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May 16, 2011
Individualized Guidelines: The Potential for Increasing Quality and Reducing Costs
Speaker for this event:
  • David M. Eddy, MD, PhD, Founder, Chief Medical Officer Emeritus, Archimedes Inc.  Learn More
  • Individualized Guidelines: The Potential for Increasing Quality and Reducing Costs

    In this webinar, David Eddy MD. PhD will provide an detailed overview of Individualized Guidelines, how they compare to traditional population based guidelines, and how their use can improve outcomes and reduce healthcare costs.

    Traditional guidelines specify a population based on certain criteria, and specify processes, treatments, and treatment targets for that population. Each guideline focuses on a particular condition or treatment, and is designed to stand alone from other guidelines. An alternative is to create Individualized Guidelines that consider each person one-by-one, take into account all the pertinent characteristics and risk factors for that person, identify all the inventions from which that person might benefit, calculate the expected improvement in health outcomes for each intervention one-by-one and in combination, and tailor the choice of interventions to optimize the benefit to each person. Unlike traditional guidelines that are designed for populations, Individualized Guidelines take into account more information about the person, and consider a full range of conditions and treatments.

    Dr. Eddy will also provide an example of how Individualized Guidelines were used in a clinical setting to significantly improve adherence and lower risk of adverse events.

    Participants will leave the presentation understanding:

            1) How Individualized Guidelines are designed and compare to population based guidelines
            2) How Individualized Guidelines can be used to improve outcomes and reduce costs
            3) How Individualized Guidelines can serve as the next generation of population-based guidelines

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    • Physicians, Informatics Officers, Medical Officers and Business Management in health systems
    • Medical groups, integrated delivery networks, health plans
    • Accountable Care Organizations (ACO)
    • Participants in Patient-Centered Medical Home initiatives
    • Healthcare consultants

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    David M. Eddy, MD, PhD, Founder, Chief Medical Officer Emeritus, Archimedes Inc.  

    David Eddy, MD, PhD, is the Founder and Chief Medical Officer Emeritus of Archimedes Inc. He was responsible for the initiation and medical development of the Archimedes Model. Starting more than 25 years ago, David wrote seminal papers on mathematical modeling, guidelines, and evidence in medical decision making. He was the first to use and publish the term “evidence-based” and has pioneered the theory and applications of evidence-based guidelines. David is the author of five books, more than 100 first-authored articles, and a series of 30 essays for the Journal of the American Medical Association. His writings span from technical mathematical theories to broad health policy topics.


    David has received top national and international awards in ten fields including operations research and management sciences, health technology assessment, environmental sciences, healthcare quality, outcomes research, pharmacoeconomics research, and managed care pharmacy. He has been elected or appointed to more than forty national and international boards and commissions, including Consumers Union, the National Board of Mathematics, the World Health Organization Panel of Experts, The Blue Cross Blue Shield Medical Advisory Panel, and the National Committee for Quality Assurance. He is a member of the Institute of Medicine/National Academy of Sciences.


    Archimedes is a Healthcare Modeling company that has built a large scale simulation model of physiology, disease, interventions, and healthcare systems.


    The Archimedes Model is written at a high level of detail using object-oriented programming and run on a distributed computing network. The core of the Model is a set of ordinary and differential equations that represent the physiological pathways pertinent to diseases and their complications. The Model includes aspects of diseases and healthcare systems needed to analyze downstream clinical events, utilization, and costs including: signs and symptoms; patient behaviors in seeking care; patient encounters with the health care system (e.g. emergency room visits, office visits, and admissions); protocols and guidelines; tests and treatments; provider behaviors and performance; patient adherence to treatment recommendations; and clinical events that affect logistics, utilization, and financial costs. The Model is flexible and helps decision makers understand the likely outcomes of interventions.


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