Demand Driven Research: The RTI Integrated Delivery System Research Network

1. 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: 919-541-7384 · savitz@rti.org · www.rti.org RTI International is a trade name of Research Triangle Institute.

2. 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

3. 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.

5. Participatory Research Fit with IDS Priorities RTI Research Mgmt

6. Features of RTI IDS Research Network

7. 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 WeberCeleste Mayer, Brian Goldstein, Nate Szejniuk, and others… • UPMC/Pitt—Mike Allswede, Loren Roth, Helen Chang, Joe Suyama, and others

8. 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

9. Framework for Building Partnership Strength Learning from Successfully Transported Interventions • 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, 2003—Model of Community Health Governance

10. 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

11. 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

12. 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.