title: IOM and DHHS meeting on making clinical practice guidelines appropriate for patients with multiple chronic conditions.
abstract: BACKGROUND
  The increasing prevalence of Americans with multiple (2 or more) chronic conditions raises concerns about the appropriateness and applicability of clinical practice guidelines for patient management. Most guidelines clinicians currently rely on have been designed with a single chronic condition in mind, and many such guidelines are inattentive to issues related to comorbidities.
  
  
  OBJECTIVE
  In response to the need for guideline developers to address comorbidities in guidelines, the Department of Health and Human Services convened a meeting in May 2012 in partnership with the Institute of Medicine to identify principles and action options.
  
  
  RESULTS
  Eleven principles to improve guidelines' attentiveness to the population with multiple chronic conditions were identified during the meeting. They are grouped into 3 interrelated categories: (1) principles intended to improve the stakeholder technical process for developing guidelines; (2) principles intended to strengthen content of guidelines in terms of multiple chronic conditions; and (3) principles intended to increase focus on patient-centered care.
  
  
  CONCLUSIONS
  This meeting built upon previously recommended actions by identifying additional principles and options for government, guideline developers, and others to use in strengthening the applicability of clinical practice guidelines to the growing population of people with multiple chronic conditions. The suggested principles are helping professional societies to improve guidelines' attentiveness to persons with multiple chronic conditions.
authors.affiliation: Office of the Assistant Secretary for Health, US Department of Health and Human Services, Washington, DC.
authors.forename: Richard A
authors.initials: RA
authors.lastname: Goodman
authors.forename: Cynthia
authors.initials: C
authors.lastname: Boyd
authors.forename: Mary E
authors.initials: ME
authors.lastname: Tinetti
authors.forename: Isabelle
authors.initials: I
authors.lastname: Von Kohorn
authors.forename: Anand K
authors.initials: AK
authors.lastname: Parekh
authors.forename: J Michael
authors.initials: JM
authors.lastname: McGinnis
mesh_terms: D002908:Chronic Disease / Q000628:therapy*; D015897:Comorbidity; D003226:Congresses as Topic; D006801:Humans; D015969:National Academies of Science, Engineering, and Medicine, U.S., Health and Medicine Division; D018802:Patient-Centered Care / Q000379:methods / Q000592:standards; D017410:Practice Guidelines as Topic / Q000592:standards; D014481:United States; D014483:United States Dept. of Health and Human Services
keywords: DHHS; Department of Health and Human Services; IOM; Institute of Medicine; comorbidities; multiple chronic conditions; practice guidelines