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National Guideline Clearinghouse

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National Guideline Clearinghouse ( NGC ) was a database of evidence-based clinical practice guidelines and related documents started in 1998. It ended July 18, 2018 due to loss of federal funding (as well as for the National Quality Measures Clearinghouse [ NQMC ]) The entire content of the NGC was available free of charge at The Alliance for the Implementation of Clinical Practice Guidelines. This site will begin uploading more current references in April 2020.

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17-559: Historically, it had been maintained as a public resource by the Agency for Healthcare Research and Quality (AHRQ) of the U.S. Department of Health and Human Services . The NGC aimed to provide physicians, nurses, and other health professionals, health care providers, health plans, integrated delivery systems, purchasers and others an accessible mechanism for obtaining objective, detailed information on clinical practice guidelines and to further their dissemination, implementation and use. The database

34-585: Is a United States federal law enacted in 1944. The full act is codified in Title 42 of the United States Code (The Public Health and Welfare), Chapter 6A ( Public Health Service ). This Act provided a legislative basis for the provision of public health services in the United States. The Public Health Service Act clearly established the federal government 's quarantine authority for the first time. It gave

51-512: The January 6 Capitol riot . Following Khanna's resignation, deputy director David Meyers served as acting director from 2021 to 2022. Robert Otto Valdez was appointed director on February 27, 2022. The Agency has multiple offices and centers including the Center for Evidence and Practice Improvement (CEPI), the Center for Financing, Access and Trends, the Center for Delivery, Organization and Markets,

68-655: The National Guideline Clearinghouse (NGC) and the National Quality Measures Clearinghouse (NQMC), two longtime online resources from the AHRQ, were shut down because federal funding ceased to be available to them. Other stakeholders were exploring options for hosting the NGC ]; should that happen, it will return to the web. Carolyn Clancy was the director from 2002 to 2014. Richard Kronick

85-676: The United States Public Health Service responsibility for preventing the introduction, transmission and spread of communicable diseases from foreign countries into the United States. The Public Health Service Act granted the original authority for scientists and special consultants to be appointed "without regard to the civil-service laws", known as a Title 42 appointment . During COVID-19 pandemic , section 42 U.S.C.   § 265 has been used for Title 42 expulsion . It has since been amended many times. Some of these amendments are: Other attempted amendments to

102-457: The quality, appropriateness, and effectiveness of health care services and access to care by conducting and supporting research, demonstration projects, and evaluations; developing guidelines; and disseminating information on health care services and delivery systems. AHRQ's earliest predecessor was the National Center for Health Services Research and Development , established in 1968 within

119-715: The Center for Quality and Patient Safety, the Office of Management Services, the Office of Extramural Research and Priority Populations, and the Office of Communications. The Office of Communications was previously known as the Office of Communications and Knowledge Transfer. Within CEPI, the Evidence-Based Practice Centers (EPCs) develop evidence reports and technology assessments on topics relevant to clinical and other health care organization and delivery issues—specifically those that are common, expensive, and/or significant for

136-584: The Medicare and Medicaid populations. With this program, AHRQ serves as a "science partner" with private and public organizations in their efforts to improve the quality, effectiveness, and appropriateness of health care by synthesizing the evidence and facilitating the translation of evidence-based research findings. Topics are nominated by Federal and non-Federal partners such as professional societies, health plans, insurers, employers, and patient groups. Public Health Service Act The Public Health Service Act

153-577: The PHS Health Services and Mental Health Administration (HSMHA) during the 1966–1973 PHS reorganizations . It was established largely through the efforts of members of the NIH Division of Research Grants Health Services Study Section. The new center quickly absorbed the PHS Division of Chronic Diseases, which dated back to 1949, in order to access the latter's larger budget. When HSMHA

170-651: The Patient-Centered Outcomes Research Trust Fund, an increase of $ 13 million above FY 2014. The FY 2015 budget is intended to ensure the Agency continues its progress on health services research to improve outcomes, affordability, and quality. The budget also supports the collection of information on health care spending and use through the Healthcare Cost and Utilization Project (HCUP) and Medical Expenditure Panel Survey (MEPS). In July 2018,

187-548: The agency became its own operating agency within PHS, and was renamed Agency for Health Care Policy and Research (AHCPR) by the Omnibus Budget Reconciliation Act of 1989 (103  Stat.   2159 ). However, AHCPR became controversial when it produced several guidelines that some thought would reduce medical drugs and procedures. This included concern from ophthalmologists on a cataract guideline and concern by

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204-427: The pharmaceutical industry over a reduction in the use of new drugs. When the agency produced a guideline that concluded that back pain surgery was unnecessary and potentially harmful, a lobbying campaign aided by Congressmen whose backs had been operated on changed the name of the agency and scaled back the guidelines program, which existed as the National Guideline Clearinghouse . until it was defunded in 2018. AHCPR

221-585: The public) is one of twelve agencies within the United States Department of Health and Human Services (HHS). The agency is headquartered in North Bethesda , Maryland , a suburb of Washington, D.C. (with a Rockville mailing address). It was established as the Agency for Health Care Policy and Research (AHCPR) in 1989 as a constituent unit of the Public Health Service (PHS) to enhance

238-464: Was director from 2013 to March 2016. Sharon Arnold was acting director from February to April 2016, replacing Richard Kronick in February 2016. Andrew Bindman was the director of AHRQ from April 2016 until January 2017. Prior to joining AHRQ, Bindman served as faculty of UCSF School of Medicine . Gopal Khanna was appointed as Agency director on May 9, 2017, and resigned on January 11, 2021, in response to

255-646: Was reauthorized December 6, 1999, as the Agency for Healthcare Research and Quality (AHRQ) under the Healthcare Research and Quality Act of 1999 , which amended Title IX of the Public Health Service Act (42 U.S.C. 299 et seq). The 2015 budget for AHRQ was US$ 440 million, $ 24 million less than FY 2014. The budget includes $ 334 million in Public Health Service (PHS) Evaluation Funds, a decrease of $ 30 million from FY 2014, and $ 106 million from

272-668: Was split up in 1973, the center moved into the PHS Health Resources Administration . It was renamed the Bureau of Health Services Research that year, and then the National Center for Health Services Research in 1975. In 1978 it was transferred to the Office of the Assistant Secretary for Health . In 1985 it was renamed the National Center for Health Services Research and Health Care Technology Assessment . In 1989,

289-453: Was updated weekly with new and revised guidelines. The currency of all guidelines was verified annually through NGC's Annual Verification process. The site featured: This article about a United States health organization is a stub . You can help Misplaced Pages by expanding it . Agency for Healthcare Research and Quality The Agency for Healthcare Research and Quality ( AHRQ ; pronounced "ark" by initiates and often "A-H-R-Q" by

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