how does pcori choose what to fund?...cycle iii awards will be made in september 2013 pcori will...
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How Does PCORI Choose
What to Fund?
Chad Boult, MD, MPH, MBA
Director, Improving Healthcare Systems Program
August 1, 2013
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What Is PCORI Looking For?
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PCORI supports high-quality research
that produces trusted information
that will improve health care and outcomes
that patients and their families care about
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Which Outcomes Do Patients Care About?
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Examples:
Health
Relief from symptoms
Health-related quality of life
Function (ability to do what they want to do)
Safety from medical harm
Survival
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How Does PCORI Select the Most
Promising Research Proposals to Support?
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Two Parallel Solicitation Processes
Stakeholder-initiated (“targeted”) funding
announcements
Specific questions suggested by patients, clinicians, and
other stakeholders
PCORI solicits applications to answer to these questions
Investigator-initiated (“broad”) funding
announcements
Broad topic areas announced every four months
PCORI solicits applications to answer questions posed
by investigators
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Stakeholder-initiated (“Targeted”) Funding
Announcements
How we get from stakeholders’
questions to funded research
projects
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Cast a Wide Net
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Topics submitted through PCORI’s web site
www.pcori.org/questions
Topics posed at PCORI-sponsored workshops
Topics identified by IOM, NIH, AHRQ, and other
organizations and associations
Topics submitted by PCORI staff members
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Screen the Catch
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To remove certain questions
About cost-effectiveness
About the causes of disease
That do not address patient-centered outcomes
That do not compare approaches to improving
patient-centered outcomes
That have already been answered, or are in the
process of being answered
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Select the Best 10–20 Questions
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Criteria
1. The question addresses a problem that puts a large burden on society, or on a subset of it
2. The question focuses on a patient-centered topic and outcome
3. Answers to the question are likely to improve healthcare practices and patient-centered outcomes
4. Answers to the question could be obtained within a few years
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Advisory Panels Prioritize the Top 10–20
Questions
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Advisory panels (21 people) include patients, caregivers, stakeholders, and researchers. Meetings are webcast to the public and archived.
Before meeting, panelists receive a “topic brief” to provide background information on each of the questions to be prioritized
Panelists meet in person, using discussion and software, to prioritize the top questions for possible funding announcements in the future
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Criteria for Prioritizing Questions
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1. The burden that the problem puts on society
2. The patient-centeredness of the question
3. The need for new information about benefits and harms to choose between alternative interventions
4. The likelihood that answers to the question would be implemented in practice
5. The durability of the answer(s) to the question
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Targeted Funding Announcements
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Following approval by PCORI’s board, PCORI
staff members write and release solicitations
(PFAs) for applications for contracts to conduct
research to answer the highest priority questions
Merit review of submitted applications
By scientists, patients, caregivers, and stakeholders
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First Two Rounds
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1. The first “targeted” funding announcements
were released earlier this summer
Treatment Options for African Americans and
Hispanics/Latinos with Uncontrolled Asthma
Preventing Injuries from Falls in the Elderly
2. The second set will be released later this year
and next year
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Investigator-Generated (“Broad”) Funding
Announcements
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PCORI’s Research Portfolio
PCORI has approved 76 awards totaling $123 million
through the first two cycles of our broad PCORI funding
announcements (PFAs)
Cycle III awards will be made in September 2013
PCORI will award more than $355 million in 2013 and
upwards of $500 million in 2014
The first PFA cycle of our second year of funding opened
May 15, and applications are due August 15
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Get Involved
Patients, stakeholders, and researchers can
participate in this selection process at
http://www.pcori.org/get-involved
Submit questions for possible future funding
Apply to be a member of a merit review panel
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Engagement Awards and
Pipeline to Proposal Awards
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Concept Origin
Proposed by participants at October 2012 Transforming
Patient-Centered Research patient engagement workshop
Workshop participants identified that few resources have
been directed to non – research entities for community
development, capacity building, or for infrastructure
development for engagement in research as partners.
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Engagement's Strategic Pillars = Three
Arms of Engagement Awards
Develop PCOR Community: Knowledge Awards will help PCORI to develop the PCOR community by enabling us to partner with organizations and individuals equipped to cull the best examples of PCOR and CER from the field, and to expand understanding of and connection to PCOR. Examples of potential activities to be funded through Knowledge Awards, listed in the green box in the diagram below, include things like landscape reviews, background papers, and mechanisms for sharing key CER and PCOR information.
Engage the PCOR Community in Research: Training and Development awards will help PCORI accomplish our second pillar by funding the cultivation of a larger, more educated and research-ready PCOR community. Examples of specific activities, listed in the purple box in the diagram below, will include but are not limited to efforts to link interested patients, stakeholders and researchers together to build research partnerships and the Pipeline to Proposals Awards, formerly known as Micro-Contracts.
Promote Dissemination and Implementation of Research: Implementation Awards will allow PCORI to evaluate our engagement work and share our findings. These awards will cover two sets of activities, examples of which are listed in the orange box in the diagram below; working with and through key partners to review the effectiveness of our engagement strategy, and widely disseminating information about and encouraging implementation of the best patient engagement, PCOR, and CER practices.
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Engagement Awards
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First Engagement Awards Opportunity:
Pipeline to Proposal Awards
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Tier I Pipeline Awards
(Up to $15,000 for 9 months)
Available to individuals,
consumer/patient organizations,
clinician(s) or researcher(s) or a
combination of the above to
support:
Community building
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 1 year)
Available to emerging
research/non-research
partnerships to support:
Data network development
Development of infrastructure
Generation of research
questions through community
events, town hall meetings, etc.
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Tier III Pipeline Awards
(Up to $50,000 for 1 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
Research partnership skill
development
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Three Tiers
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Tier I Awards:
Role of Intermediate Funders
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Questions?