The ADVANCE Clinical Research Network (CRN) is led by OCHIN in partnership with Fenway Health, Health Choice Network (HCN) and Oregon Health & Science University (OHSU). The goal of ADVANCE is to build and maintain a “community laboratory” of Federally Qualified Health Centers (FQHCs) serving safety net patients, including the uninsured, the under-insured, undocumented immigrants, and other vulnerable populations.


Integrate outpatient, hospital, and community-level data into a single data management system


Expand efforts to engage patients and clinicians who contribute to the design, implementation, and interpretation of comparative effectiveness research

Develop electronic systems for recruiting study participants and collecting patient-reported data

Strengthen the infrastructure of our community academic partnerships to support patient-centered outcomes research (PCOR), and support FQHCs to become learning health systems

Build the capacity of our FQHC networks to meet research regulatory requirements.

It is anticipated that ADVANCE will result in greatly expanded capacity to conduct comparative effectiveness research in the safety net population, and allow for collaboration with diverse partners on such efforts. It will also yield the nation’s largest database on safety net patient care and outcomes. Research conducted in this dataset has the potential to address myriad questions about improving care quality and outcomes among our nation’s most vulnerable patients.


The purpose of these guidelines is to document a shared understanding and approach for disseminating research findings from ADVANCE projects. The following principles guide ADVANCE in our research dissemination efforts:
• Research is focused on improving the health of people accessing primary care services in community health center settings, including patients who have public insurance or no insurance.
• Engagement with patients, clinicians, community stakeholders, and investigators is a key part of the research conduct, interpretation, and dissemination processes.
• Dissemination of findings through efficient, timely, and collaborative processes that allow all partners to contribute as desired.
• Ownership of individual health system data resides with each health system; ownership of the data set and project findings is mediated through a project DUA.