- Points discussed

BOS 1:

Accreditation

BOS 2:

Guidelines

BOS 4:

Databases

BOS 3:

Patients

How to link patients' preferences with

guidelines and accreditation?

How to link databases and registries with

patients, guidelines and accreditation?

How to link accreditation

requirements and guidelines?

Agenda

1. Purpose of the presentation

2. Clinical Practice Guidelines lifecycle: inputs

and outputs

3. Points discussed in the breakout sessions

4. Ideas collected

5. Summary of the presentation

Where am I?

5.30 am

4.- Ideas collected

“The patient is central to this process”

“Listen to the patient”

“Involve the patient in all aspects“

Outcomes relevant to patients

Collect data

Registries

Guidelines

• Holistic, not fragmented

• Transparent

• Accessible (web based)

Decision making

process in the

site of care

Accreditation

schemes of BCS

1. Outcomes relevant to patients

2. Systematic and explicit method

3. Recommendations:

1. Based in the best available evidence

2. Based on the quality of evidence and other factors,

such as patient values

3. Easier to understand

4. Linked to Cochrane reviews: easier

updating

Outcomes relevant to patients

Collect data

Registries

Guidelines

• Holistic, not fragmented

• Transparent

• Accessible (web based)

Decision making

process in the

site of care

Accreditation

schemes of BCS

Ad

ecq

ua

tem

on

itoirn

gsy

stem

Accreditation-Guideline

1. Accreditation should be linked only to

evidence based recommendations

2. The link between accreditation and

guidelines will require:

• A dynamic guideline continously

updated

• To define priority areas for updating

A modular structure of the

guidelline will facilitate:

1. Its linkage to the corresponding

requirement for accreditation

2. To plan its updating

3. To desing its implementation and to

monitor its impact

Databases and cancer registries

1. Must be linked

2. A minimum data set should be

established in order to allow an

adequate monitoring

A question arises:

• Should the 5th Edition of the European

Guidelines change it aims and structure

because of the accreditation requirements?

Agenda

1. Purpose of the presentation

2. Clinical Practice Guidelines lifecycle:

inputs and outputsPoints discussed in the

breakout sessions

3. Ideas collected

4. Summary of the presentation

Take home message

• Breast cancer services in the EU should be

consumer oriented.

• Let´s collect information, generate evidence

and accredit services with this aim.

“Start by doing what is necessary,

then what is possible,

and suddenly you will be doing the impossible”

Francis of Assisi

Experts workshop

Ispra, 21-22 February, 2013

Jesús López Alcalde

[email protected]

Iberoamerican Cochrane Centre

(Hospital de la Santa Creu i Sant Pau, Barcelona)

Iberoamerican Cochrane Centre

Thank you for your attention