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Case
Study E-Health
Technology: Assessment and Recommendations Situation:
A non-profit think tank was launching an initiative for evaluating promising
new technologies and making recommendations about how the technologies could
be adopted to provide the most value for the healthcare system.
Actions: With another expert consultant,
evaluated a new e-health technology for monitoring
and enhancing the management of intensive care unit patients
(The technology promised to improve the quality of care, but cost
several million dollars per installation.)
Presented analysis of the technology to the project’s Steering Committee
to secure their approval for a full evaluation of this technology as a pilot
study to test the organization’s process.
Wrote structured interview guide, and engaged users of the technology,
other experts, and interested payers in interview discussions to obtain their quantitative data and
qualitative experiences and perspectives.
Organized and moderated expert working group discussion to obtain the
group's consensus
about how best to measure the value of the technology in actual practice,
which clinical and economic measures would be important to various
stakeholders, and what magnitude of changes in these measures would be
significant.
Evaluated how patent disputes could limit the development of competing
versions of the technology, and potentially influence the advancement and
broader adoption of the technology.
Wrote draft report analyzing quantitative and qualitative information about
the technology, including what factors were crucial to consider in evaluating
its potential value to healthcare delivery systems and payers, and how the
technology could be most effectively adopted.
Outcome:
The
draft report about a new, expensive technology demonstrated the think tank’s
methodology for evaluating new technologies, and included recommendations for
adopting the e-health technology to provide the greatest value for healthcare
delivery systems and payers. (Tele-ICUs:
Interim Findings about Remote Monitoring and Management of Patients in
Intensive Care Units) The
think tank and one of their partners revised and published the report, and
made it available on their web sites.
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