title: Evaluating the impact of partnerships to improve clinical quality.
abstract: BACKGROUND
  Translating research into practice and policy is a complex process that links the research enterprise and health care delivery system of the United States. The Agency for Healthcare Research and Quality (AHRQ) Partnerships for Quality (PFQ) initiative expanded the scope of research translation beyond clinical practice, highlighting the role of strategic partners. A work group of AHRQ grantees developed a framework for systematic evaluation of the impact of strategic partnerships on research translation.
  
  
  METHODS
  The evaluation framework posits a hierarchy of impacts that cumulatively lead to observable patient outcomes. The evaluation framework captures (1) health care outcomes improvement, (2) clinical practice changes, (3) policies, procedures, and protocols, and (4) research and knowledge. After the framework and tool were subjected to face-validity critique among PFQ investigators, the concept of synergy was added. PFQ investigators pilot-tested the evaluation framework, and the PFQ tool was refined further.
  
  
  RESULTS
  Early feedback from PFQ grantees suggested that the framework is generalizable and potentially useful to guide investigators in capturing impacts of their work that might otherwise go unrecognized or trivialized.
  
  
  CONCLUSIONS
  The PFQ Evaluation Tool, a pragmatic approach for evaluating the impact of partnership-driven translation projects, provides a comprehensive evaluation of impacts, including synergistic outcomes.
authors.affiliation: Center for Research & Innovation in Patient Care, School of Nursing, University of California, San Francisco, USA. nancy.donaldson@nursing.ucsf.edu
authors.forename: Nancy
authors.initials: N
authors.lastname: Donaldson
authors.forename: Susan D
authors.initials: SD
authors.lastname: Horn
authors.forename: Janine C
authors.initials: JC
authors.lastname: Edwards
authors.forename: George
authors.initials: G
authors.lastname: Miller
authors.forename: Julie
authors.initials: J
authors.lastname: Gassaway
authors.forename: Suzanne F
authors.initials: SF
authors.lastname: Delbanco
authors.forename: Greg
authors.initials: G
authors.lastname: Belden
authors.forename: Michael
authors.initials: M
authors.lastname: Hagan
mesh_terms: D003299:Cooperative Behavior; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine; D006302:Health Services Research / Q000458:organization & administration*; D006801:Humans; D007373:Interinstitutional Relations; D017146:Models, Organizational; D009936:Organizational Innovation; D010043:Outcome and Process Assessment, Health Care; D015397:Program Evaluation; D011785:Quality Assurance, Health Care; D014481:United States; D016270:United States Agency for Healthcare Research and Quality