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What Should PCORI Study? A Call for Topics from Patients and Stakeholders December 4, 2012 TWITTER: #PCORI EMAIL: getinvolved@pcori.org Joe Selby, MD, MPH, Executive Director PCORI What Should PCORI Study? A Call for Topics from Patients


  1. What Should PCORI Study? A Call for Topics from Patients and Stakeholders December 4, 2012 TWITTER: #PCORI EMAIL: getinvolved@pcori.org

  2. Joe Selby, MD, MPH, Executive Director PCORI What Should PCORI Study? A Call for Topics from Patients and Stakeholders TWITTER: #PCORI EMAIL: getinvolved@pcori.org

  3. 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.

  4. PCORI’s Board of Governors Represents the Entire Health Care Community PCORI Board of Governors, March 2012 in Baltimore, MD

  5. Unique role of stakeholders

  6. PCORI’s Two Paths to “Getting Specific” in Research Funding October 25, 2012 6

  7. PCORI’s Two Paths to “Getting Specific” in Research Funding October 25, 2012 7

  8. It Begins with You www.pcori.org/questions P8

  9. PCORI’s First Targeted Research Topics � Identified several high-priority, Research Topics: stakeholder-vetted topics for targeted PFAs Treatment Options for Uterine � Jumpstarts PCORI’s long-term Fibroids topic generation and research Safety and benefits of treatment prioritization effort options for severe asthma � Leverages stakeholder input from before PCORI’s existence Fall Prevention in the Elderly � Allows us to build on our engagement work

  10. Susan Hildebrandt, MA Director of Stakeholder Engagement PCORI What Should PCORI Study? A Call for Topics from Patients and Stakeholders TWITTER: #PCORI EMAIL: getinvolved@pcori.org

  11. Engagement

  12. Tell Us What to Study Transforming What Should PCORI Patient-Centered PCORI Study? A Methodology Research: Building Call for Topics from Workshop for Partnerships and Patients and Prioritizing Specific Promising Models Stakeholders Research Topics • October 27-28, 2012 • December 4, 2012 • December 5, 2012 • Washington, DC • Washington, DC • Washington, DC

  13. Review PCORI Funding Applications � Help PCORI review PCORI Funding Applications � Apply to be a Stakeholder or Scientific Reviewer � pcori.org/get-involved/ reviewers

  14. Form Research Partnerships P14 The engagement of patients and stakeholders should include: Participation in formulation of • research questions Defining essential • characteristics of study participants, comparators, and outcomes Monitoring of study conduct • and progress Dissemination of research • results

  15. Help Us Spread the Word Share and Create Engage Adopt Communities Meaningfully Information

  16. Tell Us How We Are Doing Patients & Caregivers Stakeholders Researchers PCORI

  17. Today’s Objectives The purpose of this workshop is to bring stakeholder representatives together to: § Solicit research topics for specific funding announcements during breakout sessions on PCORI priority areas § Report on Patient Engagement Workshop participants’ reactions to PCORI’s engagement strategies and get additional input § Report on our draft prioritization process, show how a topic would move through the system, and solicit feedback on the process

  18. Thank You to Our Planning Committee � Andrew Baskin, Aetna � Ann Caldwell, The Arc � Lynne Cuppernull, Alliance of Community Health Plans � Maureen Dailey, American Nurses Association � Nancy Foster, American Hospital Association � Andrea Garcia, Association of State and Territorial Health Officials

  19. Thank You to Our Planning Committee � Jennifer Graff, National Pharmaceutical Council � Helen Haskell, Mothers Against Medical Errors � Dan Leonard, National Pharmaceutical Council � Jennifer Meeks, American Medical Association � Jennifer Phillips, Alliance of Community Health Plans � Sylvia Trujillo, American Medical Association

  20. What Should PCORI Study? A Call for Topics from Patients and Stakeholders December 4, 2012 TWITTER: #PCORI EMAIL: getinvolved@pcori.org

  21. Workshop Objectives • Inform Participants on PCORI Mission & Research • Identify Best Practices in Stakeholder Engagement • Receive Recommendations on Topics PCORI Should Address

  22. Workshop Agenda • 8:45 – 10:15: Engagement & Patient-Centeredness: Sharing Perspectives with PCORI • 10:15 – 10:30: Break • 10:30 – 10:45: Introduction to Small Group Sessions • 10:45 – Noon: Small Group Session #1 • Noon – 1:15: Working Lunch: Developing the PCORI Way • 1:15 – 1:30: Break

  23. Workshop Agenda • 1:30 – 2:45: Small Group Session #2 • 2:45 – 3:00: Break • 3:00 – 4:00: Soliciting Research Topics: What Have We Learned? • 4:00 – 4:45: How to Prioritize: A Real World Example • 4:45 – 5:00: Closing Remarks

  24. Workshop “Rules” • Keep Comments Brief So All Can Be Heard • Allow Facilitator Interruptions To Keep On Time • Don’t Distract With Phones/Email

  25. Small Group Breakout Sessions • Introductions & Orientation • Recommendations for Research Topics • How Organizations Use COR • Best Practices

  26. Engagement and Patient-Centeredness: Sharing Perspectives with PCORI 8:45 - 10:15 am TWITTER: #PCORI EMAIL: getinvolved@pcori.org

  27. What Should PCORI Study? A Call for Topics from Patients and Stakeholders December 4, 2012 TWITTER: #PCORI EMAIL: getinvolved@pcori.org

  28. Introduction to Facilitated Small Group Sessions 10:30 – 10:45 am TWITTER: #PCORI EMAIL: getinvolved@pcori.org

  29. What Should PCORI Study? A Call for Topics from Patients and Stakeholders December 4, 2012 TWITTER: #PCORI EMAIL: getinvolved@pcori.org

  30. Research Prioritization: “Developing the PCORI Way” Rachael Fleurence, PhD PCORI Scientist TWITTER: #PCORI EMAIL: getinvolved@pcori.org 30

  31. Getting to Specificity: Identifying Questions Topic Generation 31

  32. Getting to Specificity: Identifying Questions Workshops IOM 100 National Priorities Guideline Developers 32

  33. Getting to Specificity: Confirming Research Gaps Gap Topic Generation Confirmation Research Opportunities 33

  34. Getting to Specificity: Prioritizing Research Questions Gap Research Research Topic Generation Prioritization Confirmation Prioritization Research Opportunities 34

  35. Getting to Specificity: Creating Funding Announcements Gap Research Final Selection Research Topic Generation Prioritization for Specific PFAs Confirmation Prioritization Research Opportunities 35

  36. Principles to Guide Us: Patients ask for Transparency, Efficiency, Collaboration Transforming Patient- Centered Research: Building Partnerships and Promising Models Washington DC, October 27-28, 2012

  37. Getting to Specificity: PCORI’s Progress and Plan for 2013 Aug Sep Oct Nov Dec Jan Feb Mar 2012 2013 2013 Initial process developed Technical Working Group feedback Pilot Methods Workshop Advisory Panel training on Research Prioritization Methods Advisory Panels implement and submit results to Board 37

  38. Piloting the Process • Piloted from August to November 2012 • 35 Pilot participants • 8 criteria to prioritize 10 topics • Results • Feedback 38

  39. Composition of the Pilot Group: Primary Identity Research 50.0% 17.9% Caregiver/Family Member Patient/Consumer 10.7% Training Institution 7.1% 7.1 % Payer Patient/Caregiver 3.6% Advocacy Organization Clinician 3.6% 39

  40. But Pilot Participants Wear Many Different Hats … Patient/ 48.4% Consumer Caregiver/ 35.5% Family Patient/Caregiver 12.9% Advocacy Organization 41.9% Clinician Clinic/Hospital/ 16.1% Health System 3.2% Purchaser 12.9% Payer 6.5% Industry 71.0% Research Training Institution 16.1% Policy Maker 0.0% Other 6.5% 40

  41. Building on the Existing Evidence Base and Prior Experience Existing Scientific Methodology Experience of Work and Literature Committee and Other Agencies Methodology Report Federal Coordinating Council for Comparative Effectiveness Research 41

  42. Original PCORI Criteria for Research Prioritization Process 42

  43. Questions to Pilot from a Diverse Range of Disease Areas Indoor Back Pain Air Obesity in the Elderly Pollution Falls in Anti- Prostate psychotics the Cancer in Young elderly Adults Breast Coronary Artery Clostridiu Cancer Disease m Difficile 43

  44. Pilot Groups used 2 Different Tools to Prioritize

  45. Survey Gizmo

  46. Expert Choice – Topic Ranking

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