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					                                                                                                                                        Issue 24
                                                                                                                                 September 2006




                                               reports
Contents                                       Core Competencies: What Does It Take to be a
letter from leadership                 2       Health Services Researcher?

                                               T
dates to watch                         2                here are 127 graduate programs in the         commonalities should exist across training pro-
                                                        United States that report providing train-    grams, regardless of specialty, to ensure that
coalition corner                       4                ing in health services research (HSR).        health services researchers have the skills re-
                                               However, true to the multidisciplinary nature of       quired to be successful?
members matter                             7   the field, many of our professionals were originally
                                               trained in traditional disciplinary schools such as    The Agency for Healthcare Research and Qual-
                                               anthropology, economics, epidemiology, medicine,       ity (AHRQ) recently funded an effort led by
                                               nursing, statistics, political science, psychology,    Christopher Forrest, M.D., Ph.D., that aims to
                                               and sociology. And, health services researchers of-    define core competencies and skills sets that
                                               ten conduct their investigations in partnership and    translate across the many specialties involved in
                                               collaboration with experts from other fields. Given    health services research.
                                               these requirements and challenges, many have be-
                                               gun to wonder how we ensure that doctorate level       “AHRQ’s efforts are grounded in training the
                                               health services researchers have a common base         next generation of health services researchers
                                               of skills and knowledge for conducting, analyzing,     and preparing them for the field,” says Francis
                                               and translating health services research.              Chesley, M.D., director, Office of Extramural
                                                                                                      Research, Education, and Priority Populations.
                   ARM Then                    To address these questions, and because an             “Now, HSR has matured to a point where we
                   and Now p. 3                                                                       can begin to define some core competencies on
                                               adequate training infrastructure and the ability
                                               to attract and retain qualified researchers are        which programs can build.”
                                               essential to improving access to high quality
                                               and cost-effective care, there is growing interest     During a presentation at AcademyHealth’s
                                               in defining core competencies and projected            2006 Annual Research Meeting (ARM) Carolyn
                                               career paths for professionals in HSR.                 Clancy, director, AHRQ, outlined the agency’s
                   PBS Series Spotlights                                                              workforce and training goal to continue to
                   Quality, Safety p. 3        Defining Common Ground?                                foster the growth, dissemination, and transla-
                                               The HSR field relies largely on the self-identifica-   tion of the field and science of health services
                                               tion of its professionals rather than a singularly     research to achieve AHRQ’s mission and
                                               defined career track with a standard graduate de-      address Department of Health and Human
                                               gree program and/or licensure and accreditation        Services (DHHS) priorities geared toward the
                                               requirements. Yet many of the disciplines from         transformation of health care. This effort aims
                                               which health services researchers are drawn do         to “define the evolving field of health services
                   Vote for your               have standard expectations for competencies            research and bring identity to the profession in
                   Leadership p. 6                                                                    the 21st century.” The development of doctoral
                                               and training. The question being posed is: what
                                                                                                                                      Continued on page 6
                               letter from leadership
    T
              he Coalition for Health Services Research,       of researchers and expanding AHRQ’s targeted re-        our director of government relations, at
              with support from AcademyHealth mem-             search portfolio to fund research across a broader      emily.rowe@academyhealth.org.
              bers, lobbied Congress over the last year        array of topics. In these efforts, the Coalition will
    to increase federal funding for agencies that sup-         advance the five recommendations approved by            Finally, we’ve made it easier for you to contact
    port health services research (HSR). In these times        the AcademyHealth Board of Directors regarding          Members directly and speak out in support of
    of competing priorities—war, natural disasters,            the placement, funding, and coordination of HSR         our field by adding new features and organiza-
    increasing budget deficits—the appropriations              (see June 2005 issue of AcademyHealth Reports,          tion to our Web site. The newly enhanced design
    process faced a number of significant challenges.          page 4). Included in this report is the recom-          responds to feedback from AcademyHealth’s
    Despite our best efforts, the agencies that support        mendation to insulate AHRQ from the potential           Member Survey and promises to offer greater
    HSR and data will face another year of flat funding        for political backlash as this agency does more         value through regular policy updates and easy-to-
    according to the appropriations bills that cleared         comparative effectiveness research.                     use advocacy tools (see Coalition Corner).
    the House and Senate committees before the Au-                                                                     We encourage you to turn to www.chsr.org for the
    gust recess (see Coalition Corner, page 4). While          As we continue to work with policymakers to sup-        latest information on the status of federal budget
    less than ideal, flat funding is not a failure; in tight   port the field, identifying “heros”—supportive poli-    and appropriations, new legislation relative to the
    budgetary times, success can be holding funding            cymakers in the administration and Congress—to          field of HSR, and ways in which you can be an
    levels stable. The unified voice of the Coalition and      champion our field remains a critical component         effective advocate.
    AcademyHealth members—who sent more letters                of our advocacy strategy. Many of our champions
    to Congress this year than ever before—helped us           have left or will soon leave the Congress, including    On behalf of the Coalition Board of Directors, I
    achieve this important result.                             Senator Bill Frist (R-Tenn.), who will be retiring      thank you for your support in advancing the field
                                                               from the Senate this year. To add to the support of     of HSR and communicating its importance to
    With the appropriations bills having cleared the           Senators Arlen Specter (R-Pa.) and Tom Harkin           policymakers.
    committees and moving toward inclusion in an               (D-Iowa), who are dedicated senior champions,
    omnibus bill later this fall, the Coalition is now         we will be looking to, among others, Senator Jeff       Sincerely,
    turning its attention to the 110th Congress in             Bingaman (D-N.M.) and Representative Tom Allen
    preparation for the impending reauthorizations of          (D-Maine), given their seats on important com-
    the Agency for Healthcare Research and Quality             mittees of jurisdiction. We also continue to reach
    (AHRQ), and possibly the National Institutes of            out to other Members on both sides of the aisle,
    Health (NIH). Reauthorizations of these agencies           and welcome your help in identifying potential
    will provide a unique opportunity for the Coali-           champions. If you have a close relationship with
    tion to encourage policymakers to strengthen the           a Member of Congress, and/or would like to be           Charles N. Kahn, III
    research infrastructure for HSR by increasing the          involved in educating members about what we do          Chair, Coalition for Health Services Research
    availability of R-o1s to support the next generation       and the value of HSR, please contact Emily Rowe,



      Dates to Watch
      October                                                                                 November
      23–26 Health Policy Orientation: Behind the Scenes of Decision-                         6   Call for Abstracts issued: 2007 Annual Research Meeting
              Making in Washington (Washington, D.C.)




    If you have questions or comments about AcademyHealth Reports, our quarterly newsletter, please contact Kristin Hackler at kristin.hackler@academyhealth.org.



2
ARM Grows with the Field: A look at the Annual Research Meeting Then and Now

I
     n 1984, the first Annual Research Meet-             To date, the ARM has been held in nine different          lows rate” this year, the number of fellows participat-
     ing (ARM), sponsored by the Association             cities nationwide and hosted professionals from           ing also increased, bringing the combined number
     for Health Services Research (AHSR) and             the United States and abroad. Originally a two-day        of students and fellows to nearly 20 percent of total
the Foundation for Health Services Research              conference, the ARM added sessions and seminars           attendance.
(FHSR), was held in Chicago. In the 23 years             to round out its educational and knowledge sharing
since that initial meeting, the ARM has grown            function. After adding methods seminars and ad-           Student or professional, the opportunity to network
and changed to reflect the maturing health ser-          junct meetings for the first time in 1997, the 2006       at the ARM is a big draw for many of the attendees,
vices research field and the needs of its mem-           ARM has grown to offer 6 method seminars,                 especially those new to the meeting. Building on exist-
bers in research, policy, and practice.                  10 interest group meetings, and nearly 50 adjunct         ing networking events and social gatherings, the 2006
                                                         meeting options.                                          meet-the-experts student breakfast was an opportu-
The 2006 ARM drew more than 2,100 professionals                                                                    nity for students to network with experts in the field,
and students, a dramatic increase over its original      Poster presentations, which were added in 1989 to         allowing students to ask questions of leaders such
350 attendees. This year’s meeting was held on three     feature 20 posters, have grown dramatically. This         as Carolyn Clancy, director of AHRQ, Karen Davis,
floors of the Seattle convention center to accom-        year’s session included more than 800 posters on          president of The Commonwealth Fund, and Stephen
modate 14 concurrent breakout sessions, 3 plenary        more than 17 themes. These poster sessions provide        Shortell, dean and professor, UC Berkley School of
sessions, 2 poster sessions, and multiple networking     networking and learning opportunities as noted by         Public Health. Like many students, Maggie Holland
events – quite a contrast to 1984.                       poster presenter Carol Hall Ellenbecker, who found        from the University of Rochester, commented on
                                                         it interesting to learn what others were presenting in    how much she enjoyed the ample time provided for
In addition, the meeting has gone virtual, with select   her area of research.                                     networking: “I like being able to talk to others in the
session content webcast through kaisernetwork.org                                                                  field and learn their perspectives on where [the health
and the majority of the PowerPoint presentations         In 1998, the ARM recognized the growing interest          services research field] is going in the future.”
available on www.academyhealth.org.                      in global health care, adding an international HSR
                                                         track. In recognition of how closely national and         Over the years, the ARM has established itself as
  The 2006 meeting featured:                             global health care issues are linked, as well as an       the premier forum for health services research and
  u   142 sessions including 17 different                increased interest in how different countries address     continues to attract new professionals from our field.
      themes and topic areas                             similar problems, this year’s ARM eliminated the          In fact, nearly a third of this year’s participants were
  u   557 speakers, 22 percent as first-time             distinct international track in favor of weaving inter-   first-timers. These new participants and the continued
      presenters                                         national perspectives throughout the program.             presence of experts from the field ensure the meeting
  u   858 poster presentations                                                                                     will continue to grow in new and exciting ways.
                                                         Students continue to play an increasingly important       Don’t miss out; mark your calendars now for the 2007
  u   Nearly 80 exhibitors                               role in the ARM and this year constituted 16 percent      Annual Research Meeting in Orlando, June 3–5.
                                                         of total attendance. With the addition of a new “fel-



PBS Series “Remaking American Medicine” Spotlights Quality, Patient Safety
AcademyHealth is one of 46 National Partners and         The first program, “Silent Killer,” highlights            The third installment, “The Stealth Epidemic,” ex-
hundreds of national and local groups that have par-     the efforts of Sorrel King, whose 18-month-old            amines the human and economic costs of chronic
ticipated in supporting and promoting an important       daughter died at one of the most respected                conditions such as diabetes, heart disease, and
new television series and related outreach campaign      hospitals in the world. King has gone from                other diseases that consume nearly 70 percent of
known as “Remaking American Medicine.”                   grieving victim to engaged activist, partnering           all health care resources.
                                                         with the hospital to make safety a top priority
“Remaking American Medicine™…Health Care                 at the institution.                                       The final program, “Hand in Hand,” tells the story
for the 21st Century” examines critical health                                                                     of patients and families who have formed a unique
care issues, including patient safety, medical and       Program Two, “First Do No Harm,” takes a criti-           partnership with providers in a teaching hospital in
medication errors, hospital-acquired infections,         cal look at the impact of medical errors and patient      Augusta, Georgia.
family-centered care, and effective management           safety in two hospitals and follows the efforts of phy-
of chronic disease. Its goal is to inspire and           sicians who are challenging their colleagues to live      We encourage our members to view the series and
empower viewers to join in efforts to transform          up to their oath. In one Pittsburgh hospital, the chief   support the campaign. Visit www.ramcampaign.org
American health care. The four, one-hour pro-            of medicine is confronting an epidemic of hospital-       for more information.
grams are scheduled to air on PBS on October 5,          acquired infections.
12, 19, and 26 at 10 p.m. (check local listings).                                                                                                                             3
    coalition corner
                                                                                                          Appropriations Process
    New Web site Provides Better Advocacy Tools                                                           Grinds to a Halt

    B
            ased on your responses to Academy-                                                            For the first time in three years, the President did
            Health’s Member Survey, we have                                                               not receive any spending bills to sign before Con-
            redesigned the Coalition’s Web site to                                                        gress’ August recess. The contentious Labor-HHS-
    better meet your needs and keep you informed                                                          Education spending bill—which includes funding
    about legislation that impacts the field of HSR.                                                      for many agencies that support HSR and health
    In addition to including information about the                                                        data—is not expected to see floor action before
    Coalition and its leadership, advocacy activities,                                                    the November elections and may be rolled into a
    and publications, the Web site now includes:                                                          post-election omnibus, as lawmakers remain con-
                                                                                                          cerned about the overall funding level provided
    u	Appropriations   and Legislation Updates                                                            for domestic programs. Under the current House
      From the homepage, you can access up-to-date                                                        and Senate versions of the bill, FY07 federal fund-
      information about the budget and appropria-                                                         ing levels for HSR programs at AHRQ, Center for
      tions process as it unfolds during the fiscal                                                       Disease Control and Prevention (CDC), Centers
      year, as well as summaries of key bills intro-                                                      for Medicare and Medicaid Services, National
                                                           page allows you to track voting records on
      duced in Congress that have the potential to                                                        Center for Health Statistics, and NIH are virtually
                                                           issues important to you.
      impact you and your work.                                                                           the same as levels for FY 06.

                                                         u	Advocacy  Resources
    u	Examples    of Members’ Impact                                                                      For more information on the appropriations bills
                                                           The “Resources” page includes Coalition and
      From the Coalition homepage, “Members Mat-                                                          passed by the House and Senate appropriations
                                                           AcademyHealth publications, messaging
      ter” will highlight AcademyHealth members’                                                          committees, and funding levels recommended
                                                           materials to help you define and communicate
      activities that have made an impact on legisla-                                                     by Coalition, visit “Appropriations Update” on
                                                           the value of HSR, and links to Hill publica-
      tion and the policymaking process, including                                                        www.chsr.org.
                                                           tions and news services, including the House
      members’ congressional testimony and grass-
                                                           and Senate committees of jurisdiction.
      roots, letter-writing campaigns.
                                                                                                          Talk the Talk…
                                                         u	RegularAdvocacy Updates                        The Coalition’s legislative term of the
    u	Advocacy   Tools
                                                           The “Become an Advocate” icon found on the     quarter is: “Omnibus”
      The “Advocacy Tools” page allows Academy-
                                                           home page allows you to sign-up for regular
      Health members to send e-mails directly to
                                                           advocacy updates from the Coalition.           An omnibus bill wraps several bills into one,
      elected officials and local and national media.
      You can access tips on communicating with                                                           or combines diverse subjects into a single
                                                         For questions on how to get the most from        bill. This year, it’s likely that the Labor-HHS-
      policymakers and their staff, and learn more
                                                         the Coalition Web site, please contact           Education appropriations bill will be pack-
      about the legislative process. In addition, this
                                                         Emily Rowe, director of government relations,
                                                                                                          aged into an omnibus bill to help speed its
                                                         at emily.rowe@academyhealth.org.
                                                                                                          passage after the November elections. The
                                                                                                          last omnibus spending package was in 2004.




4
   Legislative Update: New Bills Could Impact Health Services Research
   A bill (H.R. 5975) introduced before the August recess by Reps. Allen (D-Maine) and Emerson (R-Mo.) would strengthen AHRQ’s capacity to
   conduct comparative effectiveness research, which was initially authorized under Section 1013 of the Medicare Modernization Act (MMA). The
   bill would require AHRQ, in consultation with NIH, to conduct research and generate scientific evidence on the comparative clinical effectiveness,
   outcomes, and appropriateness of prescription drugs, medical devices, and procedures. The bill would authorize $100 million for these activities—
   double the level AHRQ is authorized under the MMA. However, AHRQ has only received $15 million for this function each year since the MMA was
   enacted, and the funding remains flat in the appropriation bills for FY07.

   The Senate Health, Labor, Pensions and Education Committee passed a bill (S. 3678) on July 19 that would reauthorize a preparedness law set to expire
   this fall and bolster the capacity of the public health system. Among other things, the bill authorizes the Secretary of Health and Human Services (HHS) to
   identify the existing public health systems research (PHSR) knowledge base and establish a research agenda. Accredited public health schools established
   by the Secretary as “Centers of Public Health Preparedness” would conduct the PHSR and develop public health core competencies and curriculum. Centers
   would be authorized to receive $31 million for these activities.

   On July 27, the House passed the Health Information Technology Promotion Act (H.R. 4157), which establishes an office within HHS to
   oversee and guide the nationwide implementation of health IT. It also includes a provision that would increase the number of medical
   procedure codes from 24,000 to more than 200,000 by 2010. Procedure codes are used by public and private payers to facilitate payment and by
   health services researchers, among others, to monitor utilization and cost; measure quality, safety, and efficacy of care; and analyze outcomes of treat-
   ment options. The greater precision afforded by the proposed codes would facilitate the use of more specific data to analyze health care delivery.

   For more information on these bills, including up-to-the-minute reporting on their status, please visit “Update Legislation” on www.chsr.org.




Access NCHS Data Systems as an NCHS-AcademyHealth Fellow
NCHS and AcademyHealth seek applicants for the          collaboratively with NCHS staff on joint             u	   Be at a career stage ranging from doctorial
2007 Health Policy Fellowship. This program brings      projects while in residence at NCHS in                    students at the dissertation phase to senior
visiting scholars in health services research-related   Hyattsville, Maryland. The duration of the                investigators
disciplines to NCHS to use NCHS data systems and        full-time fellowship is 13–24 months.
collaborate on studies of interest to policymakers                                                           u	   Have U.S. citizenship, permanent
and the health services research community.             Applicants should meet the following criteria:            residency, or ability to acquire a valid
                                                        u	 Have training or experience in fields related          work authorization
Each year, up to two individuals are selected.             to health services research and methods
Fellows conduct their research and work                                                                      The deadline for applications is January 8, 2007.




                                                                                                                                                                 5
    Core Competencies from page 1

    training core competencies is among the grant-        u    Interventional and observational study designs   health services researchers continue to lend
    funded projects supporting this effort.                                                                     their multidisciplinary expertise to challenges
                                                          u	   Primary data collection methods
                                                                                                                in health and health care.
    To begin building a consensus driven set of com-      u	   Secondary data acquisition methods
    petencies, Dr. Forrest, in collaboration with Diane                                                         “Articulating core competencies, setting forth ethi-
                                                          u	   Conceptual models and operational measures
    Martin, Ph.D. of the University of Washington                                                               cal guidelines for conflicts of interest, and evaluat-
    and colleagues from the John Hopkins Univer-          u	   Implementation of research protocols             ing options to support researchers as they navigate
    sity School of Public Health, convened a panel                                                              issues such as funder’s restrictions on sponsored
                                                          u	   Responsible conduct of research
    of leaders in HSR from academia, government,                                                                research are all activities that indicate the growth
    and industry in September 2005. The goal of the       u	   Multi-disciplinary teamwork                      and maturation of the field,” says David Helms,
    meeting, titled “Health Services Research Doctoral    u	   Data analysis                                    Ph.D., president and CEO of AcademyHealth.
    Training Competencies Consensus Conference,”
    was to provide a forum “to explore the possibility    u	   Scientific communication                         In response to the level of interest this topic
    of developing core competencies for the field” and    u	   Stakeholder collaboration and knowledge          has been generating, AcademyHealth will be
    “produce a consensus-derived set of knowledge-             translation                                      looking at broader HSR workforce planning
    based and skills-based HSR doctoral training com-                                                           issues in the context of a changing health care
                                                          This presentation was a first step in the ongoing     environment. Papers will be commissioned
    petencies and their content areas.” The two-day
                                                          conversation about competencies. The research         and presented at a summit meeting now being
    meeting looked at commonalities, required skill
                                                          team plans to continue building consensus and         planned for the fall of 2007 that will focus on
    sets, and suggested learning objectives.
                                                          disseminating this work via presentations and         the future needs of HSR employers, the current
    Dr. Forrest presented initial recommendations         an upcoming manuscript.                               stock of health services researchers, and the
    from the meeting during a panel on core com-                                                                educational challenges for the future.
                                                          “We are starting to try and identify the com-
    petencies at the 2006 ARM. His presentation
                                                          mon denominators for this multidisciplinary           “As the field of health services research grows,
    focused on 14 competencies emerging from the
                                                          field and the big advantage of all this activity      we can expect a greater demand for translating
    research and proceedings of the consensus confer-
                                                          is the stimulus it provides for us to improve         research into policy and practice,” concludes
    ence. These 14 competencies represent knowledge
                                                          the quality of what we do,” said Steve Shortell,      Helms. “As we continue to evolve as a profes-
    or skills that doctoral programs graduates should
                                                          Ph.D., University of California, Berkeley, who        sion, there is tremendous opportunity to build
    achieve at varying levels of mastery, depending on
                                                          facilitated the ARM session on core competen-         upon our common knowledge and embrace the
    the focus of the program. They are:
                                                          cies. “We walk a fine line between not being too      myriad disciplines and specialties that keep our
    u   Breadth of HSR theoretical and conceptual         prescriptive but also giving our best thinking to     field robust.”
        knowledge                                         guidelines for our own set of competencies.”
                                                                                                                For more information on the core competencies
    u   In-depth disciplinary knowledge and skills        Looking Forward                                       and the findings of the consensus conference,
    u   Application of HSR foundational knowledge         Defining baseline knowledge and skills ex-            please see Dr. Forrest’s ARM presentation
        to health policy problems                         pected of health services researchers is expected     slides at www.academyhealth.org/2006/602/
                                                          to assist in defining the field, developing career    forrest.ppt or Dr. Clancy’s presentation at
    u   Pose innovative HSR questions                     paths for recent graduates, and ensuring that         www.academyhealth.org/2006/clancyc1.ppt.




    Don’t Forget to Vote for Your AcademyHealth Leadership
    Don’t forget to vote in the member election for       u    Sherry Glied, professor and chair, Depart-       u	   Lisa Simpson, endowed chair in child health
    AcademyHealth’s Board of Directors. This is your           ment of Health Policy and Management,                 policy and professor of pediatrics, nursing and
    opportunity to declare your support for two of             Columbia University                                   public health, University of South Florida
    the four candidates who will join the Board this
    December to begin a four year term as leaders of      u	   Glen P. Mays, associate professor, vice chair    Members active on August 1st may vote online
    the organization.                                          & director of research, Department of Health     from September 5–22. Voting instructions were
                                                               Policy and Management, University of Ar-         sent by e-mail and postal mail on September 5.
    The year’s candidates are:                                 kansas for Medical Sciences
    u	 Joseph R. Betancourt, director, The Dispari-
       ties Solutions Center and assistant professor
       of Medicine, Harvard Medical School

6
members matter
Interest Group Discussion Explores Health Insurance Issues
In July, the Health Economics Interest Group            hazard is inefficient and that cost-sharing measures       of products—including CDHPs, HMOs, and other
hosted a Web-based discussion moderated by John         should be applied only to the portion of moral             tools such as pay for performance—to achieve the
Nyman, Ph.D., University of Minnesota. The basis        hazard that is inefficient, but not to that portion of     desired changes in health care consumption.
of the discussion was Nyman’s recently published        moral hazard that is deemed efficient.
book, “The Theory of Demand for Health Insur-                                                                      The discussion also explored the debate between
ance.” Over the course of two weeks, 56 comments        From this starting point, the discussion then took         reducing the quantity of care used and the need
were posted and as of mid-August, the discussion        these same basic principles and applied them to            to maintain and improve quality all while keeping
had been viewed more than 2,000 times.                  health savings accounts (HSAs) and consumer di-            costs affordable. Should health policy be focusing
                                                        rected health plans (CDHPs). One issue centers on          on rationing the quantity of care consumer? Or,
Nyman launched the discussion with a summary            the variations in price sensitivity across types of care   should pricing be the driver to reduce costs through
of the traditional theory that consumers purchase       and procedures and how that relates to moral haz-          increased transparency to the consumer?
health insurance to better control and predict their    ard. In general, consumers on CDHPs have higher
expenses and that because insurance lowers medi-        price sensitivity. Another issue relates to cost shar-     To review the full discussion, visit
cal costs, people are likely to purchase more care,     ing when the healthier people leave mainstream             www.academyhealth.org/economicsIGtranscript.
called moral hazard, which is welfare decreasing. In    health insurance pools, leaving a sicker portion of
contrast, Nyman’s theory suggests that consumers        the population to share a smaller pool of available        We extend our great appreciation to the discussion’s
purchase insurance in order to obtain a transfer of     funds. It was agreed by many on the discussion             moderator, John Nyman, as well as our scheduled
income when they become ill and that this transfer      that HSAs and CDHPs are not a one-size-fits-all            commentators, Steve Parente and Sherry Glied, and
of income leads to the purchase of additional care      solution to managing and improving health care.            all the enthusiastic members who contributed to
which is welfare increasing. Counter to the tradi-      Rather, we will likely need a wide range                   this robust discussion.
tional models, Nyman shows that not all moral



Official Journals Offer Broad Coverage at Significant Savings
AcademyHealth’s two official journals, Health           products represents a small fraction of overall            HSR October Issue Focuses on Pressing
Affairs and Health Services Research (HSR), are         U.S. health care spending, but biotech’s pres-             Health Policy Issues
leaders in the field of health service research and     ence is growing rapidly: In 2005, biotech industry         HSR’s October issue will feature articles on
health policy. These highly respected, peer-re-         revenues totaled $50.7 billion, an increase of 15.8        health insurance, factors affecting supply and
viewed journals provide original, timely informa-       percent over the previous year, according to Ernst         use of services—including family structure,
tion on the latest research and analysis that affects   and Young. On the public policy front, the biotech         market factors and practice characteristics—
and shapes the health care system from leading          industry—indeed, all of the pharmaceutical enter-          and methods articles relating to pay-for-per-
authorities, as well as AcademyHealth members.          prise—faces greater scrutiny because government
                                                                                                                   formance programs, nurse staffing research,
                                                        interest in it has expanded as a consequence of
                                                                                                                   health care costs, and applying the IOM defini-
Only AcademyHealth members can elect to                 Medicare’s new prescription drug benefit.
                                                                                                                   tion of disparities to mental health care.
receive one or both of these important journals
at more than 40 percent off regular subscrip-           The biotech issue’s lead paper examines the
tion rates. Don’t miss out. Include the journals        evolving strategies of private health insurers as          Also included is an editorial from editors-in-chief,
in your next membership (they can be added at           more biotech products come to market and as                Harold Luft, Ph.D., Ann Barry Flood, Ph.D., and
any time) renewal.                                      physicians and their patients demand access to             José Escarce, M.D., Ph.D., which discusses HSR’s
                                                        them. Other important papers of note include               new disclosure policy to ensure that the journal is
Health Affairs September/October Issue Focuses          authors taking a closer look at Medicare policy            providing the highest standards of science to the
On Biotech Issues                                       in relation to biologic products. Also in recent           public and research community.
Health Affairs September/October issue will be          years, CMS has unveiled a “coverage with evi-
focusing on the policy issues surrounding today’s       dence development” (CED) policy, a harbinger               For questions about subscriptions, please
biotechnology. These issues are taking on increas-      of how evidence will become an increasingly                contact AcademyHealth’s member services
ing importance as biotech company pipelines             important factor in the decisions of public and            team at 202.292.6700 or membership@acad-
surge and products are approved by the Food             private insurers alike.
                                                                                                                   emyhealth.org.
and Drug Administration. Spending on biotech
                                                                                                                                                                          7
AcademyHealth.org Offers Resources for Health Services Researchers, Practitioners and Policymakers

I
     f you haven’t visited the AcademyHealth            u	   Toolkit for Communicating the Value of             participant reads the articles and the seminar
     Website lately, you may be missing out on               HSR – In 2005, the National Health Council         group discusses the merits, research methods,
     useful tools ranging from course curricula              and AcademyHealth conducted a one-day round-       and potential implications of the research.
to research databases and from communication                 table for voluntary health agencies (VHAs) that
tool kits to state coverage summaries.                       provided an overview of health services research   Please note: AcademyHealth provides links to ar-
                                                             (HSR) and its value as a tool for making policy    ticles only where full permission has been previously
The site offers tools including:                             and practice decisions aimed at improving          granted. Please contact the original copyright holder
u	 Curriculum Module: Ethical Guidelines for                 health and health care. You can download the       prior to reprinting or distributing articles.
   Managing Conflicts of Interest in Health Services         conference materials as well as instructions for
   Research – this unique module consists of hypo-           hosting your own meeting on the Web site.
                                                                                                                  AcademyHealth Reports
   thetical case studies, discussion questions, and
   an evaluation designed to incorporate the lessons    Another resource is the recently added list of            Chair:                        President and CEO:
   outlined in the Ethical Guidelines. The module       past AcademyHealth Article-of-the-Year award              Tom Rice, Professor           W. David Helms, Ph.D.
                                                        winners and the nominees from 2006. Aca-                  and Vice Chair                AcademyHealth
   was developed with support from the Association
                                                                                                                  University of California,
   of American Medical Colleges and the DHHS            demic leaders can use the articles as a tool for          Los Angeles
   Office of Research Integrity.                        teaching and networking between faculty and
                                                        students. For example, one of our members re-             Staff:
                                                        ports using the articles in a weekly seminar that         Kristin Hackler               Edward Brown
u	   HSRProj – a unique database containing nearly
                                                                                                                  Director of Communications    Graphic Designer
     7,000 descriptions of ongoing health services      brings together faculty, doctoral students, and
     research projects funded by government agencies,   post-doctoral professionals. Each week, the in-           If you have questions or comments about
     foundations, and private organizations.            structors assign one or more of these articles as         AcademyHealthReports, please e-mail
                                                        the basis of a discussion and presentation. Each          kristin.hackler@academyhealth.org.




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