Delfini Qualitative Systematic Review: Arthroscopic Lavage & Debridement For Osteoarthritis of the Knee
Delfini conducted a qualitative systematic review which is being utilized by the Washington State’s Health Technology Assessment Program (HTA) and is available online: Delfini Qualitative Systematic Review: Arthroscopic Lavage & Debridement For Osteoarthritis of the Knee
HTA is an innovative program that determines if health services used by state government are safe and effective and was showcased in the New England Journal of Medicine, where it was reported that the state estimated their first-year cost-savings to be 1.8 million dollars for a procedure that has good evidence that it is ineffective.
The primary goals of HTA are to make —
- Health care safer by relying on scientific evidence and a committee of practicing clinicians
- Coverage decisions of state agencies more consistent
- State purchased health care more cost effective by paying for medical tools and procedures that are proven to work
- Coverage decision process more open and inclusive by sharing information, holding public meetings, and publishing decision criteria and outcomes
HTA is leading the state effort to use evidence-based medicine to make health policy and coverage decisions that result in safer health care. The program acts as a resource to five participating agencies by sorting through a flood of information about selected medical technologies and producing reports that analyze the information and assess the quality of evidence. The program also provides transparency and consistency to industry stakeholders through publishing of criteria, inviting comments, holding open public meetings, and contracting for independent reports. Finally, coverage decisions are made by the Health Technology Clinical Committee (HTCC), an independent committee of health practitioners who review evidence on these medical devices, procedures, and test to ensure they are safe, work as promoted and provide value.
Read the Seattle Times news report on the Washington State Health Technology Assessment Program (HTA).
Read
New
England Journal of Medicine article referencing our work:
Franklin GM, Budenholzer BR. N Engl J Med. 2009 Oct 29;361(18):1722-5.
Implementing
evidence-based health policy in Washington State.
Department of Environmental and Occupational Health Sciences, University
of Washington School of Public Health, Seattle, WA, USA. PMID: 19864671
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