Funding Acknowledgement
Demand Driven Research:
The RTI Integrated Delivery
System Research Network
Q
Presented at
AcademyHealth
San Diego, CA
June 8, 2004
Master Task Order, Accelerating the Cycle
of Research in IDSs
O
Q
Presented by
Lucy A. Savitz, Ph.D., MBA
AHRQ Contract #290-00-0018
X Cynthia Palmer, Program Officer
Partnership Program, Partnership for
Advancing Quality Together (PAQT)
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AHRQ Grant 1 U18 HS13706-01/2
X Charlotte Mullican, Program Officer
X Sally Phillips, Project Officer
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
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RTI International is a trade name of Research Triangle Institute.
Specific Aims for PAQT Project
Strengthen an existing IDS Research Network by
promoting the sharing of local innovations;
1.
2.
Explore factors that facilitate and impede inter- and intraorganizational:
Knowledge sharing,
O
Key attributes of interventions that influence sustainability,
and
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Test the transportability of program innovations;
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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.
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
3
SHS
4
Features of RTI IDS Research
Network
X
X
RTI Research Mgmt
X
X
X
5
6
1
Partner IDS Investigators in
Participatory Research
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IHC—Brent James, Ann Ward, Per Gesteland, Mike
Rawson, Jonathan Nebeker, and others…
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Providence—Bruce Bayley, Denise White, Teresa
Maddalone, Glen Rodriguez, William Gillanders, Steve
Stoner, Robert Wells and others…
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UNC—Tom Sibert & David WeberÆCeleste Mayer,
Brian Goldstein, Nate Szejniuk, 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
UPMC/Pitt—Mike Allswede, Loren Roth, Helen Chang,
Joe Suyama, and others
Shared Learning/Synergies
Quality
Improvement
Bioterrorism
Preparedness
7
8
Example Project: Bioterrorism
Preparedness
Framework for Building
Partnership Strength
AHRQ Sponsored Workbook for Regional
Preparedness, Tasks 5 & 9
Leadership &
Management
Critical
Characteristics
of the Process
•Individual
Empowerment
•Social Capital
•Synergy
Collaborative
Problem
Solving
Learning from
Successfully
Transported
Interventions
IDS
Research
Priority
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: Integrating
Research into the Care Process
Transition
Pharmacist
Trial
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Assessing IDS Solutions for Medication
Information Transfer, Task 4
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Estimating Risk Reduction and Cost
Enhancing Medication Information
Across Patient Care Settings, Task 6
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• Grassroots learning necessitates:
• Tool to communicate across stakeholders,
pathogen scores & matrix display ÆThe
Pittsburgh Matrix
• Understanding of investment requirements
to diffuse preparedness ÆCost Capture Tool
• Gap analysis & rational resource allocation
Æcompanion tools applied
• Media package
• Validation and building an evidence base for
exploratory research ÆSuper Users
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Challenges Addressed
Institutional commitment via
X In-kind contributions
X Budget cycle approval process
X Position approval & oversight
X Re-engineering care process
11
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Changing players.
O Key IDS liaison;
O Shifting roles of stakeholders;
O Interest from other IDSs as potential partners.
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Brokering partner research needs with available funding
streams.
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Looking to leverage resources to fund new ideas or
build upon exploratory research.
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Ensuring that we link the right researchers and
practitioners (match making).
Q
Demonstrating our ability to generate & communicate
results with high operational utility.
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