Applied Policy Analysis
CHPR seeks to bridge the gap between academic research and policymakers’ need for clear, non-partisan evidence. Our faculty and staff understand how to work with the “big picture” framework and tight timelines under which policymakers operate. We’ve provided research and policy analysis for organizations like:
- United States Preventive Services Task Force
- California Health Benefits Review Program (CHBRP)
- Agency for Healthcare Research and Quality (AHRQ)
Policy Translation and Dissemination
In addition to conventional health policy research, CHPR also translates its quantitative and qualitative research into policy-relevant material for timely application by policymakers and stakeholders.
We create executive summaries, policy briefs, PowerPoint presentations, infographics, and in-depth white papers to succinctly convey important non-partisan research findings. Comparative effectiveness, quality measurement, health economics, and health services research require complex methodologies, but we communicate results in clear language and graphic presentations to facilitate evidence-based policymaking.
Disseminating policy analyses is the final critical step in promoting evidence-based policymaking. CHPR hosts seminars, conferences, provides expert testimony, and publishes policy briefs and a newsletter, in addition to traditional peer-reviewed publications, to facilitate dissemination of research findings.
Foundations and government entities rely on CHPR to help them develop and shape informed policies to improve health and healthcare systems. Whether we are working with the California Department of Health Care to inform Medi-Cal spending, or the Department of Public Health to improve the hospital adverse event reporting program or designing AHRQ quality metrics for use across the US healthcare system, our investigators provide evidence-based analysis of the implications of current and proposed policies. Below is a sample of CHPR’s collaborators and funders:
Agency for Healthcare Research and Quality (AHRQ)
California Department of Corrections and Rehabilitation
California Department of Health Care Services
California Department of Insurance
California Department of Managed Health Care
California Department of Public Health
California Health Benefits Review Program
California Health Care Foundation
California Program on Access to Care
California State Legislature (Assembly & Senate Health Committees)
California Office of Statewide Planning and Development
Centers for Disease Control and Prevention
Kaiser Permanente Research Affiliates-Evidence-based Practice Center
National Cancer Institute
U.S. Preventive Services Task Force
U.S. Department of Health and Human Services Guide for Clinicians on the Appropriate Dosage Reduction or Discontinuation of Long-Term Opioid Analgesics
U.S. Preventive Services Task Force Recommendation Statement on Screening for Prostate Cancer
U.S. Preventive Services Task Force Recommendation Statement on Screening for Cervical Cancer
California Health Benefits Review Program
A team of CHPR faculty and staff is a key contributor to the California Health Benefits Review Program (CHBRP). This program responds to requests from the California State Legislature to provide independent analysis of the medical, financial, and public health impacts of proposed health insurance benefit mandates and repeals. The CHPR team has contributed medical effectiveness and public health impact analyses to more than 60 reports over the last 10 years.
Examples of report topics include acupuncture, autism, contraceptives, fertility preservation, lipodystrophy, mammography, maternity benefits, out-of-state carriers, opioids, prescription drugs, telehealth and tobacco cessation. The rigorous bill analyses are completed within 60 calendar days in collaboration with our colleagues from UCSF, UCLA, UCSD and UCB, coordinated by staff at UCOP. To view information about CHBRP and the bill analyses, see: http://chbrp.com/
CHPR faculty and staff conduct systematic reviews on a variety of preventive and clinical services topics, such as screening for cervical cancer, prostate cancer, breast cancer in women with dense breasts; alcohol misuse; the long term adverse health effects of adjuvant chemotherapy for breast cancer; and the effectiveness of continuous glucose monitors for Type 2 diabetes mellitus.
Our staff is well-trained in all aspects of conducting a rigorous systematic review. They assist clinical faculty in developing key questions and inclusion/exclusion criteria, coordinating with medical librarians for comprehensive searches, performing abstract and full-text review of the scientific literature, quality assessment, data abstraction, meta analysis, and drafting review findings for publications and dissemination. Our team skillfully uses various tools to facilitate the review process, including Endnote, Abstrackr, REDCap, and Distiller. CHPR is proud to contribute to the evidence base that informs clinician, patient, and payer decision making.
In addition to conducting our own systematic reviews for publication, we have received support for reviews from the National Cancer Institute and partner with the Kaiser Permanente Research Affiliates Evidence-based Practice Center to produce systematic reviews to support the U.S. Preventive Services Task Force.
AHRQ Quality Indicators
The Agency for Healthcare Research and Quality (AHRQ) developed health care quality indicators that are used by providers, payers, and researchers across the U.S. to assess quality of care, which informs policies and identifies needed changes in care delivery methods. For more than 15 years, CHPR has assisted AHRQ with translating research into practice by providing technical assistance to users of the AHRQ Quality Indicators (QIs) and by making the QI tools available and accessible to a broad range of public and private users.
Our faculty and staff update, refine, and develop literature-based QI products based on administrative data and other information that can be readily linked to administrative data and evaluate the suitability of the QIs for public comparative quality reporting. Most recently, our team enhanced the current set of AHRQ QIs by incorporating advances brought about by electronic health record initiatives, clinically-enhanced administrative data, new methodologies and data linkages, and the ICD-10 coding system.