EUGENE WASHINGTON PCORI ENGAGEMENT AWARDS

FINAL PROGRESS REPORT

Use continuation pages as needed to provide the required information in the format shown below. Limit
this report to 13 pages, not including the Certification page. Refer to the Engagement Awards Application
and Program Guidelines, found on the Eugene Washington PCORI Engagement Awards page for
additional guidance. This document must be submitted by the Project Lead.

REPORT DATE (mm/dd/yyyy):

PROJECT LEAD NAME (LAST, FIRST, MIDDLE):

TITLE OF PROJECT:

PROJECT REPORTING PERIOD: (mm/dd/yyyy) to (mm/dd/yyyy)

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PCORI Engagement Awards Final Progress Report
 FINAL NARRATIVE PROGRESS REPORT
Use continuation pages as needed.

1. Summarize the following: 1) project methods, 2) key project findings, and 3)

interpretations of the relevance of findings to patients/stakeholders, clinicians, and/or
health care systems (20,000 characters):

2. Describe the impact and outcome of the project as it relates to patients/stakeholders

(25,000 characters):

3. Discuss final project accomplishments and challenges, including any impact or

outcomes, considering:

 Accomplishments achieved during the project, with reference to project and

patient engagement activities as described in your original Project Workplan and
Timeline document (32,768 characters):

 Challenges that were faced (e.g., delays in IRB approval, completion of

engagement focus groups, participant retention issues), and how you overcame
these challenges and/or addressed them (32,768 characters):

 How did engaging with patients and stakeholders help the planning or conduct of
this project? Please give specific examples (20,000 characters):

 Were there any additional consequences or benefits of engaging patients and

other stakeholders in your project? (25,000 characters)

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PCORI Engagement Awards Final Progress Report
4. Describe the plan to disseminate the results from the project. Include any potential
facilitators and/or barriers to dissemination. Describe potential for results to be
incorporated into practice, if relevant (32,768 characters):

5. Add any additional findings or comments (25,000 characters):

6. Notification for Public Acceptance: Did you have any publications or presentations
accepted for publication or presentation that you have not reported to PCORI?
___ Yes ___ No

6a. If yes, list any publications/presentations related to the project using the table below.
Include the publication or presentation title, the date published or presented, and where
published or presented. Insert rows as needed. Attach copies of publications and
presentations, if relevant. All attachments should be combined with this document and
submitted to PCORI as one PDF.

Publication/
Where
Publication/Presentation Title Presentation Date
Published/Presented
(mm/dd/yyyy)

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PCORI Engagement Awards Final Progress Report
6b. Notification of Peer Review Rejections: Using the table below, list any project-related
article submitted for publication and rejected. Include publication title, date rejected, and
where article was submitted. Insert rows as needed.
Date Rejected
Publication Title Where Submitted
(mm/dd/yyyy)

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PCORI Engagement Awards Final Progress Report
 FINAL NARRATIVE PROGRESS REPORT FOR PUBLIC USE
Complete a narrative summary of the report covering the same elements described above, written in language
understandable to patients and providers. This report must not include any proprietary information; it will be made
public on the PCORI website or through other means.

1. Summarize the following: 1) project methods, 2) key project findings, and 3)

interpretations of the relevance of findings to patients/stakeholders, clinicians, and/or
health care systems (20,000 characters):

2. Describe the impact and outcome of the project as it relates to patients/stakeholders

(25,000 characters):

3. Discuss final project accomplishments and challenges, including any impact or

outcomes, considering:

 Accomplishments achieved during the project, with reference to project and

patient engagement activities as described in your original Project Workplan and
Timeline document (25,000 characters):

 Challenges that were faced (e.g., delays in IRB approval, completion of

engagement focus groups, participant retention issues), and how you overcame
these challenges and/or addressed them (32,678 characters):

 How did engaging with patients and stakeholders help the planning or conduct of
this project? Please give specific examples (20,000 characters):

 Were there any additional consequences or benefits of engaging patients and

other stakeholders in your project? (32,768 characters)

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PCORI Engagement Awards Final Progress Report
4. Describe the plan to disseminate the results from the project. Include any potential
facilitators and/or barriers to dissemination. Describe potential for results to be
incorporated into practice, if relevant (32,768 characters):

5. Add any additional findings or comments (25,000 characters):

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PCORI Engagement Awards Final Progress Report
 CERTIFICATION
Please review and complete the certification information below.

CERTIFICATION: We, the undersigned, certify that the information submitted is accurate
and complete to the best of our knowledge and accept the terms and conditions of
PCORI as described in the PCORI Contract.

Please note: all required signatures must be submitted.

SIGNATURES:

Principal Investigator: ______________________ ______________ _____________________

Print Name (First, Last):

Date (mm/dd/yyyy):

Administrative Official:__________________________________________________________

Print Name (First, Last):

Date (mm/dd/yyyy):

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PCORI Engagement Awards Final Progress Report