PCOR Trust Fund Investments At-A-Glance | Agency for Healthcare Research and Quality

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AHRQ's portion of the PCORTF is approximately $100 million/year which, by statute, is allocated to training PCOR researchers and dissemination and implementation of evidence into practice to make sure the best available evidence is understood and used to achieve outcomes that patients care about." /> <link rel="canonical" href="https://www.ahrq.gov/pcor/at-a-glance/index.html" /> <meta name="Generator" content="Drupal 10 (https://www.drupal.org)" /> <meta name="MobileOptimized" content="width" /> <meta name="HandheldFriendly" content="true" /> <meta name="viewport" content="width=device-width, initial-scale=1, shrink-to-fit=no" /> <meta http-equiv="x-ua-compatible" content="ie=edge" /> <link rel="icon" href="/themes/custom/ahrq_bootstrap_barrio/favicon-swoosh.ico" type="image/vnd.microsoft.icon" /> <link rel="alternate" hreflang="en" href="https://www.ahrq.gov/pcor/at-a-glance/index.html" /> 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AHRQ Grants</p></div> </div> </div> <div class="mm-feature-block hide-on-mobile block block-block-content block-block-contentc6610af5-d53e-4c4c-8541-cbf02cc0fa2a" id="block-block-content-c6610af5-d53e-4c4c-8541-cbf02cc0fa2a"> <div class="content"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2><a href="/pcor/index.html">PCOR</a></h2> <ul> </ul> <p>AHRQ Projects funded by the Patient-Centered Outcomes Research Trust Fund.</p></div> </div> </div> </section> </div> </div> </div> <div rel="7" class="row pulldown pulldown7"> <div class="subnav-2-cols"> <div class="col-md-12" role="navigation"> <section class="row region region-megamenu-pulldown7-col1"> <div class="hide-on-desktop block block-block-content block-block-contentdf85c7fb-faa9-4161-a755-fc6b625659a3" id="block-block-content-df85c7fb-faa9-4161-a755-fc6b625659a3"> <div class="content"> <div class="clearfix text-formatted field field--name-body 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</div> </div> </div> <div id="breadcrumbs"> <div class="row row-side-margins"> <div class="col-12 .chrome"> <div id="block-system-breadcrumb-block" class="block block-system block-system-breadcrumb-block"> <div class="content"> <nav role="navigation" aria-label="breadcrumb"> <ol class="breadcrumb"> <li class="breadcrumb-item"> <a href="/">Home</a> </li> <li class="breadcrumb-item"> <a href="/pcor/index.html">Patient-Centered Outcomes Research</a> </li> <li class="breadcrumb-item active"> Trust Fund Investments At-A-Glance </li> </ol> </nav> </div> </div> </div> </div> </div> <div id="topics-az" class="col-12"> <div class="row row-side-margins"> <div class="col-12"> </div> </div> </div> <div id="main-content-wrapper"> <section class="main-content col row-side-margins" id="content" role="main"> <div id="content_top" class="row"> <div class="col-12"> <div class="language-switcher-language-url block block-language block-language-blocklanguage-interface" role="navigation"> <div 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class="block-sidebar-first block block-menu-block-forked block-menu-block-forkedpcor" id="block-menu-block-forked-pcor"> <span class="sbf-main"><a href="/pcor/index.html">Patient-Centered Outcomes Research</a></span> <ul class="clearfix nav navbar-nav collapse dont-collapse-sm navbar-collapse"> <li class="nav-item menu-item--collapsed sbf-level-one"> <a href="/pcor/strategic-framework/index.html" class="nav-link" data-drupal-link-system-path="node/237454">PCOR Strategic Framework</a> </li> <li class="nav-item sbf-level-one"> <a href="/pcor/potential-of-the-pcortf/index.html" class="nav-link" data-drupal-link-system-path="node/215137">About the PCOR Trust Fund</a> </li> <li class="nav-item active sbf-level-one"> <a href="/pcor/at-a-glance/index.html" class="nav-link active is-active" data-drupal-link-system-path="node/242236" aria-current="page">Trust Fund Investments At-A-Glance</a> </li> <li class="nav-item menu-item--collapsed sbf-level-one"> <a href="/pcor/ahrq-pcor-trust-fund-training-projects/index.html" class="nav-link" data-drupal-link-system-path="node/215131">AHRQ Training Projects Funded by PCOR Trust Fund</a> </li> <li class="nav-item menu-item--collapsed sbf-level-one"> <a href="/pcor/healthcare-extension-services/index.html" class="nav-link" data-drupal-link-system-path="node/241434">AHRQ's Healthcare Extension Service Initiative</a> </li> <li class="nav-item sbf-level-one"> <a href="/pcor/library-of-resources/index.html" class="nav-link" data-drupal-link-system-path="node/215136">Library of PCOR Resources</a> </li> </ul> </div> </div> <div class="subnav-2-cols col-sm-8 col-md-9"> <div id="main-content"></div> <article about="/pcor/at-a-glance/index.html" typeof="schema:WebPage" class="node node--type-page node--view-mode-full clearfix"> <div class="node__content clearfix"> <div class="main-content-with-sb2"> <h1 class="node__title"> <span property="schema:name" class="field field--name-title field--type-string field--label-hidden">PCOR Trust Fund Investments At-A-Glance</span> </h1> <div class="pager-wrap"> </div> <div property="schema:text" class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p>Patient-centered outcomes research (PCOR) provides decision-makers with objective, scientific evidence on the comparative effectiveness of treatments, services, and other interventions used in healthcare. The Patient-Centered Outcomes Research Trust Fund (PCORTF) is funded by a tax on insurers. AHRQ's portion of the PCORTF is approximately $100 million/year which, by statute, is allocated to training PCOR researchers and dissemination and implementation of evidence into practice to make sure the best available evidence is understood and used to achieve outcomes that patients care about.</p><h2>Training PCOR Researchers</h2><p>AHRQ uses the PCORTF training authority and approximately 15% of PCORTF funds to support career development training in the full range of PCOR research design, data analysis, and comparative effectiveness research. AHRQ's training investments aim to produce the next generation of researchers to conduct PCOR that represents national healthcare priorities and needs and implements the results to improve the quality of care and patient outcomes. Examples include:</p><ul><li>AHRQ invests in traditional early, mid-career, and senior investigator development grants (<a href="https://grants.nih.gov/grants/guide/pa-files/PA-22-049.html">K01</a>, <a href="https://grants.nih.gov/grants/guide/pa-files/PA-22-050.html">K08</a>, <a href="https://grants.nih.gov/grants/guide/pa-files/PA-22-051.html">K18</a>).</li><li>Since 2018, AHRQ has partnered with the Patient-Centered Outcomes Research Institute (PCORI) to develop the new <a href="/learning-health-systems/building-workforce.html">Learning Health System Centers of Excellence</a>. Newly trained clinician and research scientists used <a href="/learning-health-systems/building-workforce.html#PillarCompetencies">LHS Training Competencies</a> within health systems to collaborate with systems' leaders and conduct studies to address how healthcare organizations can improve patient outcomes.</li><li>Most recently, AHRQ and PCORI co-funded <a href="/pcor/ahrq-pcor-trust-fund-training-projects/pcor-lhs.html">Learning Health System Embedded Scientist Training and Research (LHS E-STaR)</a> Centers. Grantees will create new models of learning health system infrastructure that will use evidence generated by these scientists' research to optimize care as quickly, broadly, and equitably as possible and ultimately improve health outcomes. </li><li>AHRQ uses learning collaboratives among grantees to share valuable lessons, resources, curriculum, and training materials.</li><li>AHRQ evaluates its training programs to assess the outputs and early outcomes of AHRQ's PCOR training and infrastructure capacity building programs.</li></ul><h2>Disseminating PCOR Evidence</h2><p>In its dissemination efforts and investments, AHRQ aims to ensure evidence is understood and used.  Therefore, AHRQ invests more than 80% of its PCORTF dollars across the dissemination and implementation (D&I) continuum by synthesizing the best available evidence, translating it into actionable knowledge, and supporting and evaluating implementation tools and strategies across various healthcare settings.</p><h3>AHRQ's PCORTF D&I investments include:</h3><ul style="margin-top:0in;" type="disc"><li><a href="/pcor/healthcare-extension-services/index.html">AHRQ's Healthcare Extension Service: State-based Solutions to Healthcare Improvement</a>, launched in Fall 2024, is one of AHRQ's most prominent investments to date, accounting for nearly half of AHRQ's PCORTF investments. This 5-year program includes up to 15 state-based Healthcare Extension Cooperatives, a National Coordinating Center, and a National Evaluation Center. The goal of the Healthcare Extension Service is to accelerate the dissemination and implementation of patient-centered outcomes research evidence into healthcare delivery in order to reduce the time from evidence generation and its use in healthcare delivery. The program is designed to enhance healthcare delivery through improvements in healthcare policy, payment systems, and clinical practice, and to reduce healthcare disparities especially among people who receive Medicaid, are uninsured, or are medically underserved.</li><li>AHRQ's <a href="https://effectivehealthcare.ahrq.gov/">Evidence-based Practice Centers (EPC)</a> that synthesize the best available evidence on the outcomes, benefits and harms, and appropriateness of drugs, devices, and healthcare services and by helping healthcare professionals, patients, policymakers, and healthcare systems make informed healthcare decisions. They also create evidence tools and continually advance and produce guidance on evidence synthesis methods.  </li><li>Advancing the science of <a href="https://cds.ahrq.gov/">Clinical Decision Support</a> by supporting implementers, clinicians, and technology vendors in developing clinical decision support tools that are shareable, standards-based, publicly available, and patient-centered. </li><li>Developing and implementing other types of tools to support dissemination of "actionable knowledge" derived from evidence-based research findings and practices from PCORI and other government-funded and non-government-funded entities that sponsor relevant research. Examples include:<ul><li>The <a href="/chsp/about-chsp/index.html">Comparative Health System Performance Initiative</a>, which is currently updating the <a href="/chsp/data-resources/compendium-2021.html">Compendium of U.S. Healthcare Systems</a> to study how healthcare systems promote evidence-based practices in delivering care.</li><li>The <a href="/sdm/share-approach/index.html">SHARE Approach</a> curriculum and toolkit for clinicians to learn the skills for shared decision making with their patients. </li><li>Working with HHS Agencies in developing behavioral health integration measures.</li></ul></li><li>Supporting and evaluating implementation strategies to help local, State, and Federal decision-makers use PCOR to inform needed improvements in healthcare. Examples include:  <ul><li><a href="/evidencenow/index.html">EvidenceNOW</a>, which focused on providing external support to small and medium primary care practices to advance cardiovascular health. The EvidenceNOW project resulted in a multitude of learnings and tools for change that were further adapted for additional EvidenceNOW projects to implement PCOR evidence for <a href="/evidencenow/projects/alcohol/index.html">Managing Unhealthy Alcohol Use</a>, <a href="/evidencenow/projects/urinary/index.html">Managing Urinary Incontinence</a>, and <a href="/evidencenow/projects/state/index.html">Building State Capacity</a>.</li><li><a href="/takeheart/index.html">TAKEheart</a>, an initiative to help hospitals increase participation in cardiac rehabilitation.</li><li><a href="https://grants.nih.gov/grants/guide/rfa-files/RFA-HS-22-001.html">Improving Implementation Strategies for Implementation of Evidence-based Care to Reduce High Burden Racial and Ethnic Disparities</a>.</li></ul></li></ul><h2>Infrastructure and Program Support</h2><p>AHRQ also makes operational investments to support its PCORTF Training and D&I programs. These investments include staff, strategic planning and evaluation, information technology, communication support, and stakeholder engagement, including technical advisory panels, the PCORTF Sub-committee of AHRQ's National Advisory Council, and expenditures for grants and contracts.</p><h2>AHRQ's Strategic Plan for PCORTF Training and D&I Investments</h2><p>Following reauthorization of the PCORTF in FY2020, AHRQ engaged in an extensive strategic planning process including a <a href="https://www.federalregister.gov/documents/2022/04/15/2022-08038/request-for-information-ahrqs-proposed-patient-centered-outcomes-research-trust-fund-strategic">Federal Register Notice</a> for public input, four virtual workshops through the <a href="https://www.nationalacademies.org/our-work/accelerating-the-use-of-findings-from-patient-centered-outcomes-research-in-clinical-practice-to-improve-health-and-health-care-a-workshop-series">National Academy of Science Engineering and Medicine: Accelerating the Use of Findings from Patient-Centered Outcomes Research in Clinical Practice to Improve Health and Health Care: A Workshop Series</a>, and a subcommittee of AHRQ's National Advisory Council (NAC) to provide input on building, implementing, and evaluating a connected portfolio of investments to achieve our goals. <a href="/sites/default/files/wysiwyg/pcor/external-stakeholder-report.pdf">Robust input</a> informed AHRQ's final <a href="/sites/default/files/wysiwyg/pcor/strategic-framework.pdf">PCORTF Strategic Framework</a>, which guides all of AHRQ's PCORTF investments.</p><p><img src="/sites/default/files/wysiwyg/pcor/images/ahrq-strategic-framework.jpg" data-entity-uuid="a7764092-c68c-4b88-8043-9556adbe9953" data-entity-type="file" alt="This graphic describes on the top line the Framework's Mission: Dissemination and implementation of evidence into practice and train the next generation of patient-centered outcomes researchers. Vision: Equitable, whole-person care across the lifespan that acknowledges the impact of community and social context on patient health. Goal: Improve health outcomes by promoting safe, affordable, evidence-based, integrated, coordinated, team-based, patient-centered care with a focus on underserved populations. The middle of the graphic uses a camera lens to depict four strategic priorities through a health equity lens with sustained and meaningful stakeholder engagement. These priorities are: Prevention and improved care for patients with chronic conditions. Patient, family, provider, and community experience of care that enhances trust in the heathcare system. Primary care transformation. High-quality safe care that is aligned with national priorities. The bottom of the graphic describes 10 cross-cutting strategies to achieve equitable, whole-person care across the lifespan." width="600" height="369" loading="lazy"></p><p>AHRQ recently established an internal Steering Committee to operationalize the Strategic Framework within a Learning Portfolio Model. This means that AHRQ will aim for continuous improvement in internal operations to support investment decisions informed by data- and stakeholder-driven insights, applying an equity framework to all projects. A learning culture requires careful analysis of the portfolio, from the mix of project types, targets, and strategies, to project outputs and outcomes. The goal is a connected portfolio of projects aligned with national priorities to achieve the mission, vision, and goals of the strategic framework. Becoming a learning portfolio will enhance the Agency's adaptability to change; increase capacity for impact and innovation; engage and empower portfolio, program, and project-level stakeholders; and improve long-term success and sustainability.</p><p><img src="/sites/default/files/wysiwyg/pcor/images/pcor-curvy-road.png" data-entity-uuid="adcd3377-7314-48d3-b987-36c6b47327e7" data-entity-type="file" alt="This line drawing of a curvy road from left to right moves from a small picture of a judge鈥檚 gavel for Governance, which leads to two hands shaking to depict Stakeholder Engagement, to a magnifying glass to depict Data and Evaluation, to conversational balloons depicting Communication." width="600" height="234" loading="lazy"></p><p> </p></div> <div class="pager-wrap"> </div> </div> <div class="sb2-layout"> <aside class="sidebar-second-wrapper"> <div class="sb2-content"> <div class="clearfix text-formatted field field--name-field-main-callout field--type-text-long field--label-hidden field__item"><h3>PCOR Trust Fund</h3><p>The Patient Protection and Affordable Care Act (P.L. 111-148) established the PCORTF for 10 years. The Further Consolidated Appropriations Act, 2020 (P.L. 116-94) reauthorized the PCORTF.</p><p>The PCORTF funds :</p><ul><li>The Patient-Centered Outcomes Research Institute (PCORI) to conduct PCOR and disseminate their findings (80%)</li><li>The Department of Health and Human Services Assistant Secretary of Planning and Evaluation (ASPE) to develop the PCOR data infrastructure (4%)</li><li>The Agency for Healthcare Research and Quality (AHRQ) to train PCOR researchers and broadly disseminate PCOR evidence (16%)<br> </li></ul></div> </div> </aside> </div> </div> </article> </div> </div> </div> <div class="row"> <div class="col-md-12 col-sm-12 text-right"> <section class="row region region-citation"> <div id="block-citation" class="block block-ahrq block-citation"> <div class="content"> <div id="created-reviewed-citation" class="pad-bottom-sections"> <div id="page-reviewed" class="body-copy-italic">Page last reviewed October 2024 </div> <div id="page-created" class="body-copy-italic">Page originally created March 2024</div> </div> <div id="citation"> <div class="twocolordiv"> <div class="twocolordiv-content"> <p> <span class="citation-hdr">Internet Citation:</span> PCOR Trust Fund Investments At-A-Glance. Content last reviewed October 2024. 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PCOR Trust Fund Investments At-A-Glance | Agency for Healthcare Research and Quality