Establishing an operating Medical Technology Assessment Committee which relies on valid and clinically useful science can improve patient care and reduce the use of unproven technologies along with their associated expenses.

We estimate that the approval rate for new technologies will drop by an absolute 10 to 30% or more in organizations that develop and employ an effective evidence-based evaluation based on our experience at Group Health.

We have extensive experience with devloping and training technology assessment committees and staf fto help achieve optimal operations. If your current process for assessing procedures, devices and other new technologies is like most other healthcare groups, then the following is likely to be true:

Too much of the wrong information...

• Staff are filled with uncertainty about when a new technology is proven.
• Consequently, much of the information gathered is not useful in deciding —
  • Whether there is sufficient evidence to conclude the new technology is “proven.”
  • Whether potential benefits outweigh harms.
  • Whether covering the new technology adds value.
• Furthermore, most groups do not know how to package information so that patients and others can “triangulate” decisions about use of the new technology.

Committee members are working at odds with each other and with staff...

• Committee members need trustable information.
• Committee members need critical appraisal training.
• Committee members need clarity of process.

Committee processes are working against everyone...

• Are you voting? (Learn why voting can work against quality decisions.)
• Is your committee tasked with comparing devices? (Learn why this can create a host of problems for effective functioning.)
• Do you have clarity in your processes?

There is an ROI for an optimally functioning medical technology assessment committee.

• Return-on-Investment for EBM

"Hello Sheri and Mike, thanks for shouting out to the Washington State Health Technology Clinical Committee. Along with the help of organizations like Delfini providing us with superb evidence reviews, we are showing a way that the US should follow, in my opinion. I appreciate your linking your contacts to our work. Best Wishes, Brian"

Brian R. Budenholzer, MD, FAAFP
Health Technology Clinical Committee Chair
Health Care Authority
State of Washington

Critical Appraisal Online Tutorial: A brief (and hopefully fun) online tutorial on the basics of critical appraisal of therapeutic interventions. The emphasis is on evaluating efficacy claims of primary studies using superiority designs.

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