optimizing scientific value: smart and systematic ...€¦ · research questions that are important...
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11TH ANNUAL MEETING OF ISMPP 1
1 1 T H A N N U A L M E E T I N G O F I S M P P
OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC APPROACHES
TO MEDICAL PUBLICATIONS April 27–29, 2015
Hyatt Regency Crystal City Arlington, VA, USA
Jean Slutsky Chief Engagement and Dissemination Officer and Program Director, Communication and Dissemination Research ISMPP Crystal City, VA 27 April 2015
Optimizing Patient-Centered Outcomes Research
About PCORI
About PCORI
An independent research institute authorized by Congress in 2010. Governed by a 21-member Board representing the entire healthcare community.
Funds comparative clinical effectiveness research (CER) that engages patients and other stakeholders throughout the research process.
Seeks answers to real-world questions about what works best for patients based on their circumstances and concerns.
Why PCORI?
• Research has not answered many questions patients face
People want to know which treatment is right for them
Patients need information they can understand and use
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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.
Our Mission
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PCORI’s Obligation Under its Authorizing Legislation Conduct Peer Review of Primary Research
• Assess scientific integrity • Assess adherence to PCORI’s Methodology Standards
Release of Research Findings • No later than 90 days after “conduct or receipt” • Make available to clinicians, patients, and general public • Make comprehensible and useful to patients and providers for healthcare
decisions • Include considerations specific to certain sub-populations, risk factors, and
comorbidities • Describe process and methods, including conflicts of interest • Include limitations and further research needed
Research We Support
What Types of Research Does PCORI Support From the Authorizing Legislation:
“The terms ‘comparative clinical effectiveness research’ and ‘research’ mean research evaluating and comparing health outcomes and the clinical effectiveness, risks, and benefits of two or more medical treatments, services, and items…”
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Compares two or more options for prevention, diagnosis, or treatment (can include “usual care”)
Considers the range of clinical outcomes relevant to patients
Conducted in real-world populations and real-world settings
Attends to differences in effectiveness and preferences across patient subgroups
Often requires randomized trial design
What is Comparative Effectiveness Research?
Helps people and their caregivers communicate and make better-informed healthcare decisions.
Actively engages patients and key stakeholders throughout the research process.
Compares effectiveness of important clinical management options.
Evaluates the outcomes that are the most important to patients.
Addresses implementation of findings in clinical care environments.
What is Patient-Centered Outcomes Research?
Pivotal $100M Infrastructure Investment
Provides technical and logistical assistance under the direction of a steering committee and PCORI program staff
System-based networks, such as integrated delivery systems, academic medical centers, federally qualified health centers, 18 Patient-Powered Research Networks (PPRNs) Patients with a condition in common form a research network, often in collaboration with academic researchers
11 Clinical Data Research Networks (CDRNs)
Coordinating Center
PCORnet Goals
Hallmarks of PCORnet’s success will include the following goals: 1. Highly engaged patients, caregivers, and researchers participate in network
governance and research topic generation
2. Analysis-ready standardized data, use of the PCORnet Common Data Model, and preserving strong privacy and data-security protections
3. An infrastructure for supporting clinical trials embedded within network delivery systems and patient communities
4. An oversight framework that fosters public trust in research
5. A collaborative community that attracts a diverse set of researchers, funders, and other networks
6. Research networks that are sustainable
Engaging Patients in Research
Why Engage Patients in Research?
Patient engagement in the design and conduct of research offers a greater likelihood of:
• influencing research to be patient centered, useful, and relevant
• establishing trust and a sense of legitimacy in its findings • successful use and uptake of research results by the
patient community.
Why Engage Patients in Research?
Patients contribute:
“Lived experience” of condition or disease
Research questions that are important to patients
Outcomes important to patients such as quality of life
Real world input on risk tolerance of interventions
Power of data (new currency)
Focus on patient-centeredness, ethics, safety, and urgency Connections to other patients like them, which facilitates recruitment and dissemination of research findings
We Fund Research That…
Studies the benefits and harms of interventions and strategies delivered in real-world settings
Compares at least two alternative approaches
Adheres to PCORI’s Methodology Standards
Is based on health outcomes that are meaningful to the patient population Engages patients and other stakeholders at every stage Is likely to improve current clinical practices
Supporting Engagement as a Tool to Advance Research
and Dissemination of Findings
Engagement Goals
Promote dissemination and implementation of PCOR research findings
Engage the PCOR community in research
Build a patient-centered outcomes research, or PCOR, community
Evaluation
ENGAGEMENT
Engagement as a Path To Useful, High-Quality Research
Proposal Review; Design and Conduct of Research
Topic Selection and Research Prioritization
Dissemination and Implementation of Results
We Require Patient-Centeredness and Patient and Stakeholder Engagement
Patient and Stakeholder Engagement Patients are partners in research, not just “subjects”
Active and meaningful engagement between scientists, patients, and other stakeholders
Community, patient, and caregiver involvement already in existence or a well-thought out plan
Patient-Centeredness Does the project aim to answer questions or examine outcomes that matter to patients within the context of patient preferences?
Research questions and outcomes should reflect what is important to patients and caregivers
In Summary:
Comparative Effectiveness Research (CER) should be a public good that: o Gives health care decision-makers – patients,
clinicians, purchasers and policy- makers – access to the latest open and unbiased evidence-based information about treatment options
o Informs choices and is closely aligned with the sequence of decisions patients and clinicians face
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In Summary
Patient-Centered Outcomes Research involves patients but also other participants in health care decision making Involving patients and stakeholders in the beginning will increase the chances of rapid dissemination and uptake Meaningful engagement is challenging but very rewarding Patient engagement in research is necessary to ensure the trust and relevance of PCOR
Find Us Online
www.pcori.org
11TH ANNUAL MEETING OF ISMPP 25
1 1 T H A N N U A L M E E T I N G O F I S M P P
OPTIMIZING SCIENTIFIC VALUE: SMART AND SYSTEMATIC APPROACHES
TO MEDICAL PUBLICATIONS April 27–29, 2015
Hyatt Regency Crystal City Arlington, VA, USA