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Brief ReportBrief Report

A Practice-Based Research Network (PBRN) Roadmap for Evaluating COVID-19 in Community Health Centers: A Report From the OCHIN PBRN

Jennifer E. DeVoe, Sonja M. Likumahuwa-Ackman, Heather E. Angier, Nathalie Huguet, Deborah J. Cohen, Susan A. Flocke, Miguel Marino and Rachel Gold
The Journal of the American Board of Family Medicine September 2020, 33 (5) 774-778; DOI: https://doi.org/10.3122/jabfm.2020.05.200053
Jennifer E. DeVoe
From the Department of Family Medicine, Oregon Health & Science University, Portland, OR (JED, SLA, HEA, NH, DJC, SAF, MM); OCHIN, Inc., Portland, OR (JED, RG); Kaiser Permanente Northwest Center for Health Research, Portland, OR (RG).
MD, DPhil
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Sonja M. Likumahuwa-Ackman
From the Department of Family Medicine, Oregon Health & Science University, Portland, OR (JED, SLA, HEA, NH, DJC, SAF, MM); OCHIN, Inc., Portland, OR (JED, RG); Kaiser Permanente Northwest Center for Health Research, Portland, OR (RG).
MID, MPH
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Heather E. Angier
From the Department of Family Medicine, Oregon Health & Science University, Portland, OR (JED, SLA, HEA, NH, DJC, SAF, MM); OCHIN, Inc., Portland, OR (JED, RG); Kaiser Permanente Northwest Center for Health Research, Portland, OR (RG).
PhD, MPH
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Nathalie Huguet
From the Department of Family Medicine, Oregon Health & Science University, Portland, OR (JED, SLA, HEA, NH, DJC, SAF, MM); OCHIN, Inc., Portland, OR (JED, RG); Kaiser Permanente Northwest Center for Health Research, Portland, OR (RG).
PhD
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Deborah J. Cohen
From the Department of Family Medicine, Oregon Health & Science University, Portland, OR (JED, SLA, HEA, NH, DJC, SAF, MM); OCHIN, Inc., Portland, OR (JED, RG); Kaiser Permanente Northwest Center for Health Research, Portland, OR (RG).
PhD
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Susan A. Flocke
From the Department of Family Medicine, Oregon Health & Science University, Portland, OR (JED, SLA, HEA, NH, DJC, SAF, MM); OCHIN, Inc., Portland, OR (JED, RG); Kaiser Permanente Northwest Center for Health Research, Portland, OR (RG).
PhD
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Miguel Marino
From the Department of Family Medicine, Oregon Health & Science University, Portland, OR (JED, SLA, HEA, NH, DJC, SAF, MM); OCHIN, Inc., Portland, OR (JED, RG); Kaiser Permanente Northwest Center for Health Research, Portland, OR (RG).
PhD
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Rachel Gold
From the Department of Family Medicine, Oregon Health & Science University, Portland, OR (JED, SLA, HEA, NH, DJC, SAF, MM); OCHIN, Inc., Portland, OR (JED, RG); Kaiser Permanente Northwest Center for Health Research, Portland, OR (RG).
PhD, MPH
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Abstract

Background: Primary care practice−based research networks (PBRNs) are critical laboratories for generating evidence from real-world settings, including studying natural experiments. Primary care's response to the novel coronavirus-19 (COVID-19) pandemic is arguably the most impactful natural experiment in our lifetime.

Evaluating the Impact of COVID-19: We briefly describe the OCHIN PBRN of community health centers (CHCs), its partnership with implementation scientists, and how we are leveraging this infrastructure and expertise to create a rapid research response evaluating how CHCs across the country responded to the COVID-19 pandemic.

COVID-19 Research Roadmap: Our research agenda focuses on asking: How has care delivery in CHCs changed due to COVID-19? What impact has COVID-19 had on the delivery of preventive services in CHCs? Which PBRN services (e.g., data surveillance, training, evidence synthesis) are most impactful to real-world practices? What decision-making strategies were used in the PBRN and its practices to make real-time changes in response to the pandemic? What critical factors in successfully and sustainably transforming primary care are illuminated by pandemic-driven changes?

Discussion and Conclusions: PBRNs enable real-world evaluation of practice change and natural experiments, and thus are ideal laboratories for implementation science research. We present a real-time example of how a PBRN Implementation Laboratory activated a response to study a historic natural experiment, to help other PBRNs charting a course through this pandemic.

  • Community Health Centers
  • Coronavirus
  • COVID-19
  • Decision Making
  • Delivery of Health Care
  • Evidence-Based Medicine
  • Evidence-Based Practice
  • Implementation Science
  • Information Dissemination
  • Organizational Innovation
  • Pandemics
  • Practice-Based Research
  • Primary Health Care
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The Journal of the American Board of Family     Medicine: 33 (5)
The Journal of the American Board of Family Medicine
Vol. 33, Issue 5
September/October 2020
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A Practice-Based Research Network (PBRN) Roadmap for Evaluating COVID-19 in Community Health Centers: A Report From the OCHIN PBRN
Jennifer E. DeVoe, Sonja M. Likumahuwa-Ackman, Heather E. Angier, Nathalie Huguet, Deborah J. Cohen, Susan A. Flocke, Miguel Marino, Rachel Gold
The Journal of the American Board of Family Medicine Sep 2020, 33 (5) 774-778; DOI: 10.3122/jabfm.2020.05.200053

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A Practice-Based Research Network (PBRN) Roadmap for Evaluating COVID-19 in Community Health Centers: A Report From the OCHIN PBRN
Jennifer E. DeVoe, Sonja M. Likumahuwa-Ackman, Heather E. Angier, Nathalie Huguet, Deborah J. Cohen, Susan A. Flocke, Miguel Marino, Rachel Gold
The Journal of the American Board of Family Medicine Sep 2020, 33 (5) 774-778; DOI: 10.3122/jabfm.2020.05.200053
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Keywords

  • Community Health Centers
  • Coronavirus
  • COVID-19
  • Decision Making
  • Delivery of Health Care
  • Evidence-Based Medicine
  • Evidence-Based Practice
  • Implementation Science
  • Information Dissemination
  • Organizational Innovation
  • Pandemics
  • Practice-based Research
  • Primary Health Care

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