Demand Driven Research: The RTI Integrated Delivery System Research Network

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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 27709Phone
919-316-3301 Fax [phone]
savitz_at_rti.org www.rti.org RTI International
is a trade name of Research Triangle Institute.
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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

• Strengthen an existing IDS Research Network by
  promoting the sharing of local innovations
• 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
• Extend the breadth and depth of the evidence base
  for innovative, sustainable QI and BT
  preparedness programs
• Provide a mechanism to test the transportability
  of clinical process innovations
• Accelerate the rate at which knowledge
  utilization occurs.
• Across these aims, document interventions,
  findings, and lessons learned.

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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

• IHCBrent James, Ann Ward, Per Gesteland, Mike
  Rawson, Jonathan Nebeker, and others
• ProvidenceBruce Bayley, Denise White, Teresa
  Maddalone, Glen Rodriguez, William Gillanders,
  Steve Stoner, Robert Wells and others
• UNCTom Sibert David Weber?Celeste Mayer, Brian
  Goldstein, Nate Szejniuk, and others
• UPMC/PittMike 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/ Evidence
Practice
Shared Learning/Synergies
Quality Improvement
Bioterrorism Preparedness
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Framework for Building Partnership Strength
Learning from Successfully Transported Interventio
ns

• Individual
• Empowerment
• Social Capital
• Synergy

Collaborative Problem Solving
Critical Characteristics of the Process
Leadership Management
Mapping Organizational Needs to Identified
Interventions
Adapted from RD Lasker ES Weiss, Journal of
Urban Health, 2003Model 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 Research Priority
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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

Transition Pharmacist Trial
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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.