Demand Driven Research:
The RTI Integrated Delivery
System Research Network
Presented at
AcademyHealth
San Diego, CA
June 8, 2004
Presented by
Lucy A. Savitz, Ph.D., MBA
P.O. Box 12194 · 3040 Cornwallis Road · Research Triangle Park, NC 27709
Phone: 919-316-3301 · Fax: 919-541-7384 · savitz@rti.org · www.rti.org
RTI International is a trade name of Research Triangle Institute.
Funding Acknowledgement

Master Task Order, Accelerating the Cycle
of Research in IDSs
 AHRQ Contract #290-00-0018
 Cynthia Palmer, Program Officer

Partnership Program, Partnership for
Advancing Quality Together (PAQT)
 AHRQ Grant 1 U18 HS13706-01/2
 Charlotte Mullican, Program Officer
 Sally Phillips, Project Officer
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Specific Aims for PAQT Project
1.
2.
Strengthen an existing IDS Research Network by
promoting the sharing of local innovations;
Explore factors that facilitate and impede inter- and intraorganizational:

Knowledge sharing,

Key attributes of interventions that influence sustainability,
and

Test the transportability of program innovations;
3.
Extend the breadth and depth of the evidence base for
innovative, sustainable QI and BT preparedness programs;
4.
Provide a mechanism to test the transportability of clinical
process innovations;
5.
Accelerate the rate at which knowledge utilization occurs.
Across these aims, document interventions, findings, and lessons
learned.
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Involvement of
IDSRN Partners
Project Title
IDSRN
Task
Participatory Research
IHC
PHS
UNC
UPMC
1
Validating AHRQ Quality Indicators
X
X
X
X
2
Assessing the IT Infrastructure in IDSs
X
X
X
X
3
Validating AHRQ’s Patient Safety Indicators
X
4
Assessing IDS Solutions for Medication Information
Transfer
X
X
X
5
AHRQ Sponsored Workbook for Regional Preparedness
X
6
Estimating Risk Reduction and Cost Enhancing Medication
Information Across Patient Care Settings
7
Facilitating Knowledge Transfer and Utilization via Hospital
Patient Safety Indicator On-Line Query Tool
8
Development of Curricula to Train Users in the Application
of the Quality Indicators and Interpretation of Output
9
Facilitating Knowledge Transfer and Utilization of a
Regional Bioterrorism Preparedness Workbook
X
10
Exploring the Special Needs & Potential Role of
Nursing Homes in Surge Capacity for Bioterrorism
and Other Public Health Emergencies
X
X
X
X
Grant
Partnership for Advancing Quality Together (PAQT)
X
X
X
X
Fit with IDS Priorities
SHS
X
X
RTI Research Mgmt
X
X
X
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Features of RTI IDS Research
Network
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Partner IDS Investigators in
Participatory Research

IHC—Brent James, Ann Ward, Per Gesteland, Mike
Rawson, Jonathan Nebeker, and others…

Providence—Bruce Bayley, Denise White, Teresa
Maddalone, Glen Rodriguez, William Gillanders, Steve
Stoner, Robert Wells and others…

UNC—Tom Sibert & David WeberCeleste Mayer,
Brian Goldstein, Nate Szejniuk, and others…

UPMC/Pitt—Mike Allswede, Loren Roth, Helen Chang,
Joe Suyama, and others
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PAQT Learning Across Lines
Translating Research into Practice (diffusion process)
Research/
Evidence
Practice
Knowledge Utilization (fusion process)
Research/
Practice
Evidence
Shared Learning/Synergies
Quality
Improvement
Bioterrorism
Preparedness
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Framework for Building
Partnership Strength
Leadership &
Management
Critical
Characteristics
of the Process
•Individual
Empowerment
•Social Capital
•Synergy
Collaborative
Problem
Solving
Learning from
Successfully
Transported
Interventions
Mapping Organizational Needs to
Identified Interventions
Adapted from RD Lasker & ES Weiss, Journal of Urban Health, 2003—Model of
Community Health Governance
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Example Project: Bioterrorism
Preparedness
AHRQ Sponsored Workbook for Regional
Preparedness, Tasks 5 & 9
IDS
Research
Priority
• Grassroots learning necessitates:
• Tool to communicate across stakeholders,
pathogen scores & matrix display The
Pittsburgh Matrix
• Understanding of investment requirements
to diffuse preparedness Cost Capture Tool
• Gap analysis & rational resource allocation
companion tools applied
• Media package
• Validation and building an evidence base for
exploratory research Super Users
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Example Project: Integrating
Research into the Care Process
Transition
Pharmacis
t
Trial

Assessing IDS Solutions for Medication
Information Transfer, Task 4

Estimating Risk Reduction and Cost
Enhancing Medication Information
Across Patient Care Settings, Task 6
 Institutional commitment via
 In-kind contributions
 Budget cycle approval process
 Position approval & oversight
 Re-engineering care process
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Challenges Addressed

Changing players.
 Key IDS liaison;
 Shifting roles of stakeholders;
 Interest from other IDSs as potential partners.

Brokering partner research needs with available funding
streams.

Looking to leverage resources to fund new ideas or
build upon exploratory research.

Ensuring that we link the right researchers and
practitioners (match making).

Demonstrating our ability to generate & communicate
results with high operational utility.
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