1Copyright © 2014 Winifred S. Hayes, Inc.

Hayes, Inc.Knowledge Transfer Contractor

Cici Collins– VP Government Contracting

Susan Levine, MS, DVM, PhD– Project Director

Karen Crotty, PhD, MPH– Project Manager

2Copyright © 2014 Winifred S. Hayes, Inc.

About Hayes

Hayes, Inc. was founded 25 years ago to provide objective, independent, evidence-based assessments as the foundation for decisions about coverage, acquisition, and use of medical tests, treatments, and preventive programs.

We are a woman-owned small business that operates with a primarily distributed workforce of 55 staff.

3Copyright © 2014 Winifred S. Hayes, Inc.

Our Clients

• Health plans• Hospitals and health systems• State Medicaid Agencies• TRICARE• VA Health Administration Center

No conflicts of interest

4Copyright © 2014 Winifred S. Hayes, Inc.

Current KT Task Orders

Implementing AHRQ Tools for Nurses to Improve Quality of Care (KT-FY13-05)

Continuing Education for Comparative Effectiveness Research (KT-FY13-02)

5Copyright © 2014 Winifred S. Hayes, Inc.

Importance of Knowledge Transfer

We believe strongly that the appropriate use of evidence is a critical factor in improving the safety, quality, and value of healthcare and that knowledge transfer is key to ensuring that evidence is understood and used.

We believe that knowledge transfer includes all steps between the creation of new knowledge and its application.

6Copyright © 2014 Winifred S. Hayes, Inc.

Knowledge Transfer

7Copyright © 2014 Winifred S. Hayes, Inc.

Our ExpertiseGathering relevant knowledge

Literature searches

Environmental scans

Horizon scans

Gray literature sources

Clinical trials databases

Regulatory information

Synthesizing research evidence

Systematic reviews

Comparative effectiveness reviews

Health technology assessments

Rapid reviews

8Copyright © 2014 Winifred S. Hayes, Inc.

Our ExpertiseTranslating evidence

Reports

Graphics

Algorithms/clinical pathways/clinical guidelines

Coverage policies

Learning modules

Disseminating knowledge

Live webinars

In-person presentations and workshops

On-site ‘embedded’ personnel

Training materials/continuing medical education (CME) activities

9Copyright © 2014 Winifred S. Hayes, Inc.

Medicaid Agency: Identify Evidence-Based Interventions Most Likely to Improve Pregnancy Outcomes in a

Medicaid Population

Medicaid beneficiaries

Medicaid providers

State Medicaid Agency

Experts in maternal and child health

10Copyright © 2014 Winifred S. Hayes, Inc.

Evidence-Based Interventions to Improve Pregnancy Outcomes

Phase 1. Epidemiological, historical, and survey data about causes of poor pregnancy outcomes, with additional limit to modifiable causes

Phase 2. Clinical trial and observational evidence about effectiveness of interventions to reduce risk of preterm birth

Phase 1. Identification of preterm birth as the leading modifiable cause of poor pregnancy outcome

Phase 2. Identification of causes of preterm birth and effective interventions for reducing risk of preterm birth

Three evidence-based interventions: Screening for and treatment of short cervix; smoking cessation; family planning

11Copyright © 2014 Winifred S. Hayes, Inc.

Evidence-Based Interventions to Improve Pregnancy Outcomes

Concise white paper describing interventions and rationale, distributed to state Medicaid Agency and to Expert Panel on Improving Maternal and Infant Outcomes in Medicaid and Children’s Health Insurance Program (CHIP)

Policy development; implementation of quality measures for Medicaid providers based on evidence-based interventions

Budget allocation for provider training and program implementation; improved access to care, improved and more consistent quality of care for Medicaid recipients; better pregnancy outcomes [projected]

12Copyright © 2014 Winifred S. Hayes, Inc.

Develop Evidence-Based Clinical Pathway for Assessment, Diagnosis, and Treatment of Community-

Acquired Pneumonia in Primary Care Setting

Physician-led Accountable Care Organization (ACO) Administration

ACO Clinical Committee members

Network providers

Patients

13Copyright © 2014 Winifred S. Hayes, Inc.

Evidence-Based Clinical Pathway for Community-Acquired Pneumonia

Evidence-based clinical assessment tools, diagnostic algorithms, current therapeutic guidelines

Extract key elements of clinical assessment tools, diagnostic pathways, and guidelines for treatment of community-acquired pneumonia in primary care practice

Clinical pathways for management of adults and children with community-acquired pneumonia designed for use in primary care

14Copyright © 2014 Winifred S. Hayes, Inc.

Evidence-Based Clinical Pathway for Community-Acquired Pneumonia

Clinical pathways sent to ACO Clinical Committee and then disseminated as web-based documents to primary care provider network (~1500 providers) with link to ACO pharmacy to ensure alignment of prescribed drugs with current formulary

Adherence to pathways will be used as a quality measure for providers in network

Improve quality and consistency of primary care; avoid potential morbidity associated with hospitalization; reduce cost of care

15Copyright © 2014 Winifred S. Hayes, Inc.

Public Payer (State): Systematic Review of Bilateral Versus Unilateral Cochlear Implants in Children and

Adults

Department of Social and Health Services (Medicaid)

Department of Labor and Industries

Department of Corrections

Department of Veterans Affairs

Healthcare providers

Beneficiaries covered under state health plans

Taxpayers

16Copyright © 2014 Winifred S. Hayes, Inc.

Systematic Review of Bilateral Versus Unilateral Cochlear Implants in Children and Adults

Existing systematic reviews and meta-analyses; primary studies not included in existing reviews

Balance of benefits and harms for patient-important outcomes; considered within context of quality of the evidence

Written report, including concise summary; accompanying PowerPoint summary, utilizing graphical representation of key findings

17Copyright © 2014 Winifred S. Hayes, Inc.

Systematic Review of Bilateral Versus Unilateral Cochlear Implants in Children and Adults

Presentation of findings to Clinical Committee in an open forum, with opportunity for public comment and written response to comments; full report and summary posted on public website

Coverage policy developed at conclusion of presentation: Bilateral cochlear implants are a covered benefit for adults and children ≥ 12 months of age

Improved access to care and consistency of care among populations served by the state healthcare authority

18Copyright © 2014 Winifred S. Hayes, Inc.

Live CE Webinar Series

Physicians

Nurse practitioners and other advanced practice nurses

Registered nurses

Case managers

Healthcare executives and administrators

Value analysis specialists

Nurse and patient educators

Physical therapists

Pharmacists

Psychologists

Genetic counselors

19Copyright © 2014 Winifred S. Hayes, Inc.

CE Webinars

Best available clinical studies; varies depending on technology, intervention, or program being addressed

Conclusions regarding safety, efficacy, comparative effectiveness of technology/intervention

Summary tables, graphics to illustrate findings, videos and animations, Hayes Rating

20Copyright © 2014 Winifred S. Hayes, Inc.

CE Webinars

Live and recorded webinar presentations, handouts and notes with additional information, question-and-answer session

Learners share knowledge with peers, staff, patients; critically appraise research findings and apply evidence-based approach to decision making; change clinical practice

65 programs in past 3 years, with a total of 7303 attendees

21Copyright © 2014 Winifred S. Hayes, Inc.

Collaborations• Global Prairie Marketing, LLC

– IDIQ subcontractor– CE for CER Task Order

• Deloitte Consulting, LLP– IDIQ subcontractor– CE for CER Task Order

• JumpStart Healthcare Communications, LLC– IDIQ subcontractor

22Copyright © 2014 Winifred S. Hayes, Inc.

Knowledge Transfer