Translating Knowledge into Practice

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In 2001, the Institute of Medicine report Crossing the Quality Chasm [1] reported that it takes approximately 17 years to translate scientific evidence into practice, and that today’s patients only receive evidence-based care 50 percent of the time. Policy and healthcare leaders expect that the electronic health record (EHR) will close that gap by improving collaboration and communication between the research setting and real-world clinical practice.

Examples of Recovery Act funded Evidence Generation projects by AHRQ: 1. Clinical and Health Outcomes Initiative in Comparative Effectiveness (CHOICE): First coordinated national effort to establish a series of pragmatic clinical comparative effectiveness studies 2. PROSPECT: Up to five awards for the creation or enhancement of national patient registries, with a primary focus on the 14 priority conditions. 3. DEcIDE Consortium Support: Expansion of multi center research system and funding for distributed data network models that use clinically rich data from electronic health records


1. Committee on Quality Health Care in America, IOM. Crossing the quality chasm: a new health system for the 21st century. Washington DC: National Academy Press, 2001.   Accessed February 24, 2010

2. Taplin SH, Rollason D, Camp A, diDonato K, Maggenheimer E. Imagining and Electronic Medical Record for Turning Cancer Screening Knowledge into Practice. Am J Prev Med 2010;38(1)89-97. Accessed February 24, 2010

3. Stewart WF, Shah NR, Selna MJ, Paulus RA, Walker JM. Bridging The Inferential Gap: The Electronic Health Record and Clinical Evidence. Health Affairs 26, no. 2 (2007): w181–w191 Accessed February 24, 2010