Dissemination and Implementation Roundtable

Welcome to PCORI
Please be seated by 8:50 AM.
The webinar will go live at 9 AM.

#PCORI
Welcome
Hello and welcome to PCORI’s roundtable
The goal for today is to obtain input to help PCORI develop
a project for development of the PCORI Action Plan for
Dissemination and Implementation
Thank you for joining us
2PCORI's Blueprint for a Dissemination and Implementation Action Plan

#PCORI
Information for Roundtable Participants
We have numerous webinar participants who are joining us
online and telephone, so please state your name and title
before speaking
Restrooms are located outside near the elevators. You will
need to stop by the front desk for a key fob to use the
restroom and to get back into PCORI
Please use your name tents to let the moderator know that
you are interested in speaking by standing them up when
you would like to speak

Dissemination and
Implementation Roundtable
July 29, 2013

#PCORI
Moderator
Ayodola Anise, MHS
Senior Program Associate
Addressing Disparities
Ayodola Anise, MHS, supports the Health Disparities research
priority area and the Methodology Committee. She joins PCORI
from the Engelberg Center for Health Care Reform at
Brookings, where she managed activities related to the Quality
and Equity/Disparities Initiatives. Her work there focused on
informing regional, state, and national practices on
performance measurement, specifically addressing data
collection, data integration/aggregation, patient-centered
measurement, and vulnerable populations.
PCORI's Blueprint for a Dissemination and Implementation Action Plan 5

#PCORI
Information for Webinar Participants
Webinar participants may answer the discussion
questions online at:
http://pcori.org/events/dissemination-and-
implementation-roundtable/
Email: implementation@pcori.org
Twitter: #pcori
The webinar “chat” feature
Public Comment Period is 4:15 – 4:45 PM (ET)
The prompts for public comment will be made
available through July 31, 2013 at 5 PM (ET)

#PCORI
7
Overview
Establishing PCORI’s Blueprint for a Dissemination and Implementation
Action Plan
1
2
3
4
5
6
Welcome and Introductions
Overview of Dissemination and Implementation
Overview of AHRQ’s Dissemination and Implementation Efforts
Roundtable Discussion - Part 1: Questions 1, 2, and 3
Roundtable Discussion - Part 2: Questions 4, 5, and 6
Public Comment Period
7
Next Steps and Adjourn
Break
Break
PCORI's Blueprint for a Dissemination and Implementation Action Plan

#PCORI
Welcome: 9:00 am – 9:30 am
Anne C. Beal, MD, MPH
Deputy Executive Director
Chief Officer for Engagement
A pediatrician and public health specialist, Anne C. Beal, MD,
MPH, has devoted her career to providing access to high-
quality health care. As PCORI’s first Chief Officer for
Engagement, she will work to ensure the voices of patients and
other stakeholders are reflected in our growing research
portfolio. In her previous role as Chief Operating Officer, she
worked to ensure PCORI develops the structure and capacity
needed to carry out its mission as the nation’s largest research
institute focused on patient-centered outcomes research. She
joined PCORI from the Aetna Foundation, the independent
charitable and philanthropic arm of Aetna Inc. She holds a BA
from Brown University, an MD from Cornell University Medical
College, and an MPH from Columbia University.

#PCORI
About Us
An independent non-profit research organization
authorized by Congress as part of the 2010 Patient
Protection and Affordable Care Act (PPACA)
Committed to continuously seeking input from
patients and a broad range of stakeholders to
guide our work

#PCORI
Our Mission and Vision
Mission
The Patient-Centered Outcomes Research Institute (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.
Vision
Patients and the public have the information they need to
make decisions that reflect their desired health outcomes.

#PCORI
Our Core Duties
Establish national research priorities
Establish and carry out a research agenda
Develop and update methodological standards
Disseminate research findings

#PCORI
Our Board of Governors Represents
the Entire Healthcare Community
PCORI Board of Governors, March 2012 in Baltimore, MD
This is really low resolution.
Do we have better quality?

#PCORI
13
PCORI’s Vision for

#PCORI
The Case for Addressing the
Implementation Gap
Research + Practice
Optimal Healthcare Delivery
PCORI’s Blueprint for
Dissemination and
Implementation Targets the
Gap
Current
Knowledge and Practice
New Investments in Knowledge
Implementation Gap to Improve
Practice

#PCORI
Clinicians frequently use general Internet searches and
colleagues to obtain information to diagnose and treat patients
How often do you use the following sources to obtain information to
diagnose, treat and care for patients?
15
40%
38%
34%
20%
18%
4%
31%
28%
28%
40%
35%
13%
0% 20% 40% 60% 80% 100%
General internet search engines
Online subscription services
Colleagues
Online free services
Peer reviewed literature
Cochrane Database or other systematic
reviews
Daily A few times per week

#PCORI
6%
27%
34%
32%
2%
11%
26%
60%
0% 20% 40% 60% 80% 100%
Other source
Family or friends
Doctor or health
care provider
Internet
Chronic Disease Patients Rare Disease Patients
Patients use the Internet as first source of health information
The most recent time you looked for information about health or medical topics, where
did you go first?
*p <0.05

#PCORI
Patients use a variety of Internet sources
In the past 12 months, which of the following internet sources have you
used to get information about health or medical topics?
17
42%
54%
47%
45%
37%
36%
34%
37%
0% 20% 40% 60% 80% 100%
Website for disease focused
group
Website for government health
agency
Website for health plan
Patient online community
*p <0.05
*
*
*

#PCORI
Patients’ trust in Internet is low compared to other
sources
How much do you trust information about health or medical topics from
each of the following?
18
23%
21%
20%
23%
24%
41%
69%
12%
13%
13%
15%
20%
40%
76%
0% 20% 40% 60% 80% 100%
Online patient communities
Family or friends
Internet
Your health plan
Government health agencies
Disease focused groups
Doctor
% “A lot” of trust
*p <0.05
*
*
*
*

#PCORI
Establishing a PCORI Blueprint for the
Dissemination and Implementation Action
Plan
PCORI’s Blueprint for
Dissemination and Implementation is being established:
 To guide the organization in disseminating the research findings
of funded research conducted in the national program areas
 To speed implementation by actively facilitating how PCORI’s
research findings can be used by healthcare decision makers
 To evaluate how the effect of the dissemination of such findings
reduces practice variation and disparities in health care
DISSEMINATION IMPLEMENTATION+

#PCORI
Potential Mechanisms for Dissemination
and Implementation
20
DISSEMINATION IMPLEMENTATION+
Engage major patient organizations
Establish partnerships with specialty organizations;
Build working relationships with health plans;
Develop partnerships with health systems;
Connect with the National Patient-Centered Clinical Research
Network;
Publish findings in key journals; and
Explore use of web services, social media, apps, etc.

#PCORI
AHRQ and PCORI’s Role in Dissemination
and Implementation
21
Authorizing Legislation
AHRQ shall disseminate the research findings that are published by PCORI
Sec. 937(a)(1)
Create informational tools that organize and disseminate research findings for
physicians, health care providers, patients, payers, and policy makers Sec.
937(a)(1)
Develop a publicly available resource database that collects and contains
government-funded evidence and research Sec. 937(a)(1)
The purpose of the Institute is to assist patients, clinicians, purchasers, and
policy-makers in making informed health decisions by advancing the quality
and relevance of evidence…and the dissemination of research findings
with respect to the relative health outcomes, clinical effectiveness, and
appropriateness of the medical treatments, services, and items described in
subsection (a)(2)(B).
Success for PCORI and AHRQ = Impact on practice and patient outcomes
Agency for
Healthcare
Research
and Quality
(AHRQ)
Patient-
Centered
Outcomes
Research
Institute
(PCORI)

#PCORI
PCORTF Distribution
Agency for
Healthcare Research
and Quality
Patient-Centered
Outcomes Research
Institute
Office of Secretary,
Health and Human
Services
4%
Patient Centered
Outcomes
Research Trust
Fund
(PCORTF)
Patient Centered
Outcomes
Research Trust
Fund
(PCORTF)
16%
80%

#PCORI
3 Goals: PCORI’s Blueprint for a
Dissemination and Implementation Action
Plan
1. Gather opinions from experts on what PCORI’s
blueprint should encompass
2. Identify gaps where there is a need to develop new
knowledge on best practices for dissemination &
implementation
3. Grow consensus behind an approach to our work in
dissemination and implementation

#PCORI
Items PCORI Will Explore at a Later Date
Peer-review
Public comment
Aspects of scholarly publishing
The requirement that we make our research results
available to clinicians, patients and the general
public within 90 days “after the conduct or receipt
of research findings”

#PCORI
Developing the PCORI Dissemination and
Implementation Action Plan
25
Process for Developing PCORI’s Blueprint for
Dissemination and Implementation Action Plan
Incorporate learning from workshop
and develop PCORI Action Plan for
Host D & I Roundtable
Convene experts at D & I
Roundtable to receive input which
will inform RFP
Conduct Phone Calls
Collect preliminary information
from roundtable participants
Release RFP or RFPs
Award RFP or RFPsHost D & I WorkshopFINAL: PCORI D & I Action Plan
JULY 2013
Using input from the roundtable, develop
and release an RFP or a series of RFPs
Award RFP or RFPs to finalists for
development of background
materials
Convene D & I Workshop to hear
results of project(s)
RFP
AUGUST 2013
OCTOBER 2013FEBRUARY 2014FEBRUARY 2014

#PCORI
Conflict of Interest
Roundtable participants will not be barred from
participating in funding opportunities or service
agreements.
The roundtable is open to the public for others to
listen in on the deliberations via call-in
teleconference.

#PCORI
27
Question and Answer

#PCORI
Moderator
Ayodola Anise, MHS
Senior Program Associate
Addressing Disparities
Ayodola Anise, MHS, supports the Health Disparities research
priority area and the Methodology Committee. She joins PCORI
from the Engelberg Center for Health Care Reform at
Brookings, where she managed activities related to the Quality
and Equity/Disparities Initiatives. Her work there focused on
informing regional, state, and national practices on
performance measurement, specifically addressing data
collection, data integration/aggregation, patient-centered
measurement, and vulnerable populations.

#PCORI
Participants
Gail Hunt
National Alliance for Caregiving
Gail Hunt is President and CEO of the National Alliance for
Caregiving, located in Bethesda. The Alliance is a diverse
coalition of national organizations that seeks to advocate for
and serve as a research and training resource for family
caregivers of patients/consumers across the lifespan. She was
a member of the Policy Committee of the 2005 White House
Conference on Aging. She has been active in many national
and international conferences on family caregiving and also
helped to develop an international coalition of caregiving
groups. She received her BA from Columbia University.

#PCORI
Participants
Sharon Levine, MD
The Permanente Medical Group of Northern
California
Sharon Levine, MD, has been Associate Executive Medical
Director for The Permanente Medical Group of Northern
California since 1991. She is responsible for the recruitment,
compensation, clinical education, management training, and
leadership development for the group’s physicians;
government and community relations; health policy and
external affairs; and pharmacy policy and drug use
management. A board-certified pediatrician, she has practiced
with The Permanente Medical Group since 1977. A native of
Boston, she received her undergraduate degree from Radcliffe
College at Harvard University and her medical degree from
Tufts University School of Medicine.

#PCORI
We Want to Hear From You
Current
Practice
Today’s webinar participants can provide input via:
Twitter: #pcori
Answer the discussion questions online:
implementation-roundtable

#PCORI
Participants
Craig Acomb, MS
Institute for Clinical Systems Improvement/Health
Partners
Craig Acomb, MS, serves as Chief Operating Officer and Chief
Science Officer for the Institute for Clinical Systems
Improvement (ICSI). Previously, he was the Assistant
Commissioner and COO for the Minnesota Department of
Health (MDH), where he oversaw the operations and
administration of a broad portfolio of public health programs
and the agency’s 1,500 employees. His duties included
organizational leadership, business direction and financial
oversight, policy development, strategic and operational
planning, workforce development, corporate communications,
and government relations. From 2007 to 2009, he served as
MDH’s Chief Financial Officer.

#PCORI
Participants
Hilda Bastian
National Center for Biotechnology Information
Hilda Bastian works at the National Center for Biotechnology
Information (NCBI) at the National Institutes of Health in
Bethesda. She is responsible for improving accessibility and
usability of National Library of Medicine (NLM) resources
based on systematic reviews, particularly the development of
PubMed Health, a new NLM website. Before moving to the
United States, she was the head of the Health Information
Department at the German Institute for Quality and Efficiency
in Health Care in Cologne, producing a bilingual evidence-
based website for patients and consumers. Prior to that, she
had been a health consumer advocate in Australia and
internationally for over 20 years. She was the chairperson for
several years of the Consumers Health Forum of Australia.

#PCORI
Participants
Kathleen Blake, MD, MPH
American Medical Association
Kathleen Blake, MD, MPH, is Vice President of the Physician
Consortium for Performance Improvement® (PCPI®) convened
by the American Medical Association. She ensures the
successful execution of all components of the PCPI strategic
direction, the integrity of its measure portfolio, and the
expeditious development of the recently established PCPI
Foundation. She is a clinical cardiac electrophysiologist who
earned her medical degree from the University of Chicago,
followed by internship, residency, and fellowship training in
internal medicine and cardiovascular diseases at Stanford
University. In 2011, she earned an MPH from Johns Hopkins
Bloomberg School of Public Health.

#PCORI
Participants
Barbara Edson, RN, MBA, MHA
American Hospital Association
Barbara Edson, RN, MBA, MHA is Vice President of Clinical
Quality at HRET and assisted with leadership for the AHRQ-
funded On the CUSP: Stop BSI national project, including
developing and leading national neonatal project to prevent
CLABSI. Currently, she is the Project Director for the AHRQ-
funded On the CUSP: Stop CAUTI national project,
TeamSTEPPS National Training Center Contract, the
TeamSTEPPS Medical Office Contract and the AHA/NPSF
Comprehensive Patient Safety Leadership Fellowship. She is a
Master TeamSTEPPS trainer and has been a state Baldrige
examiner. She has a BSN from Marquette University, an
MBA/MHA from Pfeiffer University, and has completed Patient
Safety Officer training at IHI and obtained Just Culture
Certification from Outcome Engenuity.

#PCORI
Participants
Kevin Fahey, MS
America’s Health Insurance Plans
Kevin Fahey is Executive Director in the Clinical Affairs
Department of America’s Health Insurance Plans (AHIP). With
AHIP, he has played a leadership role in several projects
involving research data networks, including the Vaccine Safety
Datalink, the Post-Licensure Rapid Immunization Safety
Monitoring project for the H1N1 vaccine, and a number of other
public health and safety initiatives. He also serves as the AHIP
lead for the FDA Mini-Sentinel and was involved in the
development of the initiative. He has worked in health and
public policy research for over 25 years and holds a master’s
degree in science and technology policy from George
Washington University and a bachelor’s degree in government
and sociology from Colby College.

#PCORI
Participants
Tejal Gandhi, MD, MPH
National Patient Safety Foundation
Tejal Gandhi, MD, MPH, is President of the National Patient
Safety Foundation. In this role, she is advocating patient safety at
the national level, driving educational and certification efforts, and
helping create and spread innovative new safety ideas. She was
formerly the Executive Director of Quality and Safety at Brigham
and Women’s Hospital, and Chief Quality and Safety Officer at
Partners Healthcare. In these roles, she has led the efforts to
standardize and implement patient safety best practices across
hospital and health systems. She won the 2009 John M.
Eisenberg award. She is a board-certified internist and Associate
Professor of Medicine at Harvard Medical School. She received
her MD and MPH from Harvard Medical School and the Harvard
School of Public Health.

#PCORI
Participants
Don Goldmann, MD
Institute for Healthcare Improvement
Don Goldmann, MD, is the Chief Medical and Scientific Officer
for the Institute for Healthcare Improvement (IHI). He works both
internally and externally to deepen IHI’s profile, credibility, and
influence in health care and health promotion. He also serves as
senior lead for the IHI Fellowship Program, and he continues to
train and mentor emerging investigators at Harvard Medical
School, Boston Children’s Hospital, and the Harvard School of
Public Health. He is also Clinical Professor of Pediatrics at
Harvard Medical School, as well as Professor of Immunology
and Infectious Diseases and Epidemiology at the Harvard School
of Public Health.

#PCORI
Participants
Jennifer Graff, PharmD
National Pharmaceutical Council
Jennifer Graff, PharmD, is the National Pharmaceutical Council’s
(NPC) director of comparative effectiveness research. Dr. Graff
works to advance NPC's comparative effectiveness research
(CER) and evidence-based medicine policy research initiatives
assessing the methods, interpretation and application of CER.
Prior to MedImmune, she held several positions at the Pfizer
Pharmaceuticals Group, most recently as the associate director
for worldwide outcomes research. Jennifer holds a Doctorate of
Pharmacy from the University of Nebraska Medical Center, and
completed a Health Outcomes and Pharmacoeconomics
fellowship at the University of Michigan.

#PCORI
Participants
Matthew Holland
WebMD
Matthew Holland leads WebMD and Medscape’s focused
efforts in online education and media serving the US
government and the world’s leading pharmaceutical and
medical device companies. He oversees the creation of
marketing and support materials and directs WebMD and
Medscape’s government relations activities with US federal
agencies, the administration, and members of Congress.

#PCORI
Participants
Bob Jesse, MD, PhD
US Department of Veterans Affairs
Bob Jesse, MD, PhD, was appointed Principal Deputy Under
Secretary for Health in the Department of Veterans Affairs (VA)
on July 4, 2010. In this position, he leads clinical policies and
programs for the Veterans Health Administration (VHA). He
received his bachelor of science degree in biochemistry from
the University of New Hampshire. Later he earned his PhD in
biophysics at the Medical College of Virginia, followed by his
MD.

#PCORI
Participants
Norm Kahn, MD
Council of Medical Specialty Societies
Norm Kahn, MD, serves as Executive Vice President and Chief
Executive Officer of the Council of Medical Specialty Societies
(CMSS). He represents CMSS to the Physicians Consortium
for Performance Improvement (PCPI), the National Quality
Forum (NQF), the National Priorities Partnership (NPP), the
Ambulatory Quality Alliance (AQA), and the National
Committee for Quality Assurance (NCQA). He earned his
medical degree from Kansas University Medical Center in
Kansas City and a bachelor of arts in English literature from the
University of Pennsylvania.

#PCORI
Participants
Christine Laine, MD, MPH, FACP
American College of Physicians
International Committee of Medical Journal Editors
Christine Laine, MD, MPH, FACP, is Editor-in-Chief of Annals of
Internal Medicine and Senior Vice President of the American
College of Physicians. She is board-certified in internal
medicine and sees patients and teaches at Jefferson Medical
College in Philadelphia. She received her medical degree from
SUNY Stony Brook and completed residency at The New York
Hospital (Cornell University) and fellowship in general internal
medicine and clinical epidemiology at Beth Israel Hospital
(Harvard University). Her master of public health degree is from
Harvard University. She holds leadership positions in the
International Committee of Medical Journal Editors, the Council
of Science Editors, and the ethics committee of the World
Association of Medical Editors.

#PCORI
Participants
Sarah Lock, JD
AARP
Sarah Lock, JD is AARP’s Senior Vice President for Policy. She
helps develop AARP’s public policy positions addressing the
major issues facing older Americans. Sarah is a member of the
American Society on Aging and the National Academy of Social
Insurance. She also formerly served as a Commissioner for the
American Bar Association’s Commission on Law and Aging.
She graduated from the University of Maryland School of Law.

#PCORI
Participants
Renee Mentnech, MS, BSN
Centers for Medicare and Medicaid Services
Renee Mentnech, MS, BSN, has been with the Centers for
Medicare & Medicaid Services (CMS) since 1988 and has
served the agency in a variety of positions, including as a
Social Science Research Analyst, Special Assistant to the
Office Director, and as a manager for the last 14 years. She is
a nurse by training and has a graduate degree in health policy
from the University of Maryland. Currently, she is the Director
of the Research and Rapid Cycle Evaluations Group, Center
for Medicare and Medicaid Innovation. She provides leadership
and executive direction within CMS for a range of healthcare
financing research activities.
No Photo
Available

#PCORI
Participants
Brian Mittman, PhD
US Department of Veteran Affairs
Brian Mittman, PhD, is Senior Advisor to the VA Center for
Implementation Practice and Research Support and a senior
research scientist at the Kaiser Permanente Southern
California Department of Research and Evaluation. He is a
member of the PCORI Methodology Committee and the
Association of American Medical Colleges Advisory Panel on
Research. He received a PhD in organizational behavior from
the Stanford University Graduate School of Business.

#PCORI
Participants
Doris Peter, PhD
Consumer Reports
Doris Peter, PhD, is the Associate Director of the Consumer
Reports Health Ratings Center, where she leads
multidisciplinary teams that develop ratings and consumer-
friendly translations and presentations of data to help
consumers understand comparisons of the quality of
healthcare products (e.g., drugs) and services (e.g., hospitals,
insurance plans). She is the principal investigator of a grant
from the Consumer and Prescriber Education Grant Project
(Consumer Reports Health Best Buy Drugs) that involves
translating and disseminating comparative effectiveness
research into actionable advice for consumers. Prior to joining
Consumer Reports, she was an editor and publisher at The
Medical Letter and then North American editor for an
international evidence-based medicine journal.

#PCORI
Participants
Michelle Proser, MPP
National Association of Community Health Centers
Michelle Proser, MPP, PhD Candidate, is the Director of
Research at the National Association of Community Health
Centers, where she has 10 years of experience collecting data,
conducting research and analysis, and applying information to
empower communities in their efforts to improve population
health. She has authored and co-authored numerous
publications on health centers, disparities, primary care,
community health, and medical underservice. Her work also
includes building health center capacity for community-directed
translational research. She has presented at AcademyHealth,
the National Conference of State Legislatures, the American
Public Health Association, the National Institutes of Health, and
other meetings.

#PCORI
Participants
Pamela Rich, MPH
National Business Group on Health
Pamela Rich, MPH, joined the National Business Group on
Health in 2007. She is a program analyst in the Institute on
Health Care Costs and Solutions. In her role, she manages the
National Committee on Evidence-Based Benefit Design and
translates research into employer-based strategies. She also
works on projects related to employee communications and
engagement and maternal and child health. Prior to her current
role, she managed the Business Group’s Pharmaceutical
Council and completed work on specialty pharmaceuticals and
medication adherence. Additionally, she has worked on projects
on cancer care, racial and ethnic health disparities, tobacco
cessation, and behavioral health. She received a bachelor of
arts degree in international affairs and a master of public health
degree from The George Washington University.

#PCORI
Participants
Kate Ryan, MPA
Consumers United for Evidence-based Healthcare
National Women’s Health Network
Kate Ryan, MPA, is Senior Program Coordinator at the National
Women’s Health Network. In this role, she develops and
implements a program of legislative and regulatory advocacy to
reduce women’s exposure to unnecessary drug and medical
treatment risks. As a member of the steering committee of
Consumers United for Evidence-based Healthcare, she works to
improve the quality of women’s health care through the use of
evidence-based medicine. Previously, she worked in the Capitol
Hill office of US Representative Joe Sestak on healthcare
reform and women’s issues. She received her MPA from the
NYU Wagner Graduate School of Public Service.

#PCORI
Participants
Bruce Seeman
Agency for Healthcare Research & Quality

#PCORI
Participants
Joe Selby, MD, MPH
Patient-Centered Outcomes Research Institute
A family physician, clinical epidemiologist, and health services
researcher, Joe Selby has more than 35 years of experience in
patient care, research, and administration. He is responsible for
identifying strategic issues and opportunities for PCORI and
implementing and administering programs authorized by the
PCORI Board of Governors. He joined PCORI from Kaiser
Permanente, Northern California, where he was Director of the
Division of Research for 13 years and oversaw a department of
more than 50 investigators and 500 research staff members
working on more than 250 ongoing studies. He was with Kaiser
Permanente for 27 years. An accomplished researcher, Joe has
authored more than 200 peer-reviewed articles and continues to
conduct research, primarily in the areas of diabetes outcomes
and quality improvement.

#PCORI
Participants
Lisa Simpson, MB, BCh, MPH,
FAAP
AcademyHealth
Lisa Simpson, MB, BCh, MPH, FAAP, is President and Chief
Executive Officer of AcademyHealth. A nationally recognized
health policy researcher and pediatrician, she is a passionate
advocate for the translation of research into policy and practice.
Since joining AcademyHealth in 2011, she has worked to raise
the visibility of the field of health services research and its
contributions to improving the quality, value, and accessibility of
care; reducing disparities; and improving health.

#PCORI
Participants
Jamie Skipper, PhD, RN
US Department of Health and Human Services
Office of the National Coordinator for Health
Information Technology (ONC)
Jamie Skipper, PhD, RN, is currently Lead Analyst working on
priority-setting activities for ONC and HHS regarding patient-
centered outcomes research. She has also served as the
coordinator for the Standards & Interoperability Framework
within ONC at HHS. Prior to ONC, she was a policy consultant
to EHR vendors, after serving on Capitol Hill as a healthcare
advisor to Congressman Phil Gingrey (focusing on health IT
policy) and after serving as a Grants Program Officer at NHLBI.
She was also a Policy Fellow at the IOM’s Evidence-Based
Medicine Roundtable. She has a PhD in cardiac physiology and
is a registered nurse.
No Photo
Available

#PCORI
Participants
Jean Slutsky, PA, MSPH
Agency for Healthcare Research & Quality
Jean Slutsky, PA, MSPH, has directed the Center for
Outcomes and Evidence, Agency for Healthcare Research
and Quality (AHRQ) of the US Department of Health and
Human Services, since June 2003. She is also a member of
the AcademyHealth Methods Council and a member of the
Methodology Committee of PCORI. She received her bachelor
of science degree at the University of Iowa, a master’s of
science in public health from the University of North Carolina
at Chapel Hill, and trained as a physician assistant at the
University of Southern California.

#PCORI
Participants
Roger Snow, MD, MPH
Medicaid Medical Directors Learning Network
Roger Snow, MD, MPH, is the Deputy Medical Director for
Medical Policy in the Office of Clinical Affairs of the Office of
Medicaid in the Executive Office of Health and Human
Services, Commonwealth of Massachusetts. Prior to his
service in Medicaid, he practiced medicine at Massachusetts
General Hospital for 20 years. He has recently served on the
New England Comparative Effectiveness Public Advisory
Council (CEPAC) and is presently a member of the CEPAC
Advisory Board. He attended medical school at the University
of North Carolina, Chapel Hill, and trained in medicine and
pathology in Boston. He holds a degree in public health from
Harvard.

#PCORI
Participants
Darius Tandon, PhD
Johns Hopkins University
Darius Tandon, PhD, is Associate Professor in the Division of
General Pediatrics and Adolescent Medicine at Johns Hopkins
University School of Medicine. Trained as a community
psychologist, he has a long-standing interest in the science and
practice of incorporating community and patient perspectives
into the research process and clinical care. He is Director of the
Community Engagement Core of the Clinical and Translational
Science Award at Johns Hopkins, where he has been the
architect of several activities and programs to promote the
practice of community-university partnerships throughout the
research trajectory. He also serves as the Editor-in-Chief of
Progress in Community Health Partnerships, the only peer-
reviewed academic journal solely focused on community-based
participatory research.

#PCORI
Participants
Daniel Wolfson, MHSA
ABIM Foundation
Daniel Wolfson, MHSA, is Executive Vice President and COO
of the ABIM Foundation. Previously, he served for nearly two
decades as the founding president and CEO of the Alliance of
Community Health Plans (formerly The HMO Group), the
nation’s leading association of not-for-profit and provider-
sponsored health plans. During his tenure, he earned national
recognition for spearheading the development of the Health
Plan Employer Data and Information Set (HEDIS™), convening
the RxHealthValue coalition to provide independent information
on the pharmaceutical industry, and co-sponsoring with the
American College of Physicians the journal Effective Clinical
Practice. He received his master's degree in health sciences
administration from the University of Michigan, School of Public
Health.

#PCORI
Current
Practice
Twitter: #pcori

#PCORI
Overview of
10:15 am – 11:15 am
60 minutes

Dissemination and
Implementation in Health:
Policy, Practice, Research
Brian S. Mittman, PhD
July 29, 2013

The implementation imperative
PCORI aims to improve healthcare and public health
quality and outcomes via research
Improvement (PCORI’s impact, benefits) requires
appropriate use (adoption, implementation) of PCORI
findings
Research findings are not self-implementing; explicit
efforts to facilitate implementation are needed
Implementation is challenging

Our plan
Overall plan: design a blueprint to guide PCORI’s D&I
infrastructure and activities (individually, with AHRQ,
and with -- or via -- other stakeholders)
Process to develop this plan: collaborate with key
stakeholders (roundtable, workshop) and contractors to
1. Identify and understand barriers to implementation and
available strategies to address them
2. Determine required D&I infrastructure, activity
3. Inventory existing infrastructure and activity – and gaps
4. Design PCORI activities to fill key gaps

Developing PCORI’s D&I Blueprint

AHRQ

AHRQ
Other
Federal

AHRQ
Other
Federal
Private
Sector

AHRQ
Other
Federal
Private
Sector
PCORI

AHRQ
Other
Federal
Private
Sector
PCORI
PCORI
facilitated

Our plan
Overall plan: design a blueprint to guide PCORI’s D&I
infrastructure and activities (individually, with AHRQ,
and with -- or via -- other stakeholders)
Process to develop this plan: collaborate with key
stakeholders (roundtable, workshop) and contractors to
1. Identify and understand barriers to implementation and
available strategies to address them
2. Determine required D&I infrastructure, activity
3. Inventory existing infrastructure and activity – and gaps
4. Design PCORI activities to fill key gaps

Key terms in D&I in health (per Lomas)
Diffusion: unplanned, uncontrolled, passive flow
(spread) of information; “let it happen”
Dissemination: intentional, active communication and
distribution of information to increase awareness, often
targeting and tailoring the communication to specific
audiences; “help it happen”
Implementation: intentional, active communication of
information and additional actions to overcome barriers to
achieve use of the information; “make it happen”
Source: Lomas J. Diffusion, dissemination, and implementation:
who should do what? Ann NY Acad Sci. 993;703:226-35.

The Tower of Babel problem in D&I
Knowledge translation
 knowledge translation and exchange
 knowledge-to-action
 knowledge transfer
 translating research into practice (policy and practice)
Research utilization, knowledge utilization
Technology transfer
Knowing-doing gap
T1 - T2; T1 - T2 - T3; T1 - T2 - T3 - T4 - T5

Identify and understand barriers to implementation
and available strategies to address them
Barriers: numerous, diverse, variable
(across time and place)
Strategies: numerous, diverse, highly
variable (across time and place) in
operation and impacts, often uncontrollable
“It depends”

Identify and understand barriers to implementation
and available strategies to address them

The implementation quandary,
conventional wisdom
Dissemination and implementation are critical to
achieve research impact and benefit
Implementation (practice change) is remarkably
difficult; practice inertia is considerable; quality and
implementation gaps are incredibly resilient
Barriers to practice change – and strategies to
overcome them – remain poorly understood; more
research is needed to discover the “keys to success”
(i.e., effective implementation strategies)

conventional wisdom
difficult; quality and implementation gaps are incredibly
resilient
Barriers to practice change – and strategies to
overcome them – remain poorly understood; more
research is needed to discover the “keys to success”
(i.e., effective implementation strategies)

an alternative view
difficult; quality and implementation gaps are incredibly
resilient
Barriers to practice change are reasonably well
understood; strategies to overcome these barriers are
numerous and reasonably well-known
We have the knowledge but lack the will and/or ability
to apply this knowledge

I. Factors influencing implementation
II. Implementation strategies and necessary-
but-sufficient conditions for practice change
III. Multi-level framework
Frameworks to guide D&I thinking

Framework I:
Factors influencing implementation
1. Features of innovations, evidence
2. Features of target adopters
3. Features of the setting, environment
4. Features of innovation champions
5. Features of implementation strategies

Diffusion of innovations theory
Benefits
Relevance
Feasibility
Adoptability
Factor 1: Innovation features (perceived)

Resources and capability for adoption, e.g.,
Staffing, skill, time, space, equipment, funds
Motivation, internal incentives, culture/norms,
leadership
Factor 2: Features of target adopters
(internal context)

External pressure, expectations, mandates
(normative, regulatory)
Incentives, rewards
Resources, support
Professional, community norms
Factor 3: Environment, outer context

Most innovations require a dedicated entity
to encourage, guide and support adoption
The innovation champion must possess
appropriate resources, capacity and skill,
respect and influence, etc.
Factor 4: Innovation champions

Communication to achieve awareness – and
desired interpretation and understanding of
benefits, requirements
Technical assistance, tools and resources
Address gaps in presence of the critical
necessary but not sufficient conditions for
implementation success
Factor 5: Implementation strategy

Framework II: Conditions for practice
change (necessary but not sufficient)
Valid, relevant, accepted evidence (Factor 1)
Knowledge, skill (Factor 2)
Evidence of quality/implementation gaps (Factor 2)
Requisite logistics, resources (Factor 2)
External expectations, pressure (Factor 3)
Supportive professional norms (Factor 3)
Facilitation, technical assistance (Factor 4)
Implementation gap etiology, planning (Factor 5)

Framework III:
Multi-level influences on implementation
Source: Taplin & Rodgers, 2010

Framework III:
Multi-level influences on implementation

Limitations of typical implementation efforts

Implications for D&I blueprint:
Factor 1, innovation features (perceived)
Desired features of research findings – research
done differently – are important and necessary but
not sufficient
All research findings should be disseminated
passively; many should be disseminated actively;
a few should be implemented proactively; which?
Benefits, impacts of engagement on adoption
remain poorly understood (i.e., practice-based
evidence hypothesis; engagement hypothesis)

Factor 2, adopter characteristics
Implementation requires conducive clinician
and delivery system knowledge, skill, capacity,
culture, leadership, funding, motivation

Factor 3, environmental factors
Productive environmental influences require
collaboration (or alignment) with a broad range of
stakeholders (regulatory, professional, industry,
consumer, community) at all levels (national,
regional, state, local)

Factor 4, innovation champions
Champions (purveyors) are institutions and individuals
Researchers are not suitable
PCORI and AHRQ have some desired attributes
Multi-stakeholder partnerships, to include target audience peers
and professional associations, are optimal (ref. evidence on
guideline credibility)

Factor 5, implementation strategy
Barriers, facilitators, contextual factors, quality gaps –
and their root causes – vary
Implementation initiatives must be local and localized,
based on root cause analyses and barrier-linked theory
Implementation processes, strategies and impacts vary
and are largely unpredictable; ongoing evaluation and
refinement (vs. 20-20 foresight) are needed
Implementation strategies are complex social
interventions (i.e., highly adaptable, variable, context-
dependent and directed on heterogeneous, unstable
targets)

A few concluding thoughts on ..
Implementation challenges, progress and contributions
to date from research, policy and practice
Implications for PCORI’s D&I Blueprint
Implications for the Blueprint development process and
planned contract work
Implications for PCORI’s D&I research agenda

#PCORI
96
Question and Answer
30 minutes

#PCORI
Group Photo and Lunch Break
11:15 am – 12:00 pm
45 Minutes
97
• Visit us at www.pcori.org
• Follow @PCORI on Twitter
• Watch our YouTube channel PCORINews

Dissemination and
Implementation Roundtable
Lunch break until 12:00 pm
*The webinar will be muted during lunch

#PCORI
Orientation to AHRQ’s Dissemination and
Implementation Efforts
12:00 pm – 1:00 pm
60 minutes

AHRQ PCORTF ACTIVITIES:
FY 2011 - Present
Jean Slutsky
Director, Center for Outcomes and Evidence
Agency for Healthcare Research and Quality
Rockville, MD

Patient Protection and Affordable Care Act
SEC. 937. DISSEMINATION AND BUILDING
CAPACITY FOR RESEARCH
 Allocates a portion of the PCORTF (16%)
annually to AHRQ in support of programs that
may:
– Disseminate and translate PCOR research findings
– Obtain stakeholder feedback on the value of the information
to be disseminated and subsequent disseminations efforts
– Assist users of Health IT to incorporate PCOR research
findings into clinical practice
– Provide training and career development for researchers
and institutions in methods to conduct comparative
effectiveness research

PCORTF Distribution
PCORTF
OS HHS 4%
PCORI 80%
AHRQ 16%

Importance of Stakeholders
and Partnerships

Framework for PCORTF Investments in
Dissemination, Implementation and
Training
Evidence
Synthesis
HorizonScanning
Patients
Providers
Systems and
Policy Makers
(e.g. CMOs,
PBMs, States)
Implementation
(including CDS)
Dissemination
Translation
Improvements
in Health Care
and Health
Prioritization
and Topic
Development
Message
Development and
Strategy Selection
Audience
Identification
Data Methods Evaluation
Early Career Mid-Career Institutional
Infrastructure
Stakeholders

PCORTF Planning
 Allocations from the PCORTF are available for
expenditure through 2019
 Programs are responsive to language in ACA
legislation Sec. 937 in regard to purpose and
use of funds in three overarching areas:
– Dissemination, Translation, and Implementation
– Training and Career Development
– Data Methods
 Build on current AHRQ efforts, while also being
distinct and innovative
– Investments focused on improving patient’s health, the
health care system, the Triple Aim, and supporting the
implementation of the ACA

Dissemination and
Implementation
 Focus on dissemination and
implementation research activities
related to PCOR findings to:
– Identify efficient and successful
dissemination methods
– Identify successful methods of translation
for intended audiences
– Identify methods for implementation of
findings into practice

Training and Career
Development
 Support training and development
opportunities in PCOR for:
– Individuals at different career stages
– Institutional training opportunities that
focus on applied settings
– Institutions that have not previously
developed expertise in PCOR training
– Special emphasis on training for
dissemination and implementation science

Availability of Funds Before
Sequestration
 FY2011 $8M
 FY2012 $24M
 FY2013 $60M
 FY2014 $100M

Obligations to Date
57%
37%
6%
% of Total Funds Awarded to Each
Emphasis Area to Date
Dissemination and
Implementation
Training and Career
Development
Data Methods

DISSEMINATION,
TRANSLATION, AND
IMPLEMENTATION
AWARDED AND IN PROCESS

Dissemination, Translation, and
Implementation
Evidence
Synthesis
HorizonScanning
Patients
Providers
Systems and
Policy Makers
(e.g. CMOs,
PBMs, States)
Improvements
in Health Care
and Health
Prioritization
and Topic
Development
Audience
Identification
Infrastructure
Stakeholders
Implementation
(including CDS)
Dissemination
Translation
Message
Development and
Strategy Selection

Dissemination, Translation, and Implementation
FY 2011 & FY 2012 - Contracts
 Horizon Scanning System: Dissemination of
Information on Emerging Interventions
– System for searching for emerging interventions, prioritizing which
are most likely to have a large impact in the near future, and
disseminating the information to the public
 Dissemination of timely information about emerging medical and
health systems interventions
– Assist stakeholders by providing critical information for decisions
about planning and prioritizing research investments so that studies
can be completed on the emerging interventions with the highest
potential impact on the health of patients

 John M. Eisenberg Clinical Decisions and
Communications Science Center (Eisenberg Center)
– Continue the establishment and expansion of a research and
translation decision science and communication center
 Facilitate access to and use of evidence-based clinical and health care
delivery information
 Foster informed health care decisions by patients, providers, and
policy makers
– Apply state of the art research in decision science, communication
science, and other relevant fields to ensure high impact of the
Decision Science Center products on informed decision making for
multiple audiences

Sample PCOR Dissemination
Products
Consumer Summary Clinician Summary
Tools and Resources Decision Aids
English Spanish
http://www.effectivehealthcare.ahrq.gov
CME/CE Slide Library Research
Reviews

 Dissemination of PCOR to Students of Health Professions
– Aims to develop PCOR information tools to support educators across
health care disciplines
 Interviews, focus groups with health professional student associations to
evaluate students’ understanding of PCOR, shared decision making
 Clarify students’ educational preferences for integrating PCOR into training
curricula
– Project will culminate with student-focused summit
 In-Store Promotion of PCOR Findings to Consumers
– Promotes EHC Program materials via PSAs and giveaways in grocery
stores and pharmacies
 Audio announcements encourage consumers to access free EHC Program
materials at store pharmacies
 In ~5,000 stores nationwide
 To date, more than 1 million consumer publications distributed

 Educating the Educators
– Aims to develop EHC Program tools to help educators use PCOR
information
 certified health education specialists, nurses, nurse practitioners, nurses, physician
assistants, medical assistants, others
– Includes a baseline survey to understand PCOR awareness and
information needs of educators
– Tools will be implemented in “train the trainer” workshops across U.S.,
focusing on areas with high health disparities
 Targeted Dissemination of PCOR Findings In “Stroke Belt”
– Aims to promote the use of EHC Program products via multi-media
campaign including print, radio, social media, billboards, Web
– Encourage use of PCOR evidence in shared decision-making in stroke
belt states
– Emphasis on EHC Program tools related to chronic conditions

 Methods Center in Decision and Simulation Modeling
– Develop a multidisciplinary group of experts to act as a decision and
simulation modeling methods core for AHRQ programs
– Develop methods guidance on modeling alongside systematic reviews, e.g.
structuring decision models, model validation, communication of results
– Conduct research on modeling methodology in areas of knowledge gaps
and controversies in order to advance the field
 Implementation of a Systematic Review Data
Repository Collaborative
– Web-based Systematic Review Data Repository (SRDR) for study data
extracted from primary research publications during the course of
conducting systematic reviews
 Fully functional, open-access data system and systematic review infrastructure

FY 2013 - Contracts
 Integrating PCOR into Clinical Decision Support Systems
– Aims to identify steps to integrate PCOR information into clinical
decision support systems on a wide scale
 Project tasks include:
• Consulting medical, clinical organizations to understand needs
• Environmental scan and market analysis of available health information
technologies
• Engaging HIT vendors to understand capabilities, limitations
– Project to inform future investments on incorporating PCOR
information into HIT

FY 2011 & FY 2012 - Grants
 Patient-Centered Outcomes Research -
Dissemination by Health Professionals Associations
(PCOR-DHPA) (R18)
– Aimed at health professionals associations to develop
dissemination programs that integrate patient-centered
outcomes research into clinical practice
 Eligible applicants included health professionals associations, health
professionals education accrediting agencies, and health
professionals licensing boards
 Special emphasis on use of multi-factorial mechanisms such as
education, credentialing, scientific programs, social media platforms,
and other innovative methods
– 3 year projects ($100,000/yr max)
http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-12-006.html

FY 2011 & FY 2012 - Grants
 Partnerships for Sustainable Research and
Dissemination of Evidence-based Medicine (R24)
– Resource-related research projects to:
 Build or enhance the applicants capacity to create a sustainable
infrastructure for on-going dissemination of evidence-based health
information
 Conduct research studies that advance our knowledge of how to
extend the reach and impact of evidence-based health
information/tools to populations with a demonstrated need for the
information

Projects in Progress
 Closing the Gap in Disparities with PCOR (U18)
– Identify strategies to engage stakeholders through shared
decision making that can be used to effectively implement
interventions specific to health care delivery systems,
clinicians, and/or patients that focus on the reduction of
racial/ethnic healthcare disparities in under-resourced
settings.
 Incorporate the translation, dissemination, and implementation of
PCOR findings for racial/ethnic minority populations.
 Applicants are required to demonstrate an ability to leverage the
capacities of relevant and diverse stakeholders in their strategies to
reduce healthcare disparities in under-resourced settings
– Application due July 31, 2013

Projects in Progress
 Disseminating PCOR Evidence To Improve Healthcare
Delivery (R18)
– Aims to disseminate and implement existing PCOR evidence
for improving the quality of health care delivery
 Addresses challenges of spreading delivery system evidence by
requiring applicants representing existing, multi-stakeholder networks,
with:
• Demonstrated history of collaborative relationships
• Robust communication/dissemination/data-sharing channels, processes, &
infrastructures
• Knowledge of local conditions & ability to adapt to them
• Experience with taking proven practices to scale
– 4 year projects ($1M/yr max)
– Applications due September 27, 2013

Pending Funding Opportunities
 Bringing Evidence to Stakeholders for Translation
(BEST) to Primary Care
– Expand the current AHRQ dissemination programs to patients and
providers in primary care settings
– Funded projects will focus on dissemination via practice facilitation, which
has been shown in controlled trials to nearly triple the adoption of evidence-
based guidelines in primary care
 Deliberative Approaches for Patient Involvement in
Implementing Evidence-Based Health Care
– Projects will use a deliberative approach, based on findings of the AHRQ
Community Forum deliberative methods experiment, to gather input from
patients on a complex topic related to the implementation of evidence-
based health-care decision making.
http://grants.nih.gov/grants/guide/notice-files/NOT-HS-13-003.html

Pending Funding Opportunities
 Registry of Patient Registries (RoPR)
– Build upon ongoing AHRQ investment in RoPR
– Disseminate information on registries and registry-
based studies
– Integrated into CT.gov and stand alone
https://www.fbo.gov/spg/HHS/AHRQ/DCM/AHRQ-13-10010/listing.html
http://effectivehealthcare.ahrq.gov/index.cfm/search-for-guides-reviews-and-reports/?pageaction=displayproduct&productid=690

TRAINING AND CAREER
DEVELOPMENT
AWARDED AND IN PROCESS

Framework for PCOR
Evidence
Synthesis
HorizonScanning
Patients
Providers
Systems and
Policy Makers
(e.g. CMOs,
PBMs, States)
Implementation
(including CDS)
Dissemination
Translation
Improvements
in Health Care
and Health
Prioritization
and Topic
Development
Message
Development and
Strategy Selection
Audience
Identification
Infrastructure
Stakeholders

Training and Career
Development
 Special Emphasis Notice: PCOR Mentored Career Development
Grants focused on Methodologies and Research in Translation,
Implementation, and Diffusion of Research into Practice and
Policy
– Applicable to current AHRQ-sponsored PCOR career development
mechanisms (K01/K08, K12)
– Will support the mentored career development of clinical and
research doctorates who are interested in the development,
implementation and evaluation of strategies for the translation,
dissemination, and uptake of PCOR and effective clinical and
system interventions. Areas of interest include:
 Health Communication in PCOR
 Decision Making in PCOR
 Evidence Dissemination and Implementation in PCOR

OPEN AND PENDING PCOR
FUNDING OPPORTUNITIES -
SUMMARY
FY 2013

Open Opportunities
 Disseminating PCOR Evidence To Improve
Healthcare Delivery (R18)
(http://grants.nih.gov/grants/guide/rfa-files/RFA-HS-14-003.html)
 Closing the Gap in Disparities with PCOR (U18)
 Registry of Patient Registries (RoPR)
https://www.fbo.gov/spg/HHS/AHRQ/DCM/AHRQ-13-10010/listing.html

Coming Soon
 Bringing Evidence to Stakeholders for Translation
(BEST) to Primary Care
(http://grants.nih.gov/grants/guide/notice-files/NOT-HS-13-003.html)
 Deliberative Approaches for Patient Involvement in
Implementing Evidence-Based Health Care

FY2014 PCORTF Goals
 Continued emphasis on projects that:
– Disseminate, translate, implement PCOR research findings
– Provide training and career development for researchers and
institutions in methods to conduct comparative effectiveness
research
– Build capacity for CER through the development of research
data bases, clinical registries, and health outcomes research
data networks
 Special focus on transformative projects aimed at the
rapidly transforming health care delivery system
– 2014 marks the implementation of the ACA
– Intended to show real impact
 Continued investment in projects that will build upon
and enhance current AHRQ sponsored PCOR
investments and infrastructure

#PCORI
134
Question and Answer

#PCORI
Roundtable Discussion - Part 1:
Questions 1, 2, and 3
1:00 pm – 2:30 pm
90 Minutes

#PCORI
136
Discussion Questions
1
2
3
Given your personal experience in dissemination
and implementation, what are the lessons learned,
barriers, and successful facilitators in
dissemination and implementation?
What strategies can PCORI use to build on or
complement AHRQ’s current work in dissemination
and implementation?
What key elements would you like to see in
PCORI's Blueprint to help your organization with
implementing research findings?

#PCORI
Current
Practice
Twitter: #pcori

#PCORI
Given your personal experience in dissemination and
implementation, what are the lessons learned, barriers,
and facilitators in successful spread and uptake?
1

#PCORI
What strategies can PCORI use to build on
or complement AHRQ’s current work in
dissemination and implementation?
2

#PCORI
What key elements would you like to see in
PCORI’s Blueprint to help your organization
with implementing research findings?
3

#PCORI
Housekeeping and Break
2:30 pm – 2:45 pm
15 Minutes
141

#PCORI
Roundtable Discussion - Part 2:
Questions 4, 5, and 6
90 Minutes

#PCORI
143
Discussion Questions
4
5
6
What is the best approach to develop a framework
for implementing results of comparative
effectiveness research (CER)?
Which already existing frameworks would you
recommend be reviewed for developing PCORI’s
blueprint for dissemination and implementation?
What would you include in the scope of work for
the request for proposal (RFP)? What are the
key abilities we should seek among applicants
interested in developing a framework in response
to the request for proposal (RFP)?

#PCORI
Current
Practice
Twitter: #pcori

#PCORI
What is the best approach to develop a
framework for implementing results of
comparative effectiveness research (CER)?
4

#PCORI
Which already existing frameworks would you
recommend be reviewed for developing PCORI’s
blueprint for dissemination and implementation?
5

#PCORI
What would you include in the scope of work for the request
for proposal (RFP)? What are the key abilities we should
seek among applicants interested in developing a framework
in response to the request for proposal (RFP)?
6

#PCORI
Public Comment Period
4:15 pm – 4:45 pm
30 Minutes
If you would like to make a comment, press #7 on your
keypad and you will be added to the queue
For questions regarding the request for proposal (RFP)
please view our FAQ page:
http://www.pcori.org/assets/PCORI-August-2013-Funding-
Announcement-FAQs-0528132.pdf

#PCORI
Next Steps & Adjourn

#PCORI
Closing Remarks – 15 minutes
Anne C. Beal, MD, MPH
Deputy Executive Director
Chief Officer for Engagement
A pediatrician and public health specialist, Anne C. Beal, MD,
MPH, has devoted her career to providing access to high-
quality health care. As PCORI’s first Chief Officer for
Engagement, she will work to ensure the voices of patients and
other stakeholders are reflected in our growing research
portfolio. In her previous role as Chief Operating Officer, she
worked to ensure PCORI develops the structure and capacity
needed to carry out its mission as the nation’s largest research
institute focused on patient-centered outcomes research. She
joined PCORI from the Aetna Foundation, the independent
charitable and philanthropic arm of Aetna Inc. She holds a BA
from Brown University, an MD from Cornell University Medical
College, and an MPH from Columbia University.

#PCORI
We Still Want to Hear from You
We welcome your input on today’s discussions
We are accepting comments and questions for
consideration on this topic through July 31, 2013 at 5 PM
(ET)
 E-mail (implementation@pcori.org)
 Respond to discussion questions at:
implementation-roundtable/
We will take all feedback into consideration

Thank You for Your
Participation

Dissemination and Implementation Roundtable

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