Medical Technology and Evaluation

About 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.

Created by:  University of Minnesota

• Taught by:  Eric Barrette, Director of Research

  Health Care Cost Institute

Basic Info Course 4 of 5 in the Healthcare Marketplace Specialization Level Beginner Commitment 4 weeks of study, 2-4 hours/week Language English How To Pass Pass all graded assignments to complete the course. User Ratings 4.5 stars Average User Rating 4.5See what learners said Coursework

Each course is like an interactive textbook, featuring pre-recorded videos, quizzes and projects.

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University of Minnesota The University of Minnesota is among the largest public research universities in the country, offering undergraduate, graduate, and professional students a multitude of opportunities for study and research. Located at the heart of one of the nation’s most vibrant, diverse metropolitan communities, students on the campuses in Minneapolis and St. Paul benefit from extensive partnerships with world-renowned health centers, international corporations, government agencies, and arts, nonprofit, and public service organizations.

Syllabus


WEEK 1


Medical Technology Assessment in the Current Health Care Financing and Regulatory Environment



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.


11 videos, 3 practice quizzes expand

1. Video: 1.1.1 Welcome to the Medical Technology and Evaluation Course
2. Video: 1.1.2 About Your Instructor, Eric Barrette!
3. Video: 1.2.1 Introduction to the medical technology clients
4. Video: 1.2.2 The unique need for medical technology assessment
5. Video: 1.2.3 How do new technologies impact health care expenditures?
6. Practice Quiz: Relevant Stakeholders and Incentives
7. Discussion Prompt: How do Competing Interests Shape the Development of New Technologies?
8. Video: 1.3.1 The new technology regulatory environment
9. Video: 1.3.2 Pharmaceuticals Regulation
10. Video: 1.3.3 Medical Device Regulation
11. Practice Quiz: New Medical Technologies Approval
12. Video: 1.4.1 Government vs. Private Payers
13. Video: 1.4.2 Inpatient Hospital Payments
14. Video: 1.4.3 Prescription Drug Payments
15. Practice Quiz: New Medical Technologies Reimbursement

Graded: Medical Technology Assessment Environment

WEEK 2


Clinical Trials and Insurance Claims Data



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.


9 videos, 3 practice quizzes expand

1. Video: 2.1.1 Introduction to Clinical Trial
2. Video: 2.1.2 The Role of Randomization
3. Video: 2.1.3 Blinded Designs
4. Practice Quiz: Clinical Trial Design
5. Discussion Prompt: What do you think about not approving a clinical trial because a drug is expected to be TOO effective?
6. Video: 2.2.1 Introduction to Administrative Data
7. Video: 2.2.2 Elements of Claims Data
8. Video: 2.2.3 Sources of Claims Data
9. Practice Quiz: Administrative (claims) data
10. Video: 2.3.1 Bias in Data
11. Video: 2.3.2 Combining Trial Data
12. Video: 2.3.3 Using Claims Data
13. Practice Quiz: Using Data

Graded: Clinical Trials and Insurance Claims Data

WEEK 3


The Elements of Medical Technology Assessments



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.


9 videos, 3 practice quizzes expand

1. Video: 3.1.1 The Types and Uses of Assessments
2. Video: 3.1.2 CEA vs CUA
3. Video: 3.1.3 Resources
4. Practice Quiz: Medical Technology Assessment Basics
5. Video: 3.2.1 Introductions to Costs
6. Video: 3.2.2 Costing
7. Video: 3.2.3 Considerations
8. Practice Quiz: Measuring Costs
9. Video: 3.3.1 Benefits
10. Video: 3.3.2 Quality Adjusted Life Years (QALYs)
11. Video: 3.3.3 Measuring Quality of Life (QoL)
12. Practice Quiz: Measuring Effectiveness
13. Discussion Prompt: Would you rather have a longer life in worse health or a shorter life in better health?

Graded: You Are The Consultant

WEEK 4


Methodological Approaches and Considerations



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.


9 videos, 2 practice quizzes expand

1. Video: 4.1.1 Uses of CEA
2. Video: 4.1.2 Constructing an ICER
3. Video: 4.1.3 Interpreting an ICER
4. Practice Quiz: Conducting a Cost Effectiveness Analysis
5. Video: 4.2.1 Baye’s Rule
6. Video: 4.2.2 Discounting
7. Video: 4.2.3 Decision Models
8. Practice Quiz: Advanced Methodologies
9. Video: 4.3.1 Introduction to Uncertainty
10. Video: 4.3.2 Monte Carlo Simulation
11. Video: 4.3.3 Markov Models

Graded: Methodological Approaches and Considerations