Initiatives

Disease-specific Working Groups

Improving outcomes in diabetes and breast cancer

How do you define the value of a medicine? An acute cancer patient prizes quality of life, while a clinician emphasizes clinical efficacy. Agreement on what constitutes value would focus resources on new medicines that improve outcomes for patients and society.

European Healthcare Innovation Leadership Network members recognized that moving the value discussion from the abstract to the concrete requires a disease-specific focus.

To develop disease-specific value frameworks, Tapestry convened type 2 diabetes and breast cancer Working Groups consisting of leading medical experts, regulators, payers, reimbursement authorities, patients, and industry representatives. These disease areas were chosen for their high impact on patients and high costs.

In 2009, Working Group participants established a shared value framework for evaluating new medicines, thereby increasing transparency and collaboration among all stakeholders throughout the drug development process. This framework sought to provide guidance on what constitutes value in a new medicine and how to demonstrate that value across constituencies.

Recognizing the inherent limitations of a static framework, the Working Groups recommended creating a new cross-stakeholder approach for evaluating medicines early in the drug development process. This led to the multi-stakeholder pilot initiative launched in 2010, which allowed for greater specificity than the original frameworks while preserving the collaborative culture of the Working Groups.

Learn more about the type 2 diabetes Working Group

Learn more about the breast cancer Working Group

Learn more about the multi-stakeholder pilot initiative

Recent Working Group topics:

Improving health outcomes in Type 2 Diabetes: putting a shared value framework into practice

Participants agreed principles for the use of value assessment based on composites of multiple value indicators and measures. The Working Group also recommended launching pilots of early stakeholder consultations.

Improving health outcomes in breast cancer: advancing the shared value framework

The Working Group completed a consensus framework for measuring the value of breast cancer medicines. Additionally, participants took initial steps to design a collaborative pilot process testing the merit of earlier consultations in drug development.

Expanding the impact of shared value frameworks

The Working Group identified opportunities for enhanced collaboration among all of the stakeholders involved in healthcare. Participants also continued their development of a consensus framework of value indicators and measures for diabetes medicines.

The agenda for change: opportunities for improving health outcomes in breast cancer

The Breast Cancer Working Group's re-affirmed the need for more collaboration between stakeholders to support the sustainable development of innovative medicines.

Setting the agenda for change: developing a shared value framework for breast cancer

The Working Group's received input from a range of constituencies that called for improved patient outcomes despite rising healthcare costs and the decreasing incremental benefits of new medicines.

Type 2 Diabetes Working Group – 20 May meeting summary

At the working group’s first meeting, participants agreed on a Shared Value Framework for type 2 diabetes, highlighted the importance of expanded consultation among stakeholders along the drug development process, and identified behaviors that stakeholders should start and stop.

Participant Profile

Jean Francois Bergmann 122

Jean-Franςois Bergmann
European Healthcare Innovation Leadership Network; Disease-specific Working Groups

Professor of Therapeutics, University Paris VII

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