FQHC Collaborative Research –
What Fits your Organization?
By: Dale B. Fiedler
Corporate Director of Planning and Development &
Director of Southern Illinois Practice Based Research Organization
Presentation Outline
Presentation Outline
The Journey into Research
The Research Continuum & A Strategy for Entry
SIHF Legal Structures
•
SIHF: Southern Illinois Healthcare Foundation (SIHF)
Private, not-for-profit, 501(C) (3) Corporation
Section 330 Community Health Center (Federally Qualified Health
Center)
•
TRH: Touchette Regional Hospital
Private, not-for-profit, 501(C) (3) Corporation
Controlled affiliate of SIHF
•
Touchette Elderly Apartments I & II
These are two independent Private, not-for-profit, 501(C) (3)
Corporations
•
Archview Economic Development Corporation
Private, not-for-profit, 501(C) (3) Corporation
•
IHEP (Illinois Health Exchange Partners)
Private Limited Liability Corporation
Subcontracts
• Regional Extension Center subcontract for 41
counties
• Subcontract with ILMCHC to develop a coalition of
entities enrolling persons into the Affordable Care Act
• Contract with IL Children’s Healthcare Foundation to
plan a regional system to care for the oral health
needs of special needs children.
SIHF Region
Perceptions in 2004
Research = Dollars
Organizational Prestige
We can do this
Improve patient outcomes
Process
Promote Promote Promote
• Practice Based Research Networks
• www.pbrn.ahrq.gov
• Southern Illinois University School of Medicine
• Three years financial support
• Extensive Consultation
• Surveyed SIHF providers
• Completed grant applications
Southern Illinois Practice Research
Organization (SIPRO)
SIPRO Outcomes
• Obtained Federal Wide Assurance FWA
• www.hhs.gov/ohrp/assurances/filasurt.html
• Statement of Values developed and Committee
review process for any research at SIHF
• Capacity Building Collaboration
• Literature review publication in the American
Family Physician
• Challenge for FQHC Clinician to become PI
• Pharmacists and midlevel staff are engaged in
research / practice improvement activities
Promoting a Culture of Inquiry
• Practice-based research is predicated on the idea
that knowledge for improved health care delivery lay
undiscovered within the clinical setting itself; it awaits
discovery by those who need it most – by practicing
clinicians.
• PBRNs provide a supportive infrastructure within
which research can be conducted, and from which
research results can be translated directly into
practice.
Promoting a Culture of Inquiry cont
• Can improve clinicians knowledge of specific
problems they see in their practices
• Adds a level of inquiry to clinician practice; a slightly
different thought process
• Promote recruitment and retention
• Adds value to the CHC’s mission
• Provides opportunity for diverse underserved patients
to be included
Continuum of Expertise
Active
Passive
Model 1
Model 2
Model 3
Model 4
Model 5
Model 6
Technical
research
expertise
resides in
university/
PBRN
Technical
research
expertise
resides in
university/
PBRN
Technical
research
expertise
resides in
university
& in FQHC
Technical
research
expertise
resides in
university/
PBRN
Technical
research
expertise
resides in
university
and is
developed
in FQHC
Technical
research
expertise
resides in
FQHC
Continuum of Engagement
Active
Passive
Model 1
Model 2
Model 3
Model 4
Model 5
Model 6
Universities/
PBRN’s use
FQHC’s
patients in
university's
research
FQHC
support staff
trained in
recruitment of
study
subjects
(engaged)
FQHC
understands
research and
costs;
actively
negotiates
with
researchers
and favorably
positions
FQHC
Nursing and
support staff
may have
CITI training.
FQHC
clinician input
sought.
Capacity
development
of FQHC
clinicians
FQHC
clinicians
are the PI.
FQHC Not
“engaged”
Vast majority
of FQHC
involvement
today
Collaboration
during study
development
to assure
appropriate fit
with FQHC
operations
FQHC
engaged
Major
commitment
of clinician
time
FQHC
administers
research
grants
Passive
& FQHC
Active
A Process for Model 4
Where do we go from here?
• Assess Your Clinicians’ Interest (Actual)
• Develop Strategy
– Collaborate with PBRNs (If interests match)
– HCCNs
– Other groups of CHCs
– Individual approach
Thank You
Dale B. Fiedler
dfiedler@sihf.org
(618) 332 - 0694