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.
- 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
- 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)
- 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
- 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.