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There are 4 modules in this course
Innovations in medical technologies are one of the leading areas of economic growth in the world. Whether new technologies take the form of pharmaceutical, medical device, biotechnology, information technology of some combination of these innovations, the opportunities for both private enterprise and social welfare are substantial. However, these innovations are not without cost, and require reimbursement from either a privately or publicly financed health care delivery system to enter the marketplace.
This course aims to provide knowledge of the concepts, data, and methodology required to critically evaluate new medical technologies in order to secure financial investment, reimbursement, and regulatory compliance objectives, such as FDA approval. The course is designed to provide understanding of the analytic tools needed to evaluate medical technologies. After completing this course, students will have the skills needed to:
- Understand the reimbursement systems financing medical technology use.
- Understand the role of government and regulatory agencies in the development and use of new medical technologies.
- Identify a population to be served by a medical technology.
- Use health care data to evaluate a medical technology.
- Perform cost/benefit and cost/effectiveness analysis of a new technology.
This module includes an overview of the healthcare industry, focusing on the U.S., and provides context for why medical technology evaluations are important sources of information within the industry. The module begins by discussing the aspects of health care industry that make it unique from other industries and the many stakeholders who have interests in the results of medical technology evaluations. The remainder of the module covers the various regulation and payment systems that exist within the industry and where and how medical technology evaluations are necessary elements of those systems.
What's included
11 videos4 assignments1 discussion prompt
Show info about module content
11 videos•Total 77 minutes
1.1.1 Welcome to the Medical Technology and Evaluation Course•5 minutes
1.1.2 About Your Instructor, Eric Barrette!•2 minutes
1.2.1 Introduction to the medical technology clients•6 minutes
1.2.2 The unique need for medical technology assessment•6 minutes
1.2.3 How do new technologies impact health care expenditures?•6 minutes
1.3.1 The new technology regulatory environment•8 minutes
1.3.2 Pharmaceuticals Regulation•10 minutes
1.3.3 Medical Device Regulation•7 minutes
1.4.1 Government vs. Private Payers•15 minutes
1.4.2 Inpatient Hospital Payments•7 minutes
1.4.3 Prescription Drug Payments•6 minutes
4 assignments•Total 120 minutes
Relevant Stakeholders and Incentives•30 minutes
New Medical Technologies Approval•30 minutes
New Medical Technologies Reimbursement•30 minutes
Medical Technology Assessment Environment•30 minutes
1 discussion prompt•Total 10 minutes
How do Competing Interests Shape the Development of New Technologies?•10 minutes
Clinical Trials and Insurance Claims Data
Module 2•3 hours to complete
Module details
This module discusses the two most common types of data used in medical technology evaluations: clinical trial data and health insurance claims data. The discussion of clinical trial data covers the basic elements of trial design that help ensure the results will be reliable inputs to technology evaluations. The discussion of claims data covers what types of information is available in claims and how it differs from clinical data. It also covers potential sources of data. The module concludes with a few lessons that discuss general considerations and precautions when using data to ensure the validity of a technology evaluation.
What's included
9 videos4 assignments1 discussion prompt
Show info about module content
9 videos•Total 67 minutes
2.1.1 Introduction to Clinical Trial•7 minutes
2.1.2 The Role of Randomization•6 minutes
2.1.3 Blinded Designs•7 minutes
2.2.1 Introduction to Administrative Data•6 minutes
2.2.2 Elements of Claims Data•12 minutes
2.2.3 Sources of Claims Data•7 minutes
2.3.1 Bias in Data•8 minutes
2.3.2 Combining Trial Data•6 minutes
2.3.3 Using Claims Data•8 minutes
4 assignments•Total 120 minutes
Clinical Trial Design•30 minutes
Administrative (claims) data•30 minutes
Using Data•30 minutes
Clinical Trials and Insurance Claims Data•30 minutes
1 discussion prompt•Total 10 minutes
What do you think about not approving a clinical trial because a drug is expected to be TOO effective?•10 minutes
The Elements of Medical Technology Assessments
Module 3•5 hours to complete
Module details
In this module we will discuss a variety of types of medical technology evaluation approaches and the types of assessments. We will go into detail about the pros and cons of each type of assessment as a way to illustrate situations where one approach may be better than another. Finally, we will also cover the details of the two fundamental features of any evaluation: measuring costs and benefits.
3.3.2 Quality Adjusted Life Years (QALYs)•6 minutes
3.3.3 Measuring Quality of Life (QoL)•5 minutes
3 assignments•Total 90 minutes
Medical Technology Assessment Basics•30 minutes
Measuring Costs•30 minutes
Measuring Effectiveness•30 minutes
1 peer review•Total 120 minutes
You Are The Consultant•120 minutes
1 discussion prompt•Total 10 minutes
Would you rather have a longer life in worse health or a shorter life in better health?•10 minutes
Methodological Approaches and Considerations
Module 4•2 hours to complete
Module details
Module 4 brings everything together from the first three modules. We will go into more detail about some of the more common quantitative methodologies you may encounter with an evaluation. We will talk about incorporating the effects of uncertainty and time into a medical technology evaluation model as well as the type of models that allow for the dynamic nature of patient responses to medical technology.
What's included
9 videos3 assignments
Show info about module content
9 videos•Total 60 minutes
4.1.1 Uses of CEA•6 minutes
4.1.2 Constructing an ICER•6 minutes
4.1.3 Interpreting an ICER•6 minutes
4.2.1 Baye’s Rule•8 minutes
4.2.2 Discounting•7 minutes
4.2.3 Decision Models•8 minutes
4.3.1 Introduction to Uncertainty•6 minutes
4.3.2 Monte Carlo Simulation•6 minutes
4.3.3 Markov Models•7 minutes
3 assignments•Total 90 minutes
Conducting a Cost Effectiveness Analysis•30 minutes
Advanced Methodologies•30 minutes
Methodological Approaches and Considerations•30 minutes
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