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Printed from: http://www.napcrg.org/Conferences/Practice-basedResearchNetworkConference/PlenarySessions

Plenary I 

Evaluation of a National Dissemination and Implementation Initiative to Enhance Primary Care Practice Capacity and Improve Cardiovascular Disease Care

Deborah Cohen, PHD
Principal Investigator, ESCALATES
Associate Professor, Department of Family Medicine at Oregon Health & Science University


The Agency for Healthcare Research and Quality (AHRQ) launched the EvidenceNOW Initiative in 2015 to promote delivery of evidence-based cardiovascular disease (CVD) preventive care in smaller primary care practices with limited resources and experience with quality improvement (QI), and to expand the nation’s capacity to rapidly translate evidence into practice. AHRQ funded 7 regional Cooperatives spanning 12 states in the US. Each Cooperative is working to create health care extension infrastructure to implement external support interventions to at least 200 primary care practices with less than 10 clinicians and limited quality improvement capacity, and evaluate their efforts. To our knowledge, this is the largest effort to take evidence to scale in the primary care setting in the US to date. 

Our team is leading the national evaluation for EvidenceNOW, called Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES), which aims to comprehensively examine the dissemination and implementation approaches of the 7 Cooperatives to generate overarching, cross-Cooperative findings. This presentation focuses on describing the EvidenceNOW initiative and sharing real-time findings emerging from our research. 

Participants at the end of the initiative will gain:

  • Knowledge of the EvidenceNOW initiative, and identify high level elements of the evaluation of this initiative (ESCALATES)
    Information about the Cooperative infrastructure supporting this large dissemination and implementation effort, and understand the role of practice-based research networks play in this effort
  • Knowledge of the key characteristics of the EvidenceNOW cohort of practices, which currently includes data on approximately 1500 primary care practices
    Knowledge of cutting-edge findings with regard to distribution of ABCS across regions, and factors that shape quality improvement across practices at baseline
  • Insight into the challenges Cooperatives and their practices face in this initiative, which will include challenges related to: (a) using EHR-extracted data in quality improvement, (b) reaching and supporting 200 plus practices in making evidence-based change (i.e., scale-up), and (c) supporting and ensuring quality across the team responsible for practices support 

Plenary II

The Researcher and The Implementer Choosing Wisely: A Critical Kinship Writ Large

Kimberly Wintemute, MD, CCFP, FCFP
Family Physician
Primary Care Co-Lead, Choosing Wisely Canada
Assistant Professor, University of Toronto

Although researchers might work with other researchers in their primary professional relationships, nurturing a relationship with an implementer can be a wonderful thing. In this plenary, Dr. Wintemute will describe why the relationship between researchers and implementers is so crucial to nurture.

Learning Objectives:

  • Identify opportunities to reduce the problem of “too much medicine” vis-à-vis Choosing Wisely recommendations
  • Identify barriers to measurement in the realm of Choosing Wisely, and how PBRNs can help
  • Consider how we can leverage the strengths of both researchers and implementers to make progress

Plenary  III

The State of Primary Care Research at AHRQ

Robert McNellis, MPH, PA

Senior Advisor for Primary Care, 
Agency for Healthcare Research & Quality

During this session you’ll hear about the past, present and future of primary care research at AHRQ. The speaker will provide updates on AHRQ’s current research efforts and some of the learnings to date. You’ll also hear about AHRQ’s research priorities and how PBRNs and primary care researchers can engage with AHRQ in the future.
By the end of this session participants will be able to:

  • Describe AHRQ’s primary care research priorities.
  • Develop ideas to guide future proposals for primary care research efforts.
  • Discuss the contributions of PBRNs to AHRQ’s past, present and future research endeavors.


Funding for this conference was made possible [in part] by 1R13HS024893-01 from the Agency for Healthcare Research and Quality (AHRQ). The views expressed in written conference materials or publications and by speakers and moderators do not necessarily reflect the official policies of the Department of Health and Human Services; nor does mention of trade names, commercial practices, or organizations imply endorsement by the U.S. Government.