Demand Driven Research: The RTI Integrated Delivery System Research Network

P.O. Box 12194 · 3040 Cornwallis Road · Research Triangle Park, NC 27709Phone: 919-316-3301 · Fax: 919-541-7384 · savitz@rti.org · www.rti.org

RTI International is a trade name of Research Triangle Institute.

Presented at AcademyHealth San Diego, CA June 8, 2004

Presented by Lucy A. Savitz, Ph.D., MBA

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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. Strengthen an existing IDS Research Network by promoting the sharing of local innovations;

2. Explore factors that facilitate and impede inter- and intra-organizational:

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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  Project Title Involvement of IDSRN Partners

IDSRNTask

 IHC 

PHS UNC UPMC SHS

1 Validating AHRQ Quality Indicators X X X X

2 Assessing the IT Infrastructure in IDSs X 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 X

6 Estimating Risk Reduction and Cost Enhancing Medication Information Across Patient Care Settings

X

7 Facilitating Knowledge Transfer and Utilization via Hospital Patient Safety Indicator On-Line Query Tool

X

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 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 

Participatory Research

Fit with IDS Priorities

RTI Research Mgmt

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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 WeberCeleste 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)

Knowledge Utilization (fusion process)

Shared Learning/Synergies

Research/

EvidencePractice

Research/

Evidence

Practice

QualityImprovement

BioterrorismPreparedness

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Framework for Building Partnership Strength

Leadership &Management

Critical Characteristicsof the Process

•IndividualEmpowerment•Social Capital•Synergy

CollaborativeProblemSolving

Learning fromSuccessfullyTransportedInterventions

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

• 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

IDS ResearchPriority

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Example Project: Integrating Research into the Care Process

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

TransitionPharmacis

tTrial

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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.