Kudos to Bradi B. Granger, professor, and her entire team for the submission of their NIH R13 Conference application entitled: "Quality Transformation in Organizational Settings." This proposal requests funding for a two-year period with a start date of July 1, 2021.

The application has proposed a dissemination and implementation conference that will use a nationally recognized panel of patients, providers, payers and health system quality experts to summarize, communicate and demonstrate use of the evidence-based AHRQ SHARE Tools. Our panelists will engage conference participants in using the SHARE toolkit in conjunction with local, contemporary health system dashboards and case-based analytics to apply and discuss the impact of the SHARE approach on achieving high quality person-centered outcomes across clinical settings, including acute, ambulatory, and community care.

Equitable, real-time assessment and documentation of patient-provider shared decision-making remains an important gap in health care quality. Despite burgeoning evidence from randomized, controlled trials and large, observational cohort studies, the practice of person-centered care and documentation of shared decisions for care preferences remains low. Likewise, access to integrated tools for measuring goal-concordance and goal attainment and for reporting quality improvements that result lack robust implementation across settings of care. Use of the AHRQ SHARE toolkit provides an under-utilized solution to address these gaps.

Conference objectives are to: 1) Demonstrate and discuss implementation of the AHRQ person-centered, shared decision-making toolkit; 2) Apply and evaluate skills for quality improvement methodology to analyze SHARE outcomes using case-based datasets from acute, outpatient and community/home care settings (e.g., using run charts and statistical process control charts to depict goal-concordance and improved specified health care service outcomes); and 3) Demonstrate evidence-based sustainability approaches for ongoing dissemination of quality metrics for person-centered, goal-concordant care in health services research.