The EvidenceNOW Initiative includes a cross-cooperative, national evaluation, known as Evaluating System Change to Advance Learning and Take Evidence to Scale (ESCALATES). ESCALATES partners with AHRQ and the seven cooperatives involved in the EvidenceNOW Initiative to conduct an evaluation that will inform large-scale dissemination and implementation (D&I) of evidence.


Primary Goals

  1. Engage cooperatives in the overall evaluation by harmonizing measures, working together to collect similar qualitative and quantitative data, identify lessons learned, and foster rapid-cycle learning
  2. Identify the practice, organization, and contextual factors among the combined 1,700 practices that are associated with meeting ABCS performance goals at baseline (prior to any intervention)
  3. Identify which intervention strategies are most effective in improving ABCS performance goals/targets over time in relation to practice, organization, and contextual factors and identify why some strategies are more effective
  4. Engage, rapidly disseminate, and evaluate the impact of disseminating actionable findings to key external stakeholders


ESCALATES is designed to take advantage of the common data collection elements across the seven cooperatives to conduct a prospective observational analysis. To accomplish this, ESCALATES will use an innovative mixed methods approach to identify the most effective combinations of intervention strategies for various practice types, contexts, and organizational characteristics as well as understand why and how those combinations are effective.

Evaluation Measures for EvidenceNOW

Learn about the measures by clicking the buttons below.

Clinical Quality Outcomes

Practice Infrastructure

Practice Contextual Characteristics

Practice Capacity Outcomes

Practice Organization Characteristics

Intervention Implementation Measures