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Applying evidence-based imaging to policy: the Washington State experience
C Craig Blackmore1, Brian Budenholzer
1Department of Radiology and Center for Healthcare Solutions, Virginia Mason Medical Center, Seattle, Washington 98111, USA. craig.blackmore@vmmc.org
Journal of the American College of Radiology : JACR
|April 28, 2009
Summary
Washington State
Area of Science:
- Health Technology Assessment
- Evidence-Based Medicine
- Health Economics
Background:
- Rising healthcare costs necessitate evidence-based decision-making for medical technologies.
- Lack of evidence for certain procedures impacts reimbursement and adoption.
- Washington State established a program to evaluate medical technologies based on evidence.
Purpose of the Study:
- To outline the structure and function of the Washington State Health Technology Assessment Program.
- To explain the criteria used for technology reimbursement decisions.
- To discuss the implications of the program's findings for radiology.
Main Methods:
- Commissioning evidence reports on selected medical technologies.
- Evaluating technologies based on effectiveness, safety, and cost-effectiveness.
- Reviewing imaging technologies including upright MRI, CT colonography, and lumbar discography.
Main Results:
- The program has not found sufficient evidence to support reimbursement for upright MRI, CT colonography, and lumbar discography.
- The Washington model requires robust evidence for technology dissemination and reimbursement.
- Decisions were based on a thorough review of available scientific evidence.
Conclusions:
- The Washington State Health Technology Assessment Program mandates stronger evidence for medical technology reimbursement.
- Radiology practices will need to provide robust data on effectiveness, safety, and cost-effectiveness.
- This model promotes evidence-based adoption and reimbursement of healthcare innovations.
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