Propriety standards ensure that an evaluation will be conducted legally, ethically and with due regard for the welfare of those involved in the evaluation, as well as those affected by its results.

Accuracy standards ensure that an evaluation will reveal and convey technically adequate information about the features that determine worth or merit of the program being evaluated.


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It should be noted that the standard statements alone do not convey the full measure of any standard. The full publication includes detailed guidelines and principles for applying the standards in the context of real-world evaluation situations.

In order to gain familiarity with the conceptual and practical foundations of these standards and their applications to extended cases, the JCSEE strongly encourages all evaluators and evaluation users to read the complete book.

The accuracy standards are intended to increase the dependability and truthfulness of evaluation representations, propositions, and findings, especially those that support interpretations and judgments about quality.

The evaluation accountability standards encourage adequate documentation of evaluations and a metaevaluative perspective focused on improvement and accountability for evaluation processes and products.

The utility is based on what Apple has learned working with enterprise customers who have deployed large numbers of Macs. Those customers are likely to include IBM, Cisco, SAP, and all the other corporations deploying many thousands of Macs across their business. Apple continues to explore new partnerships and services to extend its reach into these markets.

At its simplest, the utility will help you figure out how your Mac deployments are being used and managed now, how to optimize such use, and also gain insight into where in your company a Mac might make a difference and how to approach mass deployment.

A Task Force from the International Society of Pharmacoeconomics and Outcomes Research (ISPOR) provides recommendations on how to systematically identify and appraise health state utility (HSU) weights for cost-effectiveness analyses. We applied these recommendations to conduct a systematic review (SR) to identify HSU weights for different stages of chronic kidney disease (CKD), renal replacement therapy (RRT) and complications.

Since the introduction of health technology assessment (HTA) agencies across the world, the decision to adopt new treatments is becoming more frequently based on the results of cost-effectiveness analyses. The cost-effectiveness of new treatments is influenced by HRQL weights (referred to as health state utility [HSU] weights). HSU weights range between 0 and 1, with 1 representing the valuation of perfect health and 0 representing the valuation of death and are used to estimate quality adjusted life years (QALYs). A systematic review (SR) reported that most cost-effectiveness models in CKD utilised a framework based on disease progression defined by a worsening in GFR stage or albuminuria category [6].

Mean weighted HSU weights for the different CKD health states according to instrument are reported in Fig. 3. There is clear variation in utility values across instruments. However, there is an overall consistent trend with each instrument showing a reduction in HRQL with CKD progression. HRQL is lowest with dialysis. HSU weights reported using SF-6D indicate no difference between haemodialysis and peritoneal dialysis while HSU weights are lower for peritoneal dialysis when using EQ-5D-3L. HRQL increases after renal transplantation.

Mean HSU weights by state presented by instrument. HSU values are weighted averages calculated using subgroup population sizes; Error bars represent standard error. Abbreviations: CKD, chronic kidney disease; HSU, health state utility; HUI2, Health Utilities Index Mark 2; HUI3, Health Utilities Index Mark 3; SF-6D, Short Form questionnaire-6 Dimensions

CREAT provides registered users with access to the most recent national assessment of climate change impacts and helps utility operators consider how events such as sea level rise, shifting precipitation patterns, temperature changes, and extreme weather may impact their operations.

We can help you evaluate your needs for utility assessment, and provide integrated solutions to identify, develop, and disseminate the utility data needed to achieve your product development and market access objectives.

Our integrated team of experts can help guide you with the selection of a utility instrument and design of utility data collection in trials and observational studies to optimize the data for your reimbursement submissions. We keep up-to-date on HTA authorities' guidelines on methods for measurement of health utilities to provide you with expedient advice. You can download a copy of our summary here.

Since 2013, 14 UNEG member agencies have undergone a peer review guided by a framework designed to be adaptable to evaluation functions of different sizes. This study highlights how each Peer Review has contributed to positive changes in the peer reviewed evaluation function; outlines the influence these peer reviews have had on the independence, credibility and utility of these evaluation functions; and, finally, makes recommendations to UNEG on how to enhance the utility of peer reviews.

Screening for monoclonal gammopathy (MG) is often performed in the evaluation of anemia. While certain MGs may be associated with anemia, these are rare conditions. Monoclonal gammopathy of undetermined significance (MGUS; prevalence of 8% among age >50 years) is common, but rarely causes anemia in isolation. Therefore, abnormal results from MG screening may be unrelated to patient symptoms and result in both financial and psychological harm. Limited data exist to guide clinicians regarding the utility of MG testing for anemia.

In the evaluation of anemia, routine MG screening has low clinical utility. Less than 1 in 100 patients were found to have anemia attributable to MG. Furthermore, only 0.4 in 100 patients received MG-directed therapy. Most patients screened with SPEP for undifferentiated anemia were found to have anemia attributable to common causes including iron/nutritional deficiency, inflammatory processes, and CKD. Most patients with undifferentiated anemia would benefit from an anemia evaluation that focuses on the most common causes up front. Given the cost to healthcare and potential psychological harm to the patient of incidental MG diagnosis, further study is warranted to guide clinicians and limit the ordering of MG testing to individuals who are most likely to derive benefit.

Disclosures: No relevant conflicts of interest to declare.

The Joint Committee on Standards for Educational Evaluation (JCSEE) was founded in 1975 as a coalition of major professional associations concerned with the quality of evaluation. AEA is one of those associations, and sends a representative to the Joint Committee. The Joint Committee has developed a set of standards for the evaluation of educational programs as reflected on this page. Although AEA has not formally adopted these standards, it does support the Joint Committee's work.

In order to gain familiarity with the conceptual and practical foundations of these standards and their applications to extended cases, the JCSEE strongly encourages all evaluators and evaluation users to read the complete book, available for purchase from SAGE and referenced as follows:

U1 Evaluator Credibility Evaluations should be conducted by qualified people who establish and maintain credibility in the evaluation context. 

U2 Attention to Stakeholders Evaluations should devote attention to the full range of individuals and groups invested in the program and affected by its evaluation. 

U3 Negotiated Purposes Evaluation purposes should be identified and continually negotiated based on the needs of stakeholders. 

U4 Explicit Values Evaluations should clarify and specify the individual and cultural values underpinning purposes, processes, and judgments. 

U5 Relevant Information Evaluation information should serve the identified and emergent needs of stakeholders. 

U6 Meaningful Processes and Products Evaluations should construct activities, descriptions, and judgments in ways that encourage participants to rediscover, reinterpret, or revise their understandings and behaviors. 

U7 Timely and Appropriate Communicating and Reporting Evaluations should attend to the continuing information needs of their multiple audiences. 

U8 Concern for Consequences and Influence Evaluations should promote responsible and adaptive use while guarding against unintended negative consequences and misuse.

P1 Responsive and Inclusive Orientation Evaluations should be responsive to stakeholders and their communities. 

P2 Formal Agreements Evaluation agreements should be negotiated to make obligations explicit and take into account the needs, expectations, and cultural contexts of clients and other stakeholders. 

P3 Human Rights and Respect Evaluations should be designed and conducted to protect human and legal rights and maintain the dignity of participants and other stakeholders. 

P4 Clarity and Fairness Evaluations should be understandable and fair in addressing stakeholder needs and purposes. 

P5 Transparency and Disclosure Evaluations should provide complete descriptions of findings, limitations, and conclusions to all stakeholders, unless doing so would violate legal and propriety obligations. 

P6 Conflicts of Interests Evaluations should openly and honestly identify and address real or perceived conflicts of interests that may compromise the evaluation. 

P7 Fiscal Responsibility Evaluations should account for all expended resources and comply with sound fiscal procedures and processes. e24fc04721

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