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PCORI Approves Final National Priorities for Research and Research Agenda; Releases Funding Announcements

Posted on 5/23/2012 by NTOCC ® in Public Policy Updates
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Yesterday, May 22, 2012, the Patient-Centered Outcomes Research Institute (PCORI) Board of Governors approved the final version of its National Priorities for Research and Research Agenda, a framework to guide the funding of comparative clinical effectiveness research that seeks to give patients and those who care for them the ability to make better-informed health decisions.

Earlier this year, PCORI released the draft agenda and held a public comment period. NTOCC submitted several recommendations urging the prioritization of care transitions research within the Draft Research Agenda. PCORI then identified 15 major themes drawn from the 474 comments submitted, and added or refined language in the final Agenda to respond to these suggested enhancements.

We are pleased to report that final Research Agenda includes several NTOCC-recommended enhancements. Specifically, NTOCC recommended adding language within the “Improving Health Systems” priority research area that focuses on improving transitions across care settings. As such, in the final Agenda, PCORI included language to emphasize research that compares the effectiveness of models, including team-based care approaches, across healthcare services or settings. In addition, within the “Communication and Dissemination” priority research area, NTOCC highlighted that health literacy and cultural differences between health care providers, patients, and family caregivers can further impede communication. In the final Research Agenda, PCORI added language in this priority area to emphasize the importance of the patient or family care giver's health literacy in communicating with providers.

Below is the specific language PCORI incorporated in the final Research Agenda, which is of particular note to NTOCC members based on recently submitted comments:

Priority: Improving Health Systems
PCORI is interested in the following topics:

  • Research that compares alternative approaches to models of care delivery or coordination of care across healthcare services or settings, including for patients with complex, chronic, and/or multiple conditions.
  • Research that compares alternative system-level approaches to supporting and improving patient access to care, receipt of appropriate care, personalized decision making and self-care. Research that compares alternative approaches to models of care delivery or coordination of care across healthcare services or settings, including for patients with complex, chronic, and/or multiple conditions.
  • Research that compares the effectiveness on patient outcomes of a wide range of system-level strategies to incorporate alternative, new, and or extended roles for health care providers or other allied health professionals (e.g., pharmacists, nurses, physician assistants, dentists, integrative healthcare providers, complementary and alternative medicine providers, patient navigators, volunteers, etc.) into the healthcare team. Research that compares the effectiveness on patient outcomes of alternative strategies to composition of health care teams through alternative workforce deployment models including care collaboration and team based care approaches.

Priority: Communication and Dissemination Research
PCORI is interested in the following topics:

  • Research that compares alternative communication, dissemination, health literacy, and implementation strategies that aim to improve shared decision-making by increasing clinician and/or patient awareness of healthcare options and use of comparative effectiveness research results at the point of decision-making. There is an interest in ensuring that research takes into account the health literacy of individual patients.

Attached below is the final Research Agenda. Please click here to view a list of the 15 themes from public comment and PCORI's changes to the final Research Agenda.

PCORI Funding Announcements

In addition, following the release of the Research Agenda yesterday, PCORI announced that it is seeking applications to fund $120 million in comparative clinical effectiveness research this year. Applications will be evaluated for alignment with eight PCORI review criteria, including the impact or burden on the condition or conditions being studied, inclusiveness of different populations and use of rigorous study design and analytic methods. For more information, please click here.