P A T IENT -CENTERED O U T COM ES R ES EA RCH IN S T ITUTE
Patient-Centered Outcomes Research Institute
Executive Director’s Welcome
Joe V. Selby, MD, MPH, Executive Director
PCORI Board of Governors Meeting
Washington, DC
September 24, 2012
New PCORI Staff – since May 2012
P A T IENT -CENTERED O U T COM ES R ES EA RCH IN S T ITUTE
Kelton Chapman
Assistant Manager,
Meetings and Special Events
May 29, 2012
Katie Wilson
Project Associate
June 11, 2012
Kara Odom-Walker
Scientist
August 13, 2012
Gregory Martin
Deputy Director,
Stakeholder Engagement
July 23, 2012
Michele Orza
Senior Advisor
to the Executive Director
September 4, 2012
Orlando Gonzales
Chief of Staff
August 1, 2012
Marla Bolotsky
Associate Director,
Digital Media
September 5, 2012
Ayodola Anise
Project Associate
August 13, 2012
James Hulbert
Contracts Administrator
September 10, 2012
Not Shown:
Lorraine Bell, Senior Program Associate – May 29, 2012
Desiree Frank, Executive Assistant to the Executive Director – June 19, 2012
Kimberly Holloway, Senior Administrative Assistant – August 27, 2012
David Hickam, Scientific Program Leader, Health System Research – September 17, 2012
Jordan Elliker, Project Events Coordinator – September 19, 2012
PCORI PILOT PROJECTS (PPP)
• 50 projects funded (of 856); mostly 2-years in length
• $31 million total funding
P A T IENT -CENTERED O U T COM ES R ES EA RCH IN S T ITUTE
Funded PCORI Pilot Projects in 25 States and DC
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PCORI Pilot Projects Areas of Interest
P A T IENT -CENTERED O U T COM ES R ES EA RCH IN S T ITUTE
Area of Interest
Submitted
Funded
Informing PCORI national priorities
21
2
Bringing together patients, caregivers, and other stakeholders in
all stages of a research process
80
1
180
19
26
0
214
11
31
5
45
170
6
6
Translating evidence into health care practice in ways that
account for individual patient preferences for various outcomes,
including decision-support tools
Collecting and assessing patient- and provider-perceived gaps in
evidence
Identifying, testing, and/or evaluating patient-centered
outcomes instruments
Assessing the patient perspective when researching behaviors,
lifestyles, and choices
Studying patient care team interactions in situations where
multiple options exist
Analytical methods for CER
Types of Organization
Overview: All Applications
P A T IENT -CENTERED O U T COM ES R ES EA RCH IN S T ITUTE
Type
Primes
Subcontractors
Primes
Subs
Funded
Academic
Hospitals
Research organizations
Non-profit health systems
561
80
55
28
235
98
49
54
38
4
3
2
Community-based health
centers
20
46
0
Consultants
Provider associations
Patient associations
Non-profit foundations
Technology organizations
Government
For-profit health benefits
For-profit pharmaceutical
Other
18
16
10
9
7
5
2
1
0
32
19
40
24
25
16
0
2
52
1
0
1
1
0
0
0
0
0
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Target Populations – Applicants & Awardees
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Percent of Total Applications
60%
Total Applications by Target
Population
50%
Population
All
Funded
30%
Underserved
453
30
20%
Specific Ethnic
or Cultural
243
21
Disabled
163
12
Urban & Rural
383
28
Only Urban
188
14
Only Rural
22
1
Unspecified
224
8
40%
10%
0%
Monitoring the Pilot Projects
P A T IENT -CENTERED O U T COM ES R ES EA RCH IN S T ITUTE
Two-year competitive contract awarded to
AcademyHealth (A Rein, PI) to do the following:
 Work closely with PCORI to monitor the 50 pilot projects for
achievement of specific aims
 Assess learnings on patient engagement in research from all
50 projects
 Identify 5 subgroups with common themes, convene and
create joint products within each thematic area
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PCORI FUNDING
ANNOUNCEMENT APPLICATIONS
• 483 applications received
• Review process underway
• ~ 100 awards expected in December 2012
Description of Applications Received
483 applications received
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Applications by PFA
71, 15%
109, 22%
92, 19%
211, 44%
Addressing Disparities
Assessment of Prevention, Diagnosis, and Treatment Options
Communication and Dissemination Research
Improving Healthcare Systems
Top 15 States Applying
IA
OH
GA
IL
MI
MD
NC
FL
WA
TX
MN
NY
MA
PA
CA
0
10
20
30
40
50
60
Mention of Specific Conditions
P A T IENT -CENTERED O U T COM ES R ES EA RCH IN S T ITUTE
Number of Applications
300
250
200
150
100
50
0
Multiple conditions and study designs may
Study Designs Noted in Applications
P A T IENT -CENTERED O U T COM ES R ES EA RCH IN S T ITUTE
Priority #1: Assessment of Prevention, Diagnosis, and Treatment
Options (n=211 applications)
90
80
70
60
50
40
30
20
10
0
Study Populations Noted in Applications
P A T IENT -CENTERED O U T COM ES R ES EA RCH IN S T ITUTE
Priority #1: Assessment of Prevention, Diagnosis, and
Treatment Options (n=211 applications)
80
Number of Applications
70
60
50
40
30
20
10
0
Disabled
Persons
Elderly
Other
Pediatric
Racial or
Ethnic Group
Rural
Urban
Veterans
Women
Reviewers
P A T IENT -CENTERED O U T COM ES R ES EA RCH IN S T ITUTE
Total
Applicants
First
Round
Second
Round
Technical Reviewers
800+
483*
75-100
Patient Reviewers
225
--
25
Stakeholder Reviewers
225
25
--
10
Volunteers
Committee Chairs
PCORI’s 8 Review Criteria
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1. Impact of the Condition
2. Innovation and Potential for Improvement
3. Impact on Healthcare Performance
4. Patient-Centeredness
5. Rigorous Research Methods
6. Inclusiveness of Different Populations
7. Team and Environment
8. Efficient Use of Resources
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Agenda for Today’s Meeting
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Patient and Stakeholder Engagement
Prioritization of Research Topics
Advisory Panels
Conflict of Interest Policy and Plan for Methodology Committee
PCORI Funding Announcement 5A - Methods
Methodology Committee Public Comment
2012 Budget
Communications Update
Appendix
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Appendix A: PICORI Pilot Projects Update
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