What types of SDM implementation projects is PCORI interested in?
PCORI is interested in projects that implement patient-centered CER findings obtained from PCORI-funded studies. This PFA is intended to promote the targeted implementation and systematic uptake of SDM in healthcare settings, in line with PCORI’s goal of supporting patients in making informed decisions about their care.
This PFA will support projects that propose active, multi-component approaches to implementing effective SDM strategies that address existing barriers and obstacles to uptake and maintenance, with the goal of effectively and sustainably integrating these interventions into practice.
For this PFA, PCORI defines an SDM strategy as an intervention or approach that draws on and presents available evidence to inform patients of available treatment options and their risks and benefits, and either engages patients in a decision-making process with their clinician or promotes their ability to engage in such a process.
What implementation projects does PCORI NOT fund?
LOIs and applications will be considered nonresponsive to this PFA and may be administratively withdrawn if the project proposes to do any of the following:
- Establish efficacy or effectiveness of SDM strategies, or to study the comparative clinical effectiveness of multiple SDM strategies
- Applicants interested in conducting CER should consider applying to PCORI’s Communication and Dissemination Research Program using the appropriate application materials. Projects proposing the performance of CER under this PFA will not be referred and will be withdrawn as nonresponsive.
- Implement evidence that does not include a PCORI-funded CER or methods study result
- Translate or adapt an SDM approach without actively implementing it
- Develop or validate a new tool or system for patients or clinicians without the primary purpose of actively implementing evidence
- Modification or adaptation of tools and systems previously found to be effective and proposed as the primary mechanism for actively disseminating and implementing evidence will be considered, as long as their development is not the primary activity proposed
- Use contract funds to pay the cost of the interventions being implemented in the project
- In general, PCORI does not pay the cost of the interventions being implemented in the projects it funds. These are direct patient care costs and PCORI expects health delivery organizations or other payers to cover these expenses. Intervention costs PCORI does not cover include, but are not limited to, compensation for personnel who are delivering the intervention and equipment and materials costs associated with delivery of the intervention. PCORI encourages all applicants to find support from sites, payers, or other stakeholders for these expenses. Only under special circumstances will PCORI consider an exception for coverage of patient care intervention costs.
- If applicants are requesting the use of PCORI funds for any portion of these costs, the application must include a detailed justification in the Budget Justification Template outlining the importance of the request to the project’s overall success. The justification must also explain how costs will be covered in the future, post-PCORI funding—not only in the sites participating in the study but also in other communities and healthcare settings that undertake the proposed strategies. Applicants should develop contingency plans in the event that PCORI does not approve the request.