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Phil Denniston Nov 3, 2016 a 2:58 pm PDT
From Phil Denniston, President of ODG (didn't get comments in by deadline due to travel in Europe): NGG has moved in the direction of hosting academic guidelines, primarily guidelines produced by medical specialty societies who give the guidelines away to support the interests of their members. Their updates tend to be measured in years (3-5), which fits the submission process much better. ODG is considerably more rigorous, with the update process in continous operation, and was the only independent for-profit guideline left in NGC. Given the changes, we have decided it is no longer a good fit. All of the leading commercial medical treatment guidelines, including Hearst, Milliman, MCG, Zynx, McKesson, Interqual, Dynamed, UpToDate, and others, now also decline to participate in NGC. Like ODG, these guidelines measure success by proven patient outcomes, benefiting both claimants and employers. NGC is a nice resource for combing the universe of free PDF-type guidelines from specialty societies and academic institutions, but not the place for dynamic SaaS subscription models with continuous review and updates. We do appreciate working with them in the past, and wish them sucess.
Anonymous Nov 3, 2016 a 2:58 pm PDT
ODG is the company that recommends 24 visits of physical therapy for an ACL reconstruction... over 16 weeks! As a physical therapist, I can tell you, that their post-surgical "guidelines" for these patients are not based on any of the studies I have been reading for 20 years. Unless the claimant happens to be Adrian Peterson, 16 weeks is nowhere near enough time.
Robert Kutzner Jun 24, 2016 a 7:06 am PDT
Hold some integrity, Medicine is what we're talking about here. The very first sentence of the Hippocratic Oath states, "We will respect the hard-won scientific gains of those physicians in whose steps we walk, and gladly share such knowledge as is ours with those who are to follow." That means that we must follow the science of medicine and give that knowledge freely to others in medicine. Absolutely, enforce criteria to base your evidence upon. No brainer. "Trust in God, all others provide data." And if you don't, then your evidence doesn't count. It becomes a lie until you provide evidence otherwise.
Kudos to the US Dept. of HHS for standing up for American's by ensuring that standards of care are enforced and based on science, not opinion, as evidenced by your National Guideline Clearinghouse criteria and National Pain Strategy publication.
Now how about helping us in California by getting someone to enforce our WC Medical Treatment Guidelines (MTUS) which is already law but completely ignored by the ODG, Carriers, and Providers.
Carlos A Luna Nov 3, 2016 a 2:58 pm PDT
High quality EBM is not as subjective as many lead to believe. IOM's standards for "trustworthy" practice guidelines are clear:
1. Transparent and Reproducible Process
2. Management of Conflict of Interest
3. Guideline Development Group Composition
4. Guideline Systematic Review
5. Establishing Evidence Foundations and Rating Strength of Recommendations
6. Articulation of Recommendations
7. External Reviews
8. Updating Content Process
For the sake and well-being of injured workers across the country, the Workers' Comp industry CANNOT settle for less.
https://www.linkedin.com/pulse/show-your-work-ebm-edition-carlos-luna?trk=pulse_spock-articles