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First PCORI Report Short on Specifics

Cheryl Clark, for HealthLeaders Media, January 24, 2012

Rather, the panel said, it was more important to "define the boundaries" and "define the types of questions that we want to invest in," says Krumholz, a cardiologist who directs the Yale-New Haven Hospital Center for Outcomes Research and Evaluation.

Eventually, says Krumholz, the commission wants to look at how patients make choices and how they have access to information to make informed decisions. And it wants to understand how to conduct research with patients to test different approaches.

"Take Joe Paterno (former Penn State football coach who died Sunday after developing complications from chemotherapy)," Krumholz says. "I don't know how informed he was about how an 85 year-old with advanced lung cancer, what those kinds of options are and the likelihood of dying from chemotherapy might be versus taking a more palliative care approach, versus some other option that he might have had. 

"Most people in that situation are baffled by their choices and lack personalized estimates of what their risks and benefits are."

"We had no shortage of urgent questions that needed to be addressed," Krumholz says, adding that "the circumscribing of an agenda around a small number of them, however important they may be, would lead to the exclusion of others."

Tanisha V. Carino, senior vice president of the independent health advisory firm Avalere Health, said she was initially surprised by the report's lack of specificity about the burden of disease, such as heart failure or pneumonia.

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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. http://www.hmohardball.com/Death%20Panel%20Birth%20&%20Attachments%201st%20in%20Series%202-14-2011.pdf 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