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. As described in the chapter ePCT Team Composition, health system leaders can be involved from the beginning to ensure the relevance of the research questions and alignment of the questions with the mission and priorities of the health care organization. This will also pave the way for future collaborations. 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
PEW Charitable Trust Results First Clearinghouse Database Information on the effectiveness of social policy programs from nine national clearinghouses; includes information on ~2,900 programs.
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



Version History

December 11, 2018: Updated as part of the annual review process, modified table and added text (changes made by K. Staman).

Published August 25, 2017


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: https://rethinkingclinicaltrials.org/chapters/dissemination/dissemination-different-stakeholders/to-health-system-leaders/. Updated December 11, 2018. DOI: 10.28929/087.