The National Evaluation System for health Technology Coordinating Center (NESTcc) Strategic and Operational Plan outlines an approach to building a fully operational and sustainable Coordinating Center to help enhance the use of real-world evidence (RWE) generated in the routine course of care. This five-year plan provides a roadmap for tackling the lack of high quality, near real-time, and low-cost evidence to support regulatory, coverage, patient, and clinical decision-making.

The NESTcc Strategic & Operational Plan focuses on four primary strategic priority areas:


NESTcc will establish an effective governance structure to support short-term activities and long-term goals. To date, NESTcc has formed a functional and efficient Governing Committee, selected its Executive Director, and grown its team of full-time staff. Over the next year, NESTcc will continue to make progress by selecting a Governing Committee Chair, amending the Governing Committee Charter, and establishing a Methods Consultation Group and Data Quality Consultation Group.


NESTcc will build its role through three levels of development: engaging, leveraging, and ultimately transforming the medical device ecosystem. NESTcc will launch a sustainable network of data collaborators committed to advancing Real-World Evidence (RWE) generation and will work with these data network collaborators to improve the use of high-quality Real-World Data (RWD) collected throughout routine course of care.


NESTcc will establish its value to achieve full operability and sustainability. To accomplish this, NESTcc has initiated sustainability planning and is working with stakeholders to develop a framework for a sustainable business model. Moving forward, NESTcc will expand its business model into a business plan, including financial and operating models.

Stakeholder Engagement

NESTcc has established its brand, developed targeted communications materials for key stakeholder groups, and launched several communications channels to engage stakeholders across the medical device ecosystem. NESTcc will continue to collect feedback from the medical device community to ensure effective communications and engagement.