Developing AHRQ's Feasibility Assessment Criteria for Wide-Scale Implementation of Patient-Centered Outcomes Research Findings

doi:10.1007/s11606-020-06247-6

. 2021 Feb;36(2):374-382.

doi: 10.1007/s11606-020-06247-6. Epub 2020 Oct 13.

Developing AHRQ's Feasibility Assessment Criteria for Wide-Scale Implementation of Patient-Centered Outcomes Research Findings

Alaina Kay Fournier¹, Melanie Rachel Wasserman², Christine Farley Jones³, Erika Lynn Beam², Erin Elizabeth Gardner⁴, Parivash Nourjah⁵, Arlene S Bierman⁵

Affiliations

¹ Department of Health and Human Services, Agency for Healthcare Research and Quality, Center for Evidence and Practice Improvement, Rockville, MD, USA. Alaina.fournier@ahrq.hhs.gov.
² The Lewin Group, Falls Church, VA, USA.
³ IMPAQ International, Columbia, MD, USA.
⁴ Sigma Health Consulting, McLean, VA, USA.
⁵ Department of Health and Human Services, Agency for Healthcare Research and Quality, Center for Evidence and Practice Improvement, Rockville, MD, USA.

PMID: 33051835
PMCID: PMC7878640
DOI: 10.1007/s11606-020-06247-6

Developing AHRQ's Feasibility Assessment Criteria for Wide-Scale Implementation of Patient-Centered Outcomes Research Findings

Alaina Kay Fournier et al. J Gen Intern Med. 2021 Feb.

. 2021 Feb;36(2):374-382.

doi: 10.1007/s11606-020-06247-6. Epub 2020 Oct 13.

Authors

Alaina Kay Fournier¹, Melanie Rachel Wasserman², Christine Farley Jones³, Erika Lynn Beam², Erin Elizabeth Gardner⁴, Parivash Nourjah⁵, Arlene S Bierman⁵

Affiliations

¹ Department of Health and Human Services, Agency for Healthcare Research and Quality, Center for Evidence and Practice Improvement, Rockville, MD, USA. Alaina.fournier@ahrq.hhs.gov.
² The Lewin Group, Falls Church, VA, USA.
³ IMPAQ International, Columbia, MD, USA.
⁴ Sigma Health Consulting, McLean, VA, USA.
⁵ Department of Health and Human Services, Agency for Healthcare Research and Quality, Center for Evidence and Practice Improvement, Rockville, MD, USA.

PMID: 33051835
PMCID: PMC7878640
DOI: 10.1007/s11606-020-06247-6

Abstract

Background: The Agency for Healthcare Research and Quality's (AHRQ) Patient-Centered Outcomes Research (PCOR) Dissemination and Implementation (D&I) Initiative identifies and prioritizes PCOR findings that could improve health care if widely implemented. To inform PCOR implementation investments, AHRQ sought to assess feasibility of widely implementing impactful PCOR findings with good strength of evidence in clinical practice.

Objective: To develop criteria to assess the feasibility of widely implementing nominated PCOR findings.

Methods: We reviewed literature and interviewed thirteen D&I experts to identify factors affecting feasibility of implementing PCOR findings. We grouped similar factors into themes. Fourteen technical expert panel (TEP) members discussed the face-validity and relative merits of the themes and additional factors, applied themes to fictional case studies, and prioritized themes for assessing feasibility. We developed criteria and guiding questions with a 3-point Likert scale. Seven D&I experts pilot-tested the criteria using sample nominations of PCOR findings. Experts represented diverse views of implementation from federal and state government agencies, research institutions, and quality improvement and advocacy organizations.

Key results: We developed a set of three essential criteria for AHRQ to assess feasibility of widely implementing PCOR findings to be widely implementable: (1) acceptability to the implementers; (2) generalizability, adaptability, and ease of implementing with fidelity; and (3) alignment with external policies and incentives. Two supplemental criteria, (1) the presence of a plan or toolkit supporting implementation, or (2) evidence supporting implementation outside the research setting, can enhance reviewers' confidence in the intervention's feasibility. Each criterion includes "guiding questions" to parse out specific components that could be more readily assessed.

Conclusions: The criteria and guiding questions are a valuable tool for informing AHRQ's investment decisions regarding implementing PCOR findings. Although developed for AHRQ's needs, the criteria may help other funders and health care organizations determine the feasibility of implementing evidence-based practices.

Keywords: criteria; evidence-based interventions; feasibility; implementation; prioritization.

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Conflict of interest statement

The authors declare that they do not have a conflict of interest.

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References

1. Brownson RC, Colditz GA, Proctor EK, editors. Dissemination and Implementation Research in Health: Translating Science to Practice. 2. New York: Oxford University Press; 2018.
1. Agency for Healthcare Research and Quality. PCOR Findings Dissemination. Available at: https://www.PCORnomination.ahrq.gov. Accessed December 23, 2019.
1. Agency for Healthcare Research and Quality. Highlights of AHRQ’s Patient-Centered Outcomes Research (PCOR) Dissemination Investments. Available at: https://www.ahrq.gov/pcor/dissemination-of-pcor/ahrq-pcor-dissemination-.... Accessed March 10, 2019.
1. Agency for Healthcare Research and Quality. Frequently Asked Questions about the Selection Process for AHRQ Dissemination and Implementation Initiative. Available at: https://www.ahrq.gov/pcor/ahrq-dissemination-and-implementation-initiati.... Accessed August 17, 2019.
1. Huppert, JS, Fournier, AK, Bihm, JL, et al. Prioritizing Evidence-based Interventions for Dissemination and Implementation Investments: AHRQ's Model and Experience. Med Care 2019;57(Suppl 10 Suppl 3): S272–s277. - PMC - PubMed

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[1] Brownson RC, Colditz GA, Proctor EK, editors. Dissemination and Implementation Research in Health: Translating Science to Practice. 2. New York: Oxford University Press; 2018.

[2] Brownson RC, Colditz GA, Proctor EK, editors. Dissemination and Implementation Research in Health: Translating Science to Practice. 2. New York: Oxford University Press; 2018.

[3] Agency for Healthcare Research and Quality. PCOR Findings Dissemination. Available at: https://www.PCORnomination.ahrq.gov. Accessed December 23, 2019.

[4] Agency for Healthcare Research and Quality. PCOR Findings Dissemination. Available at: https://www.PCORnomination.ahrq.gov. Accessed December 23, 2019.

[5] Agency for Healthcare Research and Quality. Highlights of AHRQ’s Patient-Centered Outcomes Research (PCOR) Dissemination Investments. Available at: https://www.ahrq.gov/pcor/dissemination-of-pcor/ahrq-pcor-dissemination-.... Accessed March 10, 2019.

[6] Agency for Healthcare Research and Quality. Highlights of AHRQ’s Patient-Centered Outcomes Research (PCOR) Dissemination Investments. Available at: https://www.ahrq.gov/pcor/dissemination-of-pcor/ahrq-pcor-dissemination-.... Accessed March 10, 2019.

[7] Agency for Healthcare Research and Quality. Frequently Asked Questions about the Selection Process for AHRQ Dissemination and Implementation Initiative. Available at: https://www.ahrq.gov/pcor/ahrq-dissemination-and-implementation-initiati.... Accessed August 17, 2019.

[8] Agency for Healthcare Research and Quality. Frequently Asked Questions about the Selection Process for AHRQ Dissemination and Implementation Initiative. Available at: https://www.ahrq.gov/pcor/ahrq-dissemination-and-implementation-initiati.... Accessed August 17, 2019.

[9] Huppert, JS, Fournier, AK, Bihm, JL, et al. Prioritizing Evidence-based Interventions for Dissemination and Implementation Investments: AHRQ's Model and Experience. Med Care 2019;57(Suppl 10 Suppl 3): S272–s277. - PMC - PubMed

[10] Huppert, JS, Fournier, AK, Bihm, JL, et al. Prioritizing Evidence-based Interventions for Dissemination and Implementation Investments: AHRQ's Model and Experience. Med Care 2019;57(Suppl 10 Suppl 3): S272–s277. - PMC - PubMed

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Developing AHRQ's Feasibility Assessment Criteria for Wide-Scale Implementation of Patient-Centered Outcomes Research Findings

Affiliations

Developing AHRQ's Feasibility Assessment Criteria for Wide-Scale Implementation of Patient-Centered Outcomes Research Findings

Authors

Affiliations

Abstract

Conflict of interest statement

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References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources