The PCORI Health Care Horizon Scanning System (HCHSS) provides a systematic process to identify and monitor technologies and innovations in health care that are in PCORI’s priority areas of interest and creates an inventory of interventions with the highest potential for disruption.

Emerging Health Care Innovation Briefs


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PCORI Emerging Health Care Innovation Brief -- With a background showing a human genome helix

The PCORI Emerging Health Care Innovation Briefs expand on the Biweekly COVID-19 Scans, which highlighted key developments related to the COVID-19 pandemic since May 2020, along with important topics of interest identified during the ongoing scanning and topic identification process or through the ECRI stakeholder survey process.

The Innovation Briefs highlight information on potentially disruptive developments across the PCORI HCHSS's six focus areas—Alzheimer’s disease and other dementias, cancer, cardiovascular diseases, infectious diseases (including COVID-19), mental and behavioral health conditions, rare diseases—and high-level trends cutting across multiple focus areas.

View the Innovation Briefs

Horizon Scanning Database


This database offers healthcare decision makers findings about advancements in six key areas of interest: Alzheimer’s disease and other dementias, cancer, cardiovascular diseases, infectious diseases (including COVID-19), mental and behavioral health, and rare diseases. It can be used by patients, care partners, and others to track advancements in care options.

View the Database

High Potential Disruption Reports


Individuals with vested interests in new technologies, services, and innovations typically provide critical insights and information about the areas in which they have a vested interest. Their perspectives may include their vision and plans for how they intend to carry out adoption of a technology, service, or innovation. Twice a year, analysts review all topics for which stakeholder comments have been received in the previous 15 months.

November 2023 | May 2023
November 2022 | May 2022
November 2021 | May 2021
November 2020 | May 2020
November 2019 | May 2019

COVID-19 Supplement High Impact Reports


The high impact reports highlight topics that stakeholders (including physicians, nurses, allied health professionals, public health professionals, first responders, health systems experts) have identified as having potential for high impact relative to COVID-19 in the United States. The reports are published every four months.

April 2021 | January 2021 | September 2020

Biweekly COVID-19 Scans


Since May 2020, the Biweekly COVID-19 Scans have served as a vehicle to inform PCORI and the public about key developments related to the COVID-19 pandemic, and important topics of interest identified during the ongoing scanning and topic identification process or through the ECRI stakeholder survey process. In January 2023, PCORI expanded the scope the HCHSS Biweekly COVID-19 Scan to include any emerging intervention in the HCHSS and renamed it as the Emerging Health Care Innovation Brief.

View the Scans

Protocol and Operations Manuals


HORIZON SCANNING: This document outlines the basic protocol and decision processes used to scan for leads, select interventions and trends for monitoring, and identify interventions in each priority area and trends across all clinical areas with high potential to cause disruption to health care in the United States. It also describes the horizon scanning process related to the COVID-19 pandemic.

View the Horizon Scanning Manual

COVID-19 SUPPLEMENT: This document supplements the Horizon Scanning Protocol and Operations Manual by describing the horizon scanning process related to the COVID-19 pandemic.

View the COVID-19 Supplement Manual

Journal Articles


Emerging Healthcare Interventions: Patient-Centered Outcomes Research Institute's Programmatic Initiative 
INTERNATIONAL JOURNAL OF TECHNOLOGY ASSESSMENT IN HEALTH CARE, June 2023
Raman G, Vijaysimha M, Kopleff E, Dunham K, Martin G, Slutsky J, Lawrence W.

Patient and Caregiver Engagement in the Patient-Centered Outcomes Research Institute (PCORI) Health Care Horizon Scanning System (HCHSS) Process
INTERNATIONAL JOURNAL OF TECHNOLOGY ASSESSMENT IN HEALTH CARE, December 2020
Tipton K, De Lurio J, Erinoff E, Hulshizer R, Robertson D, Beales D, Carlson D, Cuevas C, DeHaan E, Druga A, Lynch M, Mehta M, Middleton M, Wilkinson B, Schoelles K.

The PCORI Health Care Horizon Scanning System is operated by ECRI under contract to PCORI, Washington, DC (Contract No. MSA-HORIZSCAN-ECRI-ENG-2018.7.12). The content included in these documents do not necessarily represent the views of PCORI. PCORI does not make any guarantees with respect to the accuracy or reliability of the information in the content, nor does PCORI necessarily endorse the content or results contained therein.

Posted: June 11, 2019; Updated: April 9, 2024

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