Oregon Administrative Rules › Chapter 409 - OREGON HEALTH AUTHORITY, HEALTH POLICY AND ANALYTICS › Division 60 - HEALTH EVIDENCE REVIEW COMMISSION › Section 409-060-0120 - Health Evidence Review Commission Process for Evidence-based Reports

Current through Register Vol. 63, No. 7, July 1, 2024
(1) The Commission
			 shall base its reports on scientific evidence, taking into account the strength
			 of the evidence, including an assessment of any biases present. Meetings shall
			 be public and conducted in a manner consistent with the Commission's policies
			 and procedures.
(2) Topics for
			 review shall be publicly identified at least 28 days prior to the initial
			 Subcommittee meeting at which a draft evidence-based report is reviewed. In
			 this notice, the Subcommittee shall make publicly available the primary
			 evidence source documents to be used in creating the initial draft report,
			 except when source documents are proprietary. If additional sources are added
			 to the initial draft report after this notice, the Subcommittee shall publicly
			 identify them no later than 14 days prior to the Subcommittee meeting where
			 they will be discussed. In lieu of proprietary source documents, the
			 Subcommittee shall make publicly available a citation of the evidence source.
			 In the case of a proprietary evidence source, a full listing of citations from
			 the proprietary source shall be made available when allowed by the source. If
			 providing the citations is not allowed or not otherwise feasible, a summary of
			 the evidence findings will be provided at least 14 days in advance of the
			 meeting at which the initial draft report will be discussed.
(3) When developing an evidence-based report
			 other than a coverage guidance, the Commission or its designated Subcommittee
			 shall consult with two or more ad hoc experts on the subject matter of the
			 evidence-based report. Subcommittee shall publicly solicit ad hoc experts at
			 least 28 days prior to the meeting at which it reviews the initial draft
			 evidence-based report. One of the ad hoc experts must be a provider who manages
			 patients who would potentially receive the treatment, service or device in
			 question. Candidates wishing to serve as ad hoc experts shall disclose
			 conflicts of interest according to HERC bylaws. The Authority shall appoint ad
			 hoc experts that best meet the needs of the state, considering any conflicts of
			 interest, and shall not be limited to those who have volunteered to serve.
(4) After the Subcommittee reviews
			 the initial draft report, the subcommittee may revise the initial draft report.
			 The Subcommittee shall then solicit public comment on this version of the draft
			 report over a 30-day period. Draft reports posted for comment shall include
			 citations for all sources used in developing the report and a summary of
			 evidence findings. The Subcommittee shall publicly disclose written comments
			 received during the 30-day period, draft responses and additional revisions (if
			 any) to the draft report at least seven days before the Subcommittee meeting at
			 which the Subcommittee reviews public comments. After discussing the available
			 evidence and considering public comment, including additional verbal testimony,
			 the Subcommittee shall make conclusions as to the overall importance of
			 beneficial effects versus potential harms and approve its final draft
			 evidence-based report reflecting these conclusions.
(5) Before an evidence-based report is
			 reviewed at a Commission meeting, a final draft report approved by the
			 Subcommittee, along with all written public comments received during the public
			 comment period and the Subcommittee's responses to these public comments shall
			 be made publicly available 14 days prior to the meeting. At the meeting, the
			 Commission shall consider the Subcommittee's approved draft report and accept
			 further public comment.
(6) After
			 evaluating the report and public comments the Commission may take one of three
			 actions:
(a) Accept the report as written.
(b) Make edits to the report and
			 accept as modified.
(c) Return the
			 report to the Subcommittee with recommendations for further work.