Engaging Stakeholders in EPC Work
Slide Presentation from the AHRQ 2010 Annual Conference
On September 28, 2010, Melissa McPheeters made this presentation at the 2010 Annual Conference. Select to access the PowerPoint® presentation (248 KB). Free PowerPoint® Viewer (Plugin Software Help).
Engaging Stakeholders in EPC Work
Melissa McPheeters, PhD
Co-Director, Vanderbilt EPC
What are the EPCs?
- 14 Centers funded by AHRQ to conduct systematic evidence reviews.
- At work for more than a decade.
- "Pull" rather than "Push" approach to topic selection.
- Increasingly engaged in activities of topic development and refinement and future research needs.
Image: An illustration of a man wearing a t-shirt that says "steak holder" while holding two t-bone steaks.
Image: An image of a man punding a stake into the ground with a hammer.
Image: An illustration of individuals holding pieces of a puzzle while sitting around a conference table with an unfinished puzzle in the center.
What is a stakeholder?
- Anyone with a "stake."
- Someone affected in some way by the decisional dilemma surrounding a healthcare question.
- For EPCs:
- Patients and patient families.
- Funders (e.g., NIH).
Why use stakeholders in systematic reviews?
- They are our front line.
- They are the end users of our work.
- They bring a range of perspectives to the table.
- They add legitimacy to the process.
- They provide expertise we may not have.
- Topic identification.
- Developing key questions.
- Drawing the analytic framework.
- Setting project scope through selection criteria.
- Assessing completeness of the search.
- Ensuring that the message is clear.
- Identifying research gaps and future research needs.
- Personal networks.
- "Known" leaders in the field.
- Key organizations.
- Official stakeholder groups (e.g. EHC Stakeholders).
- Literature scan.
- Engaging stakeholders in a timely manner.
- Ensuring that stakeholders have an a priori overview of the EPC process.
- Balancing contractual obligations with stakeholder preferences.
- Expecting and managing differences in opinion in a way that keeps the process moving and the team positive.
Managing stakeholder relationships
- Establish ongoing relationships.
- Open-door communication.
- Knowing when to use group work or one-on-one.
- Include administrative assistants on all communications.
- Determine preferred communication method for general information and materials.
- Circulate a contact list to the entire group.
- Encourage, from the start, that senior individuals designate an additional individual to participate alongside them.
- Provide action-oriented minutes of all discussions.
- Make individual follow up calls to KIs who are unable to participate in meetings.
- Offer to arrange calls between content leads, directors and others in "off hours" as needed.
Balancing perspective with representation
- Not all stakeholders have an equal and unbiased "stake"—sometimes by design.
- Conflict of interest does happen.
- EPCs try and balance the perspectives present to manage explicit and underlying conflicts.
- Equal and opposing viewpoints.
- Separate interactions as needed.
Challenges ahead for the EPCs
- Clarifying the role of stakeholders.
- Identifying the optimal number of stakeholders.
- Getting balance in stakeholder types.
- Reaching the right individual at a target group or agency quickly.
- Obtaining and using input from patients and their families either directly or via advocacy groups.
Current as of November 2010
Engaging Stakeholders in EPC Work. Slide Presentation from the AHRQ 2010 Annual Conference (Text Version). November 2010.
Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/about/annualconf10/janakiraman_mcpheeter_selby/mcpheeters.htm