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Appropriate Use Criteria

Appropriate Use Criteria

Hyperthyroidism: Overview

Hyperthyroidism: Overview

What are Appropriate Use Criteria?
Appropriate Use Criteria (AUC) specify when it is appropriate to use a procedure. An "appropriate" procedure is one for which the expected health benefits exceed the expected health risks by a wide margin. Often, sound data is not available or does not provide evidence that is detailed enough to apply to the full range of patients seen in everyday clinical practice. Nevertheless, physicians must make daily decisions about when to use or not use a particular procedure. AUCs facilitate these decisions by combining the best available scientific evidence with the collective judgment of physicians in order to determine the appropriateness of performing a procedure.

What procedures are addressed by Appropriate Use Criteria?
AUC topics will focus on widely and frequently used procedures whose effectiveness is supported by evidence-based information. Additionally, AUC topics may be procedures that consume significant resources, have wide variations in their use, or are associated with substantial morbidity and mortality. AUC topics will be derived from AAO-HNSF Clinical Practice Guidelines that establish the effectiveness of various procedures for a given disease, disorder, or condition. AUCs will address the patients in which these procedures are appropriate given the nuances of everyday clinical practice.

Why develop Appropriate Use Criteria?
AUCs will be developed to ensure the highest QUALITY of care for patients undergoing otolaryngic procedures. AUCs will be a new quality knowledge product developed by our specialty and will be an addition to the current products; clinical practice guidelines (CPGs) and clinical consensus statements (CCS). The AAO-HNS/F Board approved that we move forward with developing the process and criteria for AUCs in March 2015. In the coming months, staff will be researching the resources required and also identifying a consultant to work with us on the first AUC product to be developed in 2016.

How will Appropriate Use Criteria be developed?
AAO-HNSF AUCs will be developed using evidence-based information in conjunction with the clinical expertise of physicians from multiple medical specialties in order to improve patient care and obtain the best outcomes while considering the subtleties and distinctions necessary in making clinical decisions. AAO-HNSF is evaluating the existing methodologies available to develop AUCs including the RAND/UCLA Appropriateness Method.

Who will develop Appropriate Use Criteria?
"Panels" of AAO-HNSF & Specialty Society volunteer physicians.

Interested in getting involved with AUCs?
If you are interested in participating in these activities, please contact Stephanie Jones at sljones@entnet.org

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