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Coverage Guidances & Multisector Intervention Reports

Introduction

To find a coverage guidance or multisector intervention report, visit our Completed Topics page, or our Topics Under Development page.

Coverage guidances are developed to inform coverage recommendations for public and private health plans in Oregon as they seek to improve patient experience of care, population health and the cost-effectiveness of health care.

Multisector intervention reports are developed to address population-based health interventions or other types of interventions that happen outside of the typical clinical setting.

The HERC selects topics for these reports based on the following principles:

  • represents a significant burden of disease or health problem,
  • important uncertainty with regard to effectiveness or harms,
  • important variation or controversy in implementation or practice,
  • high public interest

Guidances & Reports

  
Process Overview
Topic Blogs
Open for Comment
Under Development (Blogs)
Potential Topics
Evidence-based Guidelines

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Coverage Guidance Process

To view the steps of each phase of the Coverage Guidance process, click on the tabs below:

Methodology

The HERC develops recommendations by using the concepts of the Grading of Recommendations Assessment, Development and Evaluation (GRADE) system. GRADE is a transparent and structured process for developing and presenting evidence and for carrying out the steps involved in developing recommendations. There are four elements that determine the strength of a recommendation, as listed in the table below. The HERC reviews the evidence and makes an assessment of each element, which in turn is used to develop the recommendations presented in the coverage guidance box. Balance between desirable and undesirable effects, and quality of evidence, are derived from the evidence presented in this document, while estimated relative costs, values and preferences are assessments of the HERC members.

For more about the GRADE methodology, see the GRADE working group web site, and this presentation by former HERC member Wiley Chan from the May, 2013 meeting.

Evidence-Based Policy Presentation

This presentation, What Is Evidence-Informed Health Policymaking, by Martha Gerrity from the Center for Evidence-based Policy (CEbP) at Oregon Health and Sciences University (OHSU), discusses the use of evidence for making health policy decisions. Methods of analyzing evidence (e.g., systematic reviews, randomized controlled trials, observational studies) to determine its quality are described. Also discussed are key questions which should be asked when reviewing evidence.

This presentation was made to the Health Technology Assessment Subcommittee of the HERC on March 22, 2012. This video is being posted for use by the HERC and its subcommittees as well others who might benefit from a primer on this topic.

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