This project is designed to advance understanding of how evidence and comparative clinical effectiveness research is (or is not) informing state and local healthcare policy and practice and to facilitate engagement with a core stakeholder group, policy makers, and health officials. It builds on PCORI’s existing body of research and GOVERNING’s sector expertise and audience reach to help advance the diffusion and implementation of person-centered and value-driven models of care.
State and local health officials and their agencies operate on the leading edge of healthcare system transformation and evolving public health issues as they provide vital health services to their communities. While facing increasingly complex challenges, such as infectious and chronic disease, widening health disparities, as well as the needs of aging populations, policy leaders, administrators, and frontline practitioners draw on a variety of resources and tools—including data analysis, new technology, and comparative clinical effectiveness research—to achieve better health outcomes. As such, state and local health agencies are well positioned to evaluate the success of innovative approaches and to translate new evidence into policy, practice guidelines, and on-the-ground interventions. Despite the growing momentum behind these efforts, knowledge and implementation gaps persist due to a variety of challenges, whether caused by lack of clarity about what constitutes “evidence-based” policy or by barriers to translating evidence into informed practice.
To address these challenges, GOVERNING will use funding to implement an integrated program combining surveys and a series of in-person meetings designed to support stakeholder engagement and knowledge dissemination efforts. The survey component will explore to what extent policy and practice in state and local government are mandating or enabling more evidence-informed, patient-centered, outcome-driven healthcare/public health interventions. The survey work will be followed up with a series of in-person meetings that will bring together state and local health officials and PCOR experts for peer-to-peer discussion and knowledge sharing.
By adding state and local government officials to PCORI’s stakeholder outreach—in addition to patients and healthcare providers—this project aims to facilitate more informed approaches to health management, disease prevention, and delivery of care (from a policy/program perspective). It will serve to identify knowledge gaps and implementation barriers; it will create new engagement and learning opportunities across stakeholder groups; and lastly, it will cultivate peer networks to assist health officials in operationalizing PCOR/CER findings into more value-driven healthcare and service delivery. By extending vital engagement and information-sharing infrastructure to state and local government health agencies, this project also aims to lay the groundwork for future efforts in the field.