Eugene Washington PCORI Engagement Awards Update Anne C. Beal, MD, MPH, Deputy Executive Director and Chief Officer for Engagement PCORI Board of Governors Meeting Washington, DC September 23, 2013
In honor of PCORI’s First Chairman - Eugene Washington PCORI Engagement Awards
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“Today the Engagement imperative is evident in all of
PCORI’s work because Dr. Washington’s vision and leadership were so keen in
bringing patients and stakeholders of the entire healthcare community into
the work that we do.”
Joe V. Selby, MD, MPH Executive Director
Questions for the Board
! What would success look like for the engagement awards in: § Knowledge § Training and development § Dissemination
! What recommendations or ideas does the board have for potential awards in each of the categories?
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From Strategy to Activities
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PCORI Strategic Plan
Goals Engage patients, caregivers, and all other stakeholders in our entire research process from topic generation to dissemination and implementation of results
Strategic Imperatives
Develop and promote
methodological knowledge, standards, and best practices
Fund a comprehensive agenda of high quality Patient-Centered
Outcomes Research and evaluate its impact
Disseminate Patient-Centered Outcomes Research to all stakeholders and support its uptake and implementation
Promote and facilitate the development of a sustainable
infrastructure for conducting patient-centered outcomes research
Mission
Vision
PCORI helps people make
informed health care decisions, and improves health care delivery and outcomes by
producing and promoting high
integrity, evidence-based information that
comes from research guided
by patients, caregivers and
the broader health care community.
Patients and the public
have information they can use
to make decisions that
reflect their desired health
outcomes.
Develop PCOR community
Engage community in research
Promote dissemination for implementation
Engagement Strategic Priorities
Change
of
Theory
What Are We Trying to Achieve
Facilitators
Activities
Increase information
Speed implementation
Influence research
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Engagement Awards
Develop PCOR community
Knowledge Awards
Background papers
Efforts to share information on PCORI and PCOR
Gaining knowledge of the
current state of CER
Engage the Community in
Research
Training and Development Awards
Develop a skilled “PCOR-ready” community
Data challenge
Researcher outreach
Identification of best practices
for engagement
Promote dissemination
for implementation
Dissemination Awards
Surveys and evaluation of current implementation practice
Dissemination collaborations
Any project to promote impact
of PCORI’s findings
What are we trying to achieve?
Facilitators
Activities
Enhancing the impact of PCORI’s research
Purpose of Engagement Awards
! Projects designed to provide “wrap-around” support and enhance impact of our major research awards
! NOT meant to be research, but meant to: § Support knowledge of PCORI’s work, and inform about our program efforts § Training and development of “non-usual suspects” and others § Disseminate the results of our research to promote implementation into practice
! Smaller awards, up to $250,000 total, and less than two years in length
! Other objectives: § Engage new groups who have not previously been involved with PCORI § Develop new mechanisms for disseminating research findings § Promote research done differently by supporting the engagement and partnering
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Selection, Monitoring, and Evaluation
! Selection and Contracting § Coordinated effort through the Finance department to ensure compliance § Service agreements are contracts used to outline the scope of work § Knowledge, dissemination, and most training and development projects are
determined by the staff based on organizational needs with appropriate board committee consultation
§ Internal oversight may be added to each project, e.g. pipeline to proposal projects are selected by a panel of internal and external reviewers
! Monitoring § Milestones are created and built into the contracts. Awardees provide status reports to
the Finance department and the designated project manager
! Evaluation § All projects have their own goals and measurements of success
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Example Engagement Awards
Knowledge Awards Example: National Academy for State Health Policy ! Awardee: National Academy for State Health Policy
§ A non-profit and non-partisan organization, NASHP provides a forum for constructive work across branches and agencies of state government on critical health issues
! Project title: PCOR/CER Roadmap for State Policymakers
! Goal: promote use of PCORI’s findings by public payers § Engage leaders of key state policymaker constituencies (e.g. state legislators,
Medicaid directors, state employee health benefits administrators) in discussions of PCOR/CER
§ Provide state policymakers a guide to understanding and use of PCOR/CER § Uncover gaps in knowledge and PCOR/CER needs from state policymakers
! Status: in progress
§ Start date: August 15, 2013 § End date: May 14, 2014 (with three month PCORI option to extend)
! Award amount: $291,272
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Knowledge Awards Example: National Academy for State Health Policy ! Detailed Scope of Work:
§ Conduct surveys and/or focus groups of representatives from key state health policymaker constituencies, including, but not limited to, state legislators, insurance commissioners, Medicaid/CHIP medical directors, worker’s compensation directors, state employee and retiree health benefits administrators
• Surveys and/or focus groups will examine, state policymakers’ – Understanding and knowledge of CER and PCOR – Views on the utility of CER and PCOR in their work – Views on current and potential future CER/PCOR needs
§ Develop report for PCORI’s internal use and possible publication
§ Landscape review of current use of CER or PCOR by units of state
governments
§ Develop “roadmap” to guide state policymakers in use of CER/PCOR
§ Host a meeting to highlight and discuss the project’s findings
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Training and Development Awards Example: PhRMA Foundation
! Awardee: PhRMA Foundation ! Project title: PhRMA Foundation Comparative Effectiveness Research
(CER) Education Conference ! Goal: influence development of PCOR training in several academic
medical settings identified as leaders in the conduct of PCOR ! Status: in development
§ Start date: Q4 2013 § End date: Q2 2014
! Award amount: TBD (<$50,000)
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Dissemination Awards Example: Primary Care Physicians Survey ! Awardee(s): American Academy of Family Physicians, American
College of Physicians, American Academy of Pediatrics, and American Osteopathic Association are working together to create a survey of their members
! Possible title: Primary Care Physician Use and Understanding of PCOR/CER
! Outcome: collaborate with primary care medical societies to develop understanding of their use and opinions related to CER/PCOR to inform future outreach efforts to the primary care physician community
! Status: in development § Start date: Q4 2013 § End date: Q2 2014
! Award amount: TBD (~$250,000)
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Dissemination Awards Example: Primary Care Physicians Survey
! Possible scope of work § Expand on the results of the recent PCORI In-Crowd survey
• Survey may examine primary care physicians’ – Understanding and knowledge of comparative effectiveness
research (CER) and patient-centered outcomes research (PCOR) – Views on the utility of CER and PCOR in their work – Views on current and potential future CER/PCOR needs
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Detailed Training and Development Award: Pipeline to Proposals
Researchers who unsuccessfully submitted a PFA and need to
improve proposal
Example of Training and Development Awards Pipeline to Proposals
Tier 1 Up to $15,000 Up to 9 month
term
Tier 2 Up to $25,000
Up to 12 month term
Tier 3 Up to $50,000
Up to 12 month term
PCORI Funding
Announcement
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Or submissions to other PCOR/CER Funders
Tier I Pipeline Awards (Up to $15,000 for up to 9 months)
Available to individuals, consumer/patient organizations, clinician(s), researcher(s) or a combination of the above to support:
§ Community building around an area of research interest to improve outcomes for patients
§ Creation of structure and communication strategies
§ Develop an understanding of PCORI, and “research done differently”
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Tier II Pipeline Awards (Up to $25,000 for up to 1 year)
Available to emerging research/non-research partnerships to support:
§ Data network and registry development
§ Development of infrastructure
§ Generation and refinement of research question through community events, town hall meetings, etc.
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Tier III Pipeline Awards (Up to $50,000 for up to one year)
Available to advanced research/non-research partnerships, including those who submitted PCORI proposals and were not funded, to support:
§ PCORI research proposal (re)submission focusing on development of engagement plan
§ Research partnership skill development
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Tier I Awards: Role of Intermediate Funder
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PCORI
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Tier I Awards: Intermediate Funder Pilot
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Timeline
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Pipeline to Proposal ! Pilot Program
§ Pilot intermediate funder awarded § Tier I pipeline award RFP opens October 15 § Tier I pipeline award RFP closes November 15 § Tier I pipeline awardees announced December 16
! Additional intermediate funder RFQ announced before 2014 ! Tier II pipeline award RFP announced before 2014 ! Tier III pipeline award RFP announced early 2014
Other engagement awards in knowledge, training and development and dissemination ! Pilot engagement awards are in various stages of progress ! Online application portal targeted to open by the end of 2013 for FY14
Proposed Budget for Engagement Awards
Budget
! Proposed $15M budget request for board approval in November
! Most of the projects will focus on training and development in 2014.
! Pilots are currently being developed in FY13 within each category: § Knowledge § Training and development § Dissemination
FY 2014
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Knowledge $5 million
Training & Development
$8 million
Dissemination $2 million
Questions for the Board
! What would success look like for the engagement awards in: § Knowledge § Training and development § Dissemination
! What recommendations or ideas does the board have for potential awards in each of the categories?
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Discussion