PCORI: Partnership & Funding Opportunities

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    PCORI: Partnership &Funding Opportunities

    Kara Odom Walker, MD, MPH, MSHSPartnership to Fight Chronic Disease Roundtable DiscussionWashington, DCNovember 16, 2012

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    About PCORI

    An independent, non-profit organization authorizedby Congress.

    Committed to continuously seeking input frompatients and a broad range of stakeholders to

    guide its work.

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    Mission

    The Patient-Centered Outcomes Research Institute

    (PCORI) helps people make informed health caredecisions, and improves health care delivery andoutcomes, by producing and promoting high integrity,

    evidence-based information that comes from

    research guided by patients, caregivers and thebroader health care community.

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    PCORIs Board of Governors Represents

    the Entire Health Care Community

    PCORI Board of Governors, March 2012 in Baltimore, MD

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    PCORIs Core Duties

    Establish national research priorities

    Establish and carry out a research agenda

    Develop and update methodological standards

    Disseminate research findings

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    Key 2012 Accomplishments

    National Patient and Stakeholder Dialogue

    Definition of patient-centered outcomes

    research

    National Priorities and Research Agenda

    Funding applications for primary research

    Awarded 50 Pilot Projects

    Draft methodology report issued for public

    comment

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    Patient-Centered Outcomes ResearchDefined

    Patient-Centered Outcomes Research (PCOR) helpspeople and their caregivers communicate and makeinformed health care decisions, allowing their voicesto be heard in assessing the value of health care

    options.

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    Patient-Centered Outcomes ResearchDefined

    This research answers patient-centered questionssuch as:

    Given my personal characteristics, conditions and

    preferences, what should I expect will happen to me? What are my options and what are the potential benefits

    and harms of those options?

    What can I do to improve the outcomes that are most

    important to me? How can clinicians and the care delivery systems they

    work in help me make the best decisions about myhealth and healthcare?

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    PCORI Pilot Projects Program

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    PCORI Pilot Project Research Topics

    Informing PCORIs national priorities The research process, along with other stakeholders Developing evidence-based decision support tools

    that account for patient preferences Developing patient-centered outcomes instruments Researching behaviors, lifestyles, and choices

    Studying patient care team interactions in situationswhere multiple options exist Analytical methods for CER

    Methods for engaging patients andstakeholders in:

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    Methodology Report

    The mandate for PCORIs Methodology Committee is todefine methodological standards and a translation table toguide health care stakeholders towards the best methods

    for patient-centered outcomes research (PCOR).

    Rigorous methods are essential to building trust in researchfindings.

    This report (which will continue to be revised and improvedover time) is the necessary catalyst for scientificallyrigorous, patient-centered outcomes research that caninform decision-making.

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    Methodology Report Timeline

    May 10, 2012 Report delivered

    to PCORI Boardof Governors

    May 21, 201Accepted by

    Board Staff instructed

    to prepare draftreport for publiccomment

    June 4, 2012 Preliminary draft

    posted onwebsite

    July 23, 2012 54-day Public

    CommentPeriod begins(ends Sept. 14)

    SeptemberNovember2012

    Standardsrevised andadopted

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    From Priorities to ResearchPatients can Use

    Future priorities and agendas will be informed by the developmentprocess, ongoing stakeholder engagement, and PCORIs research

    results.

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    Establishing PCORIs First National Priorities

    for Research and Initial Research Agenda

    9Criteria outlined

    by law

    5Draft priorities

    proposedCorrespondingagenda drafted

    Public inputreceived and

    evaluated

    Priorities andagenda revisedand approved

    First primary

    fundingannouncementsissued

    Aug-Dec 2011 Jan-May 2012 May 2012

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    Criteria for Research Outlined by Law

    Impact onHealth of

    Individuals andPopulations

    AddressesCurrent Gaps in

    Knowledge/Variation in Care

    Patient-Centeredness

    Improvabilitythrough

    Research

    Impact onHealth Care

    SystemPerformance

    RigorousResearchMethods

    Inclusiveness ofDifferent

    Populations

    Potential toInfluence

    Decision-Making

    Efficient Use ofResearchResources

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    National Priorities for Research andResearch Agenda

    Assessment of Prevention, Diagnosis, and Treatment Options

    Comparisons of alternative clinical options to support personalized decision-making and self-care

    Identifying patient differences in response to therapy

    Studies of patient preferences for various outcomes

    Improving Healthcare Systems

    Improving support of patient self-management

    Focusing on coordination of care for complex conditions and improving access to careComparing alternative strategies for workforce deployment

    Communication & Dissemination Research

    Understanding and enhancing shared decision-making

    Alternative strategies for dissemination of evidenceExploring opportunities to improve patient health literacy

    Addressing Disparities

    Understanding differences in effectiveness across groupsUnderstanding differences in preferences across groupsReducing disparities through use of findings from PCOR

    Accelerating PCOR and Methodological Research

    Improving study designs and analytic methods of PCOR

    Building and improving clinical data networks

    Methods for training researchers, patients to participate in PCOR

    Establishing methodology for the study of rare diseases

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    PCORIs Two Paths to Getting Specific

    in Research Funding

    October 25, 2012 17

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    PCORIs Two Paths to Getting Specific

    in Research Funding

    October 25, 2012 18

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    Suggest a Research Question

    We want toknow whathealth care

    question youmay be facing.

    Your input can

    help us refineour researchagenda.

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    Get Involved

    Suggest a research question for PCORI to study.

    Participate in an Engagement Workshop

    Participate in PCORI sponsored Research/

    Apply for Funding

    Become a Reviewer of PCORI Research

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    Engagement Workshops

    TransformingPatient-CenteredResearch: BuildingPartnerships and

    Promising Models

    October 27-28, 2012 Washington, DC

    What ShouldPCORI Study? ACall for Topics fromPatients and

    Stakeholders

    December 4, 2012 Washington, DC

    PCORIMethodologyWorkshop forPrioritizing Specific

    Research Topics

    December 5, 2012 Washington, DC

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    PCORI Funding Announcements (PFAs)

    Point out interest in patients with rare diseases

    Emphasize outcomes that matter to patients

    Require patient partnerships in all aspects ofresearch.

    www.pcori.org/funding-opportunities/funding-announcements/

    http://www.pcori.org/funding-opportunities/funding-announcements/http://www.pcori.org/funding-opportunities/funding-announcements/http://www.pcori.org/funding-opportunities/funding-announcements/http://www.pcori.org/funding-opportunities/funding-announcements/http://www.pcori.org/funding-opportunities/funding-announcements/http://www.pcori.org/funding-opportunities/funding-announcements/http://www.pcori.org/funding-opportunities/funding-announcements/
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    PCORI Funding Timeline

    Funding OpportunitiesPCORI will make a variety of external funding

    opportunities available throughout the course of its work.

    PCORI Funding Announcements (PFAs)

    PCORIs primary research awards will be issued in

    cycles to support our five established priority areas.

    Other Contract Research Requests for Proposals

    (RFPs) covering various fields of inquiry will be

    competitively awarded. Each RFP will contain a

    unique statement of work, requirements and

    evaluation criteria.Track announcements of future funding opportunities by

    subscribing to the PCORI mailing list, or visiting

    http://www.pcori.org/funding-opportunities/

    Cycle

    I

    Cycle

    II

    Cycle

    III

    LOI Due 06/15/12 10/15/12 2/15/13

    ApplicationDue

    07/31/12 11/30/12 3/31/13

    AwardsAnnounced

    12/31/12 04/2013 08/2013

    EarliestStart Date

    01/2013 05/2013 09/2013

    http://www.pcori.org/funding-opportunities/http://www.pcori.org/funding-opportunities/http://www.pcori.org/funding-opportunities/http://www.pcori.org/funding-opportunities/
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    Available Funding Amounts

    Funding Available for PCORI Funding Announcement

    Cycle I Cycle II Cycle III

    Assessment ofPrevention,

    Diagnosis, andTreatment

    Options

    Available Funds: $48 Million $48 Million TBD

    Expected Awards: 54 Awards 54 Awards TBD

    Maximum Project

    Period

    3 Years 3 Years TBD

    ImprovingHealthcareSystems

    Available Funds: $24 Million $24 Million TBD

    Expected Awards: 27 Awards 27 Awards TBD

    Maximum ProjectPeriod

    3 Years 3 Years TBD

    Communication

    andDissemination

    Research

    Available Funds: $12 Million $12 Million TBD

    Expected Awards: 14 Awards 14 Awards TBD

    Maximum ProjectPeriod

    3 Years 3 Years TBD

    AddressingDisparities

    Available Funds: $12 Million $12 Million TBD

    Expected Awards: 14 Awards 14 Awards TBD

    Maximum ProjectPeriod 3 Years 3 Years TBD

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    What Makes PCORI Funding Different?

    User-friendly announcements to encourage broader

    range of applicants

    Patient & stakeholder engagement plan

    Dissemination and implementation assessment

    Reproducible and transparent research plan

    PCORI criteria outlined by statute

    Rigorous methodology standards

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    What roles should patients andstakeholders play in research teams?

    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 andprogress; and

    Dissemination of research results.

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    Become a Reviewer of PCORI FundingApplications

    www.pcori.org/get-involved/reviewers

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    Next Steps for PCORI

    Convene Patient and Stakeholder Workshops

    Establish advisory groups

    Issue targeted funding announcements

    Award first round of primary researchcontracts

    Training patients and stakeholdersto serve as PCORI reviewers

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    Join Our Mailing List

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    Connect with PCORI

    Visit us at

    www.pcori.orgFollow @PCORI onTwitter

    Watch our YouTubechannel PCORINews

    http://www.pcori.org/http://www.pcori.org/

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