Project Summary

Background: There is little evidence on the use and implementation of comparative effectiveness research (CER) or patient-centered outcomes research (PCOR) approaches within essential hospitals. Perhaps more important, there is even less systematic information available on patient and caregiver engagement improving healthcare delivery for more vulnerable populations. A systematic evaluation of the use of PCOR/CER and patient and caregiver engagement would provide the evidence needed to advance the adoption of evidence-based research and best practices within essential hospitals.

Proposed Solution to the Problem: The problem will be addressed through a two-step process: (1) understand the current state of PCOR/CER use and integration in member hospitals; and (2) provide a concrete roadmap for member hospitals to implement PCOR/CER concepts in their day-to-day practice.

Objectives: The objectives of this project are to understand how essential hospitals view the utility of PCOR/CER in their work, current implementation activities, and future needs; develop a landscape review of current use of PCOR/CER by essential hospitals; identify barriers to the widespread adoption of PCOR/CER initiatives in  member hospitals; build a roadmap for essential hospitals to overcome these barriers and to facilitate mass adoption of PCOR/CER; and disseminate the roadmap to promote PCOR/CER integration.

Activities: The project will be divided into two phases: data gathering and dissemination. Phase 1 (data gathering) will involve stakeholder engagement, a landscape review, survey development, key informant interviews, and a roadmap summit. Phase 2 (dissemination) will involve audience identification and partner engagement, roadmap dissemination, and a dissemination plan for future PCOR/CER.

Outcomes and Outputs (projected): In the long term, this project will lead to the development of channels and networks for disseminating and implementing PCOR/CER findings while engaging patients, clinicians, hospital administrators, policy makers, and payers. The proposed project also will lead to a skilled community of patients, caregivers, and healthcare providers within essential hospitals. The project will have two main short-term impacts: the development of a roadmap for integrating PCOR/CER in the day-to-day practice of safety-net hospitals, and a dissemination plan for the future to ensure PCOR/CER information is appropriately delivered to stakeholders in safety-net hospitals and health systems.

Patient and Stakeholder Engagement Plan: Patient and stakeholder engagement is key to the success of this project. Patient and caregiver representatives will serve on a project advisory group and engage in the design and execution of Phase 1 tasks, the development of the roadmap, and the planning of dissemination strategies for Phase 2. Stakeholders such as clinicians and c-suite members will comprise another project advisory group, and play a crucial role in developing the full picture of the current PCOR/CER landscape, strategies for widespread adoption, and planning for future needs and initiatives.

Project Collaborators: During the dissemination phase, America’s Essential Hospitals will collaborate with organizations such as The American Hospital Association/Health Resource and Education Trust, Premier, Association of American Medical Colleges, Joint Commission Resources, and all major hospital associations.

More on This Project

Project Resource: Landscape Review

Project Information

Bruce Siegel, MD
Kalpana Ramiah, DrPH, MSc
America’s Essential Hospitals

Key Dates

18 months


Project Status
State State The state where the project originates, or where the primary institution or organization is located. View Glossary
Last updated: March 4, 2022