C O N F I D E N T I A L

DEPARTMENT OF FAMILY & PREVENTIVE MEDICINE FACULTY MEETING

NOVEMBER 20, 2019

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OPENING REMARKS

Faculty Service Anniversaries for NovemberCongratulations • Jennifer Leiser – 21 years• Jim VanDerslice – 12 years• Mia Hashibe – 10 years• Katie Fortenberry – 8 years• Amy Locke – 4 years• Sarah McCormick- 2 years• Grant Sunada – 2 years• Dan Crouse – 25 years• Sharon Talboys – 9 years

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ANNOUNCEMENTS

• Reminder – If you have publications or presentations to feature in future faculty agendas, please send these notices to DFPMResearchTeam@utah.edu at least three days before the meeting

• Department Holiday Party – December 6. 2019, 5:30 PM – 8:30, Caputo’s Downtown – RSVP to DFPMEvents@hsc.utah.edu

Utah Center for Clinical & Translational Sciences

(CCTS)

Rachel Hess, Co-DirectorWillard H. Dere, Co-Director

CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE

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Translational Science: Where do you Fit?

CCTS FUNDING STRUCTURENIH, NCATS and the CTSA Program

CTSA PROGRAM

The CTSA Program is a National Network of medical research institutions – called “hubs”. In Utah our CTSA hub is the CCTS. The hubs collaborate locally, regionally and nationally to get treatments to patients more quickly and to catalyze innovation in training, research tools and processes. The CTSA Program support enables research teams including scientists, patient advocacy organizations and community members to tackle system-wide scientific and operational problems in clinical and translational research that no one team can overcome.

PROGRAM GOALS ARE TO:• Train and cultivate the translational science workforce;• Engage patients and communities in every phase of the translational process;• Promote the integration of special and underserved populations in translational

research across the human lifespan;• Innovate processes to increase the quality and efficiency of translational

research, particularly of multisite trials; and• Advance the use of cutting-edge informatics.

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UTAH CENTER FOR CLINICAL & TRANSLATIONAL SCIENCE

Utah CCTS

The Utah CTSA or Utah CCTS is the home for clinical and translational science in our institutions, the state of Utah and within the Mountain West Region. It builds on our strengths in genetics and bioinformatics to translate promising bench science into practices that improve human health.

Program Co-Directors:

Willard H. Dere, MD, FACP Rachel Hess, MD, MSAssociate VP for Research Associate Dean for Clinical & Translational Science

Leadership and expertise in clinical research,drug development and safety,

personalized health and precision medicine, clinical trial designs including pragmaticdesigns, patient centered outcomes and

health services research.

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CLINICAL TRIALS SUPPORTFOUNDATION FOR DISCOVERY

Utah CCTS

The CCTS Clinical Trials Support (CTS) Foundation provides assistance to investigators in the design, planning, budgeting, and performance of human subject research, including venues that can support the most complex and intensive inpatient and outpatient protocols.

J. Rob Singleton, MDMedical Director, Clinical Trials Support Foundation, Professor and Vice Chairman for

VA Programs, Department of Neurology, University of Utah

Clinical Services Core or CRUTrial Innovation Network Liaison Team

Outpatient/Inpatient – Ph I-IVRecruitment, Retention & Safety

Partnerships with VA, Intermountain

Clinical Services Core – CSCClinical Research Center421 Wakara WayLow intensity outpatient visits

University Hospital Neuro-Acute Care (NAC)50 N Medical DriveHigh complexity, overnight

Clinical Trials Support Venues

Skaggs Wellness Center andSkeletal Muscle Exercise Research Facility (SMERF)520 Wakara WayExercise testing, training

CENTER FOR CLINICAL AND TRANSLATIONAL SCIENCE

Questions? Contact our Utah Liaison Team at 801-587-4809

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POPULATION HEALTH RESEARCHFOUNDATION FOR DISCOVERY

Utah CCTS

Provides methodological and data analytic support to investigators seeking to perform research seeking to improve the health of patient populations. The broader Population Health Core includes five integrated cores which specialize in Study Design and Biostatistics, Cancer Biostatistics, Qualitative, Survey and Measurement, Health Economics, and Systematic Review.

Co-Directors:Tom Greene, PhD Angela Presson, PhD, MS

Study Design/BiostatisticsCancer Biostatistics, Health Economics

Qualitative, Survey and MethodsSystematic Review

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PRECISION MEDICINEFOUNDATION FOR DISCOVERY

Utah CCTS

Precision medicine is the personalized tailoring of health care to individual patients. These characteristics can include environmental and social factors, personal health history, family history, genetics, and more. The overall goals are to support clinicians, researchers, patients, and their families for patient-centric, multidisciplinary effective care.

Co-Directors:Matthew T. Rondina, MD, MS, FAHA Willard H. Dere, MD, FACP

Program in Personalized HealthCellular Translational Research Core

Utah Population DatabaseUtah Genome Project

UCEER

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BIOMEDICAL INFORMATICS CORE

Utah CCTS

Biomedical informaticians are embedded with each of the four arms of the CCTS, ensuring integration of informatics expertise across all CCTS activities. BMIC contributes both formal and informal education to support development of informatics competencies among the varied personnel of clinical and translational research teams.

Comprehensive Research InformaticsData Federation and Aggregation

Biorepository DevelopmentCentralized Research/Resource Planning & Management

RecruitmentImproving Quality & Information Management

Co-Directors:

Julio Facelli, PhD Bernie A. LaSalle, BSBMIC Director BMIC Operations Director

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COMMUNITY COLLABORATION & ENGAGEMENT TEAM

Utah CCTS

Building the long-term, trust-based community partnerships that are needed to expeditiously and effectively conduct community-engaged translational and implementation science research. Preparing community leaders and researchers to be full collaborators in research projects.

Director:Louisa A. Stark,PhD

Consultation serviceResearch Studios

Proposal developmentFacilitate researcher and community member

collaborationsCommunity-engaged research methods, instruments, and educational materials

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COMMUNITY PRACTICE ENGAGEMENT/COMMUNITY HEALTH CARE PRACTICE

Utah CCTS

These outreach efforts provide the opportunity to engage with individuals embedded in rural practices and federally qualified health centers.

Director

David Wetter, MD

Outreach Efforts with Individuals Embedded In Rural Practices

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WORKFORCE DEVELOPMENTFOUNDATION FOR DISCOVERY

Utah CCTS

The Workforce Development Foundation for Discovery is transforming the approach to education and training that is required to accelerate the pace of discoveries in the life sciences and the rapid translation of these discoveries into clinicalpractice that results in improved patient outcomes.

Co-Directors:

Anthea Letsou, PhD Julie Shakib, DO, MS, MPH

MS in Clinical InvestigationVPCAT Scholars

Med Into Grad Program (U2M2G)

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CCTS KL2 and PARTNER CAREER DEVELOPMENT PROGRAM

Utah CCTS

The KL2 and Partner Career Development Program offers training for mentored research and career development support for clinical junior investigators. The KL2 program is tailored to the research and career development needs of each scholar and offers didactic education, mentored research, interdisciplinary works-in-progress seminars, and team-building experiences. These research experiences enable them to develop, demonstrate, and disseminate translational science to advance health.

Co-Directors:

Maureen Murtaugh, PhD

Mentored ScholarsK to R Program

R01 Writing Group

David Turok, MD

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TL1 SPHERES OF TRANSLATION ACROSS THE RESEARCH SPECTRUM (STARS) TRAINING PROGRAM

Utah CCTS

TL1 program provides the necessary predoctoral and postdoctoral training to produce scientists with the requisite skills of a deep appreciation of multiple domains, a team science outlook, and an aptitude for cross-discipline communication.

Co-Directors:

Angela Fagerlin, MD

TL1 ScholarsWhat is____? seminar

Professional development programs tailored to pre and post docs

Nicola Camp, PhD

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Utah CCTS

Director:

Trent Matheson, MPA

TRACKING & EVALUATION

Our Tracking and Evaluation Core (TEC) uses the CTSA Common Metrics, as well as local metrics, to guide a proactive plan for iterative evaluation and continuous quality improvement across the CCTS. The TEC personnel are involved in the national metric and evaluation discussions including engagement with the development of the NCATS CTSA Common Metrics, a national effort to unify leading institution’s evaluation metrics.

Quantitative MetricsSurvey Tools

Tracking SystemsDevelopment & Assessment of Program Evaluation

PlansData Tracking,

Hub Specific MetricsNational Metrics

Appropriate Data CaptureReporting Methods

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Utah CCTS

Manager, Grants and Contracts – Linda GalbreathPilot Grants Officer – Sarah Elliott

Program Manager – Rebekah HendonAdministrative Assistant – Lois Barlow

ADMINISTRATIVE CORE

Susan Krantz, BS

Director:

The Utah CCTS Administrative Core (AC) provides the scaffolding that supports the development of team science, research training, clinical and translational studies, informatics, and community outreach. The AC is leveraged by all Utah CCTS partners into new opportunities for the biomedical research portfolio and furthers local, regional, and national translational endeavors. The AC operates under the principles of collaboration, transparency, efficient management, agile communication, and continuous improvement.

CTSA Program Collaborative Innovation

Awards (CCIA)

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CCIA Program Structure• Objective:

• Foster research collaboration to develop, demonstrate, and/or disseminate innovative, experimental approaches to overcoming translational science roadblocks.

R21Exploratory U01

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R21: PAR-19-100

• Purpose:Supports collaborative research activities that develop innovative solutions that will

improve the efficiency, quality and impact of turning laboratory, clinic and community observations into interventions that improve the health of individuals and the public.

• Eligibility and Requirements: > 2 CTSA program Hubs, not in NCEContact PD/PI must be employed by and/or a recipient of funding from a currently funded

CTSA Program hub institution2 year maximum project periodDirect costs for total period cannot exceed $275,000

• Next Due Date: November 8, 2019

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U01: PAR-19-099

• Purpose:Supports collaborative research activities that develop innovative solutions that will improve the

efficiency, quality and impact of turning laboratory, clinic and community observations into interventions that improve the health of individuals and the public.

• Eligibility and Requirements: ≥3 CTSA Program hubs; or, ≥2 CTSA Programs hubs + ≥1 IDeA-CTRContact PD/PI must be

employed by and/or a recipient of funding from a currently funded CTSA Program hub institution, not in NCE

Multi PI/PD model can be used between CTSA Program Hub PI and non CTSA PI. 4 year maximum project periodNo more than $750,000 or $400,000 direct costs annually (dependent on if clinical research is

involved)

• Next Due Date: November 8, 2019

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Sample of awardeesR21:

Awardee: Ty Ridenour, Research Triangle Institute

Title: ICT Tools for Rare Diseases

Awardee: Neeta Vora, Univ. of North Carolina Chapel Hill

Title: Genetic and Functional Dissection of Congenital Anomalies of the Brian

U01:

Awardee: Michael Hooten, Mayo Clinic Rochester

- Partners: University of Minnesota, University of Michigan and YaleTitle: Unintended Prolonged Opioid Use

Awardee: Steven Mcswain, Medical University of South Carolina

- Partners: University of Colorado-Denver, Children’s Hospital of Philadelphia, and Mercy Virtual (national coordinating support from American Academy of Pediatrics)

Title: SPROUT – CTSA Collaborative Telehealth Research Network

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Active CTSA Supplement – PAR-19-337

• Purpose:Support the demonstration, dissemination, and/or implementation of highly innovative and impactful translational

science projects that address the goals of the CTSA Program and are beyond the original scope of the approved parent project

• Eligibility and Requirements: Active CTSA Program Hub (UL1)Must fall within currently awarded UL1 project periodDirect costs of $750,000 annually

• Due Dates:September 25, 2019; September 25, 2020; September 27, 2021

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Transition to a Clinical and Translational Science Institute

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Clinical and Translational Science Institute (CTSI)

• Majority of CTSAs around the country are recognized as institutes• Provides a structure to support clinical and translational science beyond the CTSA grant

• NCATS move towards institutional designation

• Support research that is• Effective• Efficient• Reproducible• Creates and Follows Best Practice• Compliant

• Further develop the translational workforce

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CTSI Proposed Structure

CTSI Director

Workforce Development

Foundational Services

Advisory Boards

Exec Committee

Clinical Research

Office

Admin Core Evaluation Core

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Clinical Research Office

• Informatics infrastructure (partnered with operations) • Research home for Epic Research and OnCore

• Contracting assistance (partnered with OSP)• Decrease multiple investigators being contacted for single industry study• Ensure appropriate costs recovered

• Internal monitoring (in collaboration with VPR office)• Formative to help continued culture of best practices

• Assistance with external monitoring (in collaboration with VPR office)• Support for FDA or sponsor audits

• Research coordinator community• Community for coordinators from departments and colleges across the University

• Protocol development (in collaboration with the HLT and TIC)• Support for investigators developing clinical trials• Increase success with extramural funders including NIH

• SOP development (in collaboration with VPR, clinical departments, and HCI)

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Workforce Development: Support for career development

• Faculty Investigators• K Club• K to R transition• Center grant development • KL2• MSCI

• Research staff• Research coordinator community

• Trainees• Professional development for pre and post docs• TL1• MSCI

• Pre-trainees• Grow interest in clinical and translational science

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CTSA Foundational Services

• Clinical Trials Support

• Population Health Research (Study Design and Biostatistics Core)

• Precision Medicine

• Biomedical Informatics

• Community Collaboration and Engagement Team

• Community Practice Engagement

• Workforce Development

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COMMITTEE REPORTS

• Clinical• Community Engagement• Diversity and Inclusion• Education• Research and Innovation

C O N F I D E N T I A L

CLINICAL COMMITTEE UPDATEDAVID OWEN, MD

C O N F I D E N T I A L

COMPLETED GOALS FROM 2019

• PCMH – DFPM primary care clinics given PCMH recognition in August 2019

• Project CORE – Data review showed that 70% of primary care providers utilizing project CORE referral templates.

• Provider Metrics Dashboard – Dr. Kiraly presented the FM division dashboard to the CPG medical directors on 9/10/19.

C O N F I D E N T I A L

CLINICAL STRATEGY COMMITTEE FY2O GOALS – FAMILY MEDICINE

DIVISION

C O N F I D E N T I A L

TBD-TRAIN STAFF ON CPG INITIATIVE FOR VIRTUAL VISITS AND DOCUMENT COMPLETED VIRTUAL VISITS IN ALL DIVISION OF FAMILY MEDICINE CLINIC SITESProject Lead: Susan PohlCommittee Lead: Bern Kiraly

C O N F I D E N T I A L

BY JANUARY 2020, 80% OF PATIENTS WITH A NIDA REPORT OF HIGH-RISK SUBSTANCE USE OR ELEVATED PROMIS DEPRESSION SCORE WILL RECEIVE A CONTACT BY A BH SPECIALISTS WITHIN 7 DAYS.

Project Lead: Katie FortenberryCommittee Lead: Jenny Leiser

C O N F I D E N T I A L

BY JANUARY 2020 THE CLINICAL PSYCHOLOGISTS WILL BEGIN PROVIDING DIAGNOSTIC EVALUATIONS FOR ADHD.

Project Lead: Katie FortenberryCommittee Lead: Jenny Leiser

C O N F I D E N T I A L

BY JULY 2020 THE CLINICAL PSYCHOLOGISTS WILL BEGIN PROVIDING DIAGNOSTIC EVALUATIONS FOR TRANSGENDER CARE AND FOR BARIATRIC SURGERY.

Project Lead: Katie FortenberryCommittee Lead: Jenny Leiser

C O N F I D E N T I A L

TBD-GOAL TO ASSIST CENTERVILLE CLINIC TO CARE FOR DIVERSE AND UNDERSERVED POPULATIONSProject Lead: Charles WhiteCommittee Lead: Bern Kiraly

C O N F I D E N T I A L

DEVELOP A STRATEGY AND AN ANNUAL TIMELINE FOR COORDINATING RECRUITING EFFORTS BETWEEN THE FAMILY MEDICINE RESIDENCY PROGRAM AND CPG BY JANUARY 2, 2020.

Project Lead: David OwenCommittee Lead: David Owen

C O N F I D E N T I A L

CLINICAL STRATEGY COMMITTEE FY2O GOALS – PA DIVISION

C O N F I D E N T I A L

TBD-GOAL REGARDING STUDENT PLACEMENT

Project Lead: TBDCommittee Lead: Leigh Elrod

C O N F I D E N T I A L

CLINICAL STRATEGY COMMITTEE FY2O GOALS – OCCUPATIONAL

MEDICINE DIVISION

C O N F I D E N T I A L

TBD - OCCUPATIONAL MEDICINE CLINICAL GOAL TO IMPROVE THE PRESENCE OF OCCUPATIONAL MEDICINE WITHIN THE UU HEALTH SYSTEM

Project Lead: Melissa ChengCommittee Lead: Melissa Cheng

C O N F I D E N T I A L

CLINICAL STRATEGY COMMITTEE FY2O GOALS – MULTIDIVISIONAL

C O N F I D E N T I A L

TBD - PROVIDER SATISFACTION/BURNOUT

Project Lead: TBDCommittee Lead: Amy Locke

C O N F I D E N T I A L

TBD-EXPLORE INTERNALLY DESIGNED VALUE BASED CARE INITIATIVES FOR DFPM, CPG AND PRIMARY CARE INTEGRATED GROUP.Project Lead: Julie Day??Committee Lead: Jenny Leiser

C O N F I D E N T I A L

Community Engagement Committee

Education, Discover, Increase, Improve, Promote

C O N F I D E N T I A L

UPDATING COMMITTEE MEMBERSHIP

• Faculty – Steve Godin– Lisa Gren*– Ivette Lopez*– Karen Mulitalo– Joanne Rolls– Susan Saffel-Shrier– Kim Shoaf

• Staff– Stacey Board– Courtney DeMond– Oreta Tupola

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GOALS OUTLINED PREVIOUSLY

• Establish department-wide access to LMS

• Explore development of a tracking system for faculty Community Engaged Scholarship activities

• Develop strategy & structure for marketing department expertise to professional community and stakeholder groups

• Increase level of Community Engaged Scholarship

• Done

• In process (short tool)

• Working with Julie Fryer

• As tracked with short & longer tools

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C O N F I D E N T I A L

1) EXPLORE DEVELOPMENT OF A TRACKING SYSTEM FOR FACULTY COMMUNITY ENGAGED SCHOLARSHIP ACTIVITIES

2) INCREASE LEVEL OF COMMUNITY ENGAGED SCHOLARSHIP

• Original survey (Portland State)• SurveyMonkey – summer 2019• Working on a fillable form version

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C O N F I D E N T I A L

DEVELOP STRATEGY & STRUCTURE FOR MARKETING DEPARTMENT EXPERTISE TO PROFESSIONAL COMMUNITY AND STAKEHOLDER GROUPS

• Julie Fryer (website)• Committee

– Website items/functions/toolbox– Identify partners (directory)– Building awareness

• Strategy & Structure– Should there be a Grand Rounds of successful

partners sharing their project/research?57

C O N F I D E N T I A L

INCREASE LEVEL OF COMMUNITY ENGAGED SCHOLARSHIP

• Tracking tool• Grand Rounds – how to

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SOME NEW MATERIALS

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C O N F I D E N T I A L

• “Service is relevant as scholarship if it requires the use of professional knowledge, or general knowledge that results from one's role as a faculty member. This knowledge is applied as consultant, professional expert, or technical advisor to the university community, the public health practice community, or professional practice organizations. The dimension of scholarship distinguishes practice-based service from a form of service known traditionally as the general responsibilities of citizenship.”

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DIVERSITY AND INCLUSION

DFPM Education Committee

Darrah Sleeth, Chair

Susan Cochella, FM Division Andy Phillips, OEH Division

Doris Dalton, PA Division Karly Pippitt, FM Division

Kara Frame, FM Division Christy Porucznik, PH Division

Lisa Gren, PH Division Fares Qeadan, PH Division

Rod Handy, PA Division April Sanders-Aboulila, PH Division

Jennifer Mair, FM Division Jared Spackman, PA Division

Sarah McCormick, FM Division Sandra Stennett, PA Division

Education Committee Projects

Recent:• DFPM Inaugural Poster Summit (April)• Three MPAS Dual Degrees (faculty vote in May)• Writing Course (going live Spring 2020, Tracy Rees)• Department Journal Club (July)• Migrant Farmworker Collaboration (September)

Education Committee Projects

New:• Exploration of Opportunities for Revenue

• Expansion of certificate offerings• Increase enrollment• Undergraduate revenue• Online coursework/degrees

• Department Grand Rounds

Education Committee Projects

Ongoing:• 2nd Annual Poster Summit

Save the date: Monday, April 6, 2020

• Department Grand Rounds• Dual Degree Offerings• PhD in Primary Care Research

C O N F I D E N T I A L

Research & Innovation Committee

Education, Discover, Increase, Improve, Promote

0

2

4

6

8

10

12

14

16

18

20

Q2 Q3 Q4

13

1

14

4

1

3

1

3

3

3

2019 DFPM Research Grant ActivityQuarter 2 - Submitted April-June

Quarter 3 - Submitted July-SeptemberQuarter 4 – Submitted through October 13; Planned October 14-December

NIH Other Federal Non-Federal Internal

Totals: NIH: 28

Other federal: 8Non-Federal: 4

Internal: 6

Thinking about submitting a proposal? Email DFPMResearchTeam@Utah.edu!

C O N F I D E N T I A L

Updated Health Studies Fund

1. Research Pilot Award2. Mentored New Researcher Award3. Scholarship Award4. Open Access publication fees5. F. Marian Bishop Award

The next deadline is November 1st!

C O N F I D E N T I A L

Research Mentor Program11 faculty and post docs from DFPM; all have been matched with a mentor

Sessions Topics1. Promotion and Retention Process2. Mock Study Section3. Faculty Panel4. Responding to Reviewer Comments5. Mentoring Tools, i.e. IDP, mentor mapping6. Research Mentor Training

Faculty Director: Dr. Mia Hashibe

C O N F I D E N T I A L

Upcoming Activities• Department-wide Research Meeting

• Date: December 10th

• Time: 8:00-9:00 am • Location: 203 PH

• Research Climate Survey• Look for an email later this fall

• Finalizing Research Focus Areas• Researchers to identify their research areas for the

research webpages; please respond to the 10/15/19 follow-up survey as needed

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R&I Committee Members• Faculty

• Joe Stanford• Katie Fortenberry• Lisa Gren• Rod Handy• Mia Hashibe• Kurt Hegmann• Trent Honda• Dominik Ose• Karen Schliep• Darrah Sleeth• Virginia Valentin• Jim VanDerslice

• Staff• Tatiana Allen-Webb• Kristin Boman• Karla Galvan• Candice Kidd• Tracy Rees