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Evidence Based Guidelines


State of Oregon Evidence-Based Clinical Guidelines Project

Lead Staff:

Cat Livingston, MD, MPH

In Oregon’s Action Plan for Health, Oregon Health Policy Board calls for the development of an initial set of 10 Oregon-based best practice guidelines and standards. The intent is to build upon the high standards of evidence evaluation described above but to create a more flexible process that will move evidence-based practices rapidly into the clinical setting. The Health Evidence Review Commission will continue to work with the Center for Evidence-based Policy in collaboration with other key stakeholders to develop guidelines that can be applied uniformly in public and private settings to reduce unnecessary care and drive down costs.

Guideline Development Process.pdf

Completed Guidelines

The Office of Oregon Health Policy and Research, in collaboration partners such as the Oregon Health Leadership Council and the Oregon Healthcare Quality Corporation began work with the Center for Evidence-based Policy to create balanced, evidence-based guidelines, the first of which was the evaluation and management of low back pain. The responsibility for continued guideline creation was placed with the Health Evidence Review Commission in January 2012.

The guidelines below were vetted through a public process overseen by the HERC

Guideline on the Evaluation and Management of Low Back Pain.pdf October 2011
Guideline for Advanced Imaging for Low Back Pain.pdf April 2012
Guideline for Percutaneous Interventions for Low Back Pain.pdf June 2012

Public Comment

The Health Evidence Review Commission posts draft guidelines to this website for public comment as they become available. Comments may be emailed to HERC.Info@state.or.us and will be accepted for 30 days following a draft guideline's posting.

Guideline Topics Currently Under Development

The following topics are currently undergoing the guideline development process, with its current status indicated.

Percutaneous Interventions for low back pain

  • Public comment period ended 3/18/12; Evidence-based Guideline Subcommittee -Completed

Preventing readmission for CHF in the first 30 days after hospitalization

  • On hold – partnering with Q-Corp

Preventing readmission for COPD  in the first 30 days after hospitalization

  • On hold – partnering with Q-Corp

Spinal fusion

  • Tabled – Awaiting AHRQ report expected in 2013

Potential Future Topics for Development

The following topics have been identified to potentially undergo the guideline development process. The date it was added to the topics list is indicated.

Advanced Imaging

  • Cardiac diagnosis - Coronary CT for calcium score, MR Angiogram, Spectroscopy, 3/10/11
  • Chronic pain/dysfunction in peripheral joints MRI for shoulders, knees, hips, 3/10/11

Coronary Artery Disease

  • Stents vs. optical medical treatment, 3/10/11
  • Stent types - drug eluting vs. bare metal, 3/10/11

Musculoskeletal and Joint Disease

  • Hip arthroplasty - Indications, Comparison of prostheses, 3/10/11


  • Upper Endoscopy - Indications: GERD and dyspepsia, 3/10/11
  • Crowns, 3/10/11
  • Laser-based treatment for venous disease, 3/10/11

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