A reader writes in to say that the comparative-effectiveness institute ? do I really need to call it PCORI? ? has more independence than my initial item suggested:
I believe that you have an error in your reporting of PCORI. In the ACA, PCORI is designated to be a private, non-profit organization that is not part of the federal government. So it is not subject to funding and nomination battles. (Hence the website, pcori.org). Equivalent organizations in the sense would be NCQA, the IOM, and NQF. This was a pretty brilliant move, as it shelters the PCORI from political wrangling. If only the IPAB had been handled the same way.
I?m not sure IPAB could?ve been handled that way, as it has the authority to make changes to Medicare, which isn?t power you could give to an independent non-profit. Meanwhile, another reader writes to say that Joe Selby may not be ?famous in DC,? but he?s got true health-policy wonks excited:
Joe Selby may not be known in DC?s Politico-reading policy circles, but I assure you in the fields of quality assessment and clinical effectiveness research he is a true national leader.
The administration has a soft spot for big ideas that overstate their evidence and maybe their logic. (I worry about ACOs and Medical Homes.) Dr. Selby?s work has advanced concepts of quality of care and then he?s done the hard work to see if those ideas pan out. As a leader, the shop he developed at Kaiser has more health services research than all but maybe 5 medical schools and he has been a player with HEDIS and similar groups. It?s an exciting choice that demonstrates an interest in getting the work done right, not just advertising that you?re doing it.
Source: http://feeds.washingtonpost.com/click.phdo?i=8a43536983b9e3cc7b1cfa1bd60a9363
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