Dissemination to Health System Leaders

Dissemination Approaches For Different Stakeholders

Section 5

Dissemination to Health System Leaders


Leah Tuzzio, MPH

David Chambers, DPhil

Ellen Tambor, MA

Jerry Suls, PhD

Beverly B. Green, MD, MPH

Susan Huang, MD, MPH

Kevin Weinfurt, PhD

Doug Zatzick, MD



Contributing Editors

Karen Staman, MS

Gina Uhlenbrauck, ELS

Liz Wing, MA


By conducting pragmatic clinical research embedded in health systems, investigators can enable partnerships between researchers and health system leaders from the beginning. Health system leaders are often eager to see results as soon as possible, especially if the results are important to system priorities, operations, and cost savings. When findings from a PCT are found to improve the quality of healthcare, dissemination not only in published manuscripts, but also through professional meetings, commentaries, guidance and guideline documents from national societies, and adoption by local and national quality improvement organizations (state hospital organizations, hospital engagement networks, and public health) can be seminal to rapid awareness and uptake. Cost-effectiveness evaluations sensitive to local operational models (not just societal benefit) can also be highly impactful in adoption.

Key point: Some researchers have found it helpful to work with different organizations to disseminate their results. For example, funders, non-profits, accreditation and advisory groups such as Agency for Healthcare Research and Quality (AHRQ), National Quality Forum (NQF), Advisory Committee on Immunization Practices (ACIP), Institute for Healthcare Improvement (IHI), Healthcare Infection Control Practices Advisory Committee (HICPAC), etc. Other communication channels include professional societies, conferences, magazines, academic journals (i.e., Heath Affairs), and through peers and clinicians. There are an increasing number of repositories for evidence-based practices, as shown in the following table, as well as collections of systematic reviews and community and clinical guidelines.

Repositories for Evidence-Based Research Practices

Organization Repository Searchable database contents
National Cancer Institute (NCI) Research-Tested Intervention Programs Evidence-based cancer control interventions and program materials
Substance Abuse and Mental Health Services Administration (SAMHSA) National Registry of Evidence-Based Programs and Practices Interventions for the prevention and treatment of mental and substance use disorders
Agency for Healthcare Research and Quality (AHRQ) Innovations Exchange Innovations to improve quality and reduce disparities
Office of Juvenile Justice and Delinquency Programs Blueprints for Healthy Youth Development Evidence-based positive youth development programs
American Board of Internal Medicine (ABIM) Foundation Choosing Wisely Lists of things providers and patients should question




Tuzzio L, Chambers D, Tambor E, et al. Dissemination Approaches For Different Stakeholders: Dissemination to Health System Leaders. In: Rethinking Clinical Trials: A Living Textbook of Pragmatic Clinical Trials. Bethesda, MD: NIH Health Care Systems Research Collaboratory. Available at: http://rethinkingclinicaltrials.org/chapters/dissemination/dissemination-different-stakeholders/to-health-system-leaders/. Updated October 8, 2018. DOI: 10.28929/087.