The following forms, templates and guidelines are to be used by Assessment Groups when developing the PICO confirmation, Assessment Reports and Critiques of Assessment Reports in the MSAC process.
PICO confirmation template and guidelinesThe PICO confirmation (formally Protocol) template is available below. The template includes guidelines for the development of a PICO confirmation.
PICO Confirmation Template (PDF 187 KB)
PICO Confirmation Template (Word 514 KB)
All PICO confirmations will be prepared by an Assessment Group with close collaboration and input from the Applicant. The PICO confirmation will be considered by the PICO Advisory Sub-Committee of MSAC.
Assessment Report Guidelines (Investigative and Therapeutic)The Guidelines for preparing Assessment Reports for MSAC (Investigative and Therapeutic Guidelines) and associated Assessment Report templates are intended to provide practical information on how to present evidence to MSAC when seeking Australian Government funding of a medical service. Although the Guidelines have been written for Applicants and Health Technology Assessment Groups from the medical profession and industry, they are also intended to provide information to other interested stakeholders, including clinical and patient groups, and the general community.
It should be noted that the text within the Assessment Report templates have been written in red hidden text which provides instructions or suggestions for completing the different sections of the template. It is envisaged that this will assist the members of the Evaluation Sub-Committee and MSAC by providing information in a standard format.
Further, at the time of publication of these Guidelines, some of the overlap questions within Appendix 7 of the Investigative Guidelines have been subject to review as part of the revision process to update the Technical Guidelines for preparing assessment reports for the Pharmaceutical Benefits Advisory Committee (PBAC). This Appendix in the MSAC Investigative Guidelines will be updated accordingly once the corresponding Appendix in the PBAC Guidelines in relation to co-dependent technologies have been finalised.
Investigative Guidelines for preparing Assessment Reports (PDF 2555 KB)
Investigative Guidelines for preparing Assessment Reports (Word 2392 KB)
Therapeutic Guidelines for preparing Assessment Reports (PDF 2032 KB)
Therapeutic Guidelines for preparing Assessment Reports (Word 1114 KB)
Assessment Report TemplatesBelow are the Assessment Report templates to be used by applicants and assessment groups for both submission based and contracted assessments. Guidelines for this template are above.
SBA or Contracted Assessment Report Template - Investigative (PDF 591 KB)
SBA or Contracted Assessment Report Template - Investigative (Word 696 KB)
SBA or Contracted Assessment Report Template - Therapeutic (PDF 491 KB)
SBA or Contracted Assessment Report Template - Therapeutic (Word 578 KB)
Critique TemplatesBelow is the critique template to be used by assessment groups when critiquing assessment reports (both submission based and contracted). Guidelines for this template are within the document.
Assessment Report Critique Template - Investigative (PDF 519 KB)
Assessment Report Critique Template - Investigative (Word 235 KB)
Assessment Report Critique Template - Therapeutic (PDF 417 KB)
Assessment Report Critique Template - Therapeutic (Word 195 KB)
Other TemplatesBelow is the clinical utility card proforma to be used by applicants and assessment groups for applications related to genetic testing for heritable mutations. See Application 1411.1 for an example.
CUC Proforma (PDF 181 KB)
CUC Proforma (Word 102 KB)
CUC Glossary (PDF 113 KB)
CUC Glossary (Word 80 KB)