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Health System Panel To Inform and Encourage Use of Evidence Reports

Findings From the Implementation and Evaluation of Two Evidence-Based Tools

Methods Research Report

Investigators: , Ph.D., M.B.A., R.N., , M.P.P., , M.S., , M.D., M.P.H., M.H.S., FACEP, , Ph.D., M.B.A. (Kaiser Permanente Northwest), , Ph.D., R.N., , Dr.N.P., A.P.N.-B.C., and , B.A.

Rockville (MD): Agency for Healthcare Research and Quality (US); .
Report No.: 22-EHC005

Structured Abstract

Objectives:

The Agency for Healthcare Research and Quality (AHRQ) Evidence-based Practice Center (EPC) Program wants learning health systems (LHSs) to use the evidence from its reports to improve patient care. In 2018, to improve uptake of EPC Program findings, the EPC Program developed a project to enhance LHSs’ adoption of evidence to improve the quality and effectiveness of patient care. AHRQ contracted with the American Institutes for Research (AIR) and its partners to convene a panel of senior leaders from 11 LHSs to guide the development of tools to help health systems use findings from EPC evidence reports. The panel’s contributions led to developing, implementing, and evaluating two electronic tools to make the EPC report findings more accessible. AIR evaluated the LHSs’ use of the tools to understand (1) LHSs’ experiences with and impressions of the tools, (2) how well the tools helped them access evidence, and (3) how well the tools addressed barriers to LHS use of the EPC reports and barriers to applying the evidence from the reports.

Data sources:

(1) Implementation meetings with 6 LHSs; (2) interviews with 27 health system leaders and clinical staff who used the tools; and (3) website utilization metrics.

Results:

The tools were efficient and useful sources of summarized evidence to (1) inform systems change, (2) educate trainees and clinicians, (3) inform research, and (4) support shared decision making with patients and families. Clinical leaders appreciated the thoroughness and quality of the evidence reviews and view AHRQ as a trusted source of information. Participants found both tools to be valuable and complementary. Participants suggested optimizing the content for mobile device use to facilitate health system uptake of the tools. In addition, they felt it would be helpful to have training resources about tool navigation and interpreting the statistical content in the tools.

Conclusions:

The evaluation shows that LHSs find the tools to be useful resources for making the EPC Program reports more accessible to health system leaders. The tools have the potential to meet some, but not all, LHS evidence needs, while exposing health system leaders to AHRQ as a resource to help meet their information needs. The ability of the EPC reports to support LHSs in improving the quality of care is limited by the strength and robustness of the evidence, as well as the relevance of the report topics to patient care challenges faced by LHSs.

Contents

Prepared for: Agency for Healthcare Research and Quality, U.S. Department of Health and Human Services, 5600 Fishers Lane, Rockville, MD 20857; www.ahrq.gov Contract No. HHSP23320150014I/HHSP23337004T Prepared by: American Institutes for Research, Arlington, VA

Suggested citation:

Paez K, Shapiro R, Thompson L, Shelton E, Savitz L, Mossburg S, Baseman S, Lin A. Health System Panel To Inform and Encourage Use of Evidence Reports: Findings From the Implementation and Evaluation of Two Evidence-Based Tools. Methods Research Report. (Prepared by American Institutes for Research under Contract No. HHSP23320150014I/HHSP23337004T.) AHRQ Publication No. 22-EHC005. Rockville, MD: Agency for Healthcare Research and Quality; August 2022. doi: https://doi.org/10.23970/AHRQEPCHEALTHSYSTEMPANEL. Posted final reports are located on the Effective Health Care Program search page.

This report is based on research conducted by the American Instututes for Research under contract to the Agency for Healthcare Research and Quality (AHRQ), Rockville, MD (Contract No. HHSP23320150014I/HHSP23337004T). The findings and conclusions in this document are those of the authors, who are responsible for its contents; the findings and conclusions do not necessarily represent the views of AHRQ. Therefore, no statement in this report should be construed as an official position of AHRQ or of the U.S. Department of Health and Human Services.

None of the investigators have any affiliations or financial involvement that conflicts with the material presented in this report.

The information in this report is intended to help healthcare decision makers—patients and clinicians, health system leaders, and policymakers, among others—make well-informed decisions and thereby improve the quality of healthcare services. This report is not intended to be a substitute for the application of clinical judgment. Anyone who makes decisions concerning the provision of clinical care should consider this report in the same way as any medical reference and in conjunction with all other pertinent information, i.e., in the context of available resources and circumstances presented by individual patients.

This report is made available to the public under the terms of a licensing agreement between the author and the Agency for Healthcare Research and Quality. This report may be used and reprinted without permission except those copyrighted materials that are clearly noted in the report. Further reproduction of those copyrighted materials is prohibited without the express permission of copyright holders.

AHRQ or U.S. Department of Health and Human Services endorsement of any derivative products that may be developed from this report, such as clinical practice guidelines, other quality enhancement tools, or reimbursement or coverage policies may not be stated or implied.

AHRQ appreciates appropriate acknowledgment and citation of its work. Suggested language for acknowledgment: This work was based on the report Health System Panel To Inform and Encourage Use of Evidence Reports: Findings From the Implementation and Evaluation of Two Evidence-Based Tools, by the Evidence-based Practice Center Program at the Agency for Healthcare Research and Quality (AHRQ).

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