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The Center for Health Management Research (CHMR): Transliteration in Action. Douglas A. Conrad, PhD University of Washington Nancy Neil, PhD Virginia Mason Medical Center & University of Washington Seattle, WA. CHMR’s Identity.
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The Center for Health Management Research (CHMR): Transliteration in Action Douglas A. Conrad, PhD University of Washington Nancy Neil, PhD Virginia Mason Medical Center & University of Washington Seattle, WA
CHMR’s Identity • 17 Member Universities Connected through the Network for Healthcare Management • 7 Health System Members United in Search of System Integration and an Interest in Management Research • Sponsored by the National Science Foundation (NSF)
More on the Center’s Identity • NSF Sponsorship of the Center for Health Management Research (CHMR) is through NSF’s Industry/University Cooperative Research Center Program • This “Town-Gown” Partnership is Driven by System Member Research Priorities
CHMR’s Membership Roll: The Health System Members • Sharp HealthCare • Summa Health System • Sutter Health • Swedish Medical Center • VA, Upper Midwest Health Care Network • Virginia Mason Medical Center • Washington Hospital Healthcare System
… CHMR University Members • University of California at Los Angeles • University of Colorado at Denver • University of Michigan • University of Missouri • University of North Carolina • University of Pennsylvania
… CHMR University Members • University of Southern California • University of Toronto • University of Washington • Virginia Commonwealth University
CHMR Leadership Structure • University of Washington CHMR Primary Administrative Home: • Douglas Conrad, CHMR Director • University of California @ Berkeley Affiliated Research Site of CHMR • Thomas Rundall, CHMR Co-Director • CHMR System Member Executive Committee
CHMR’s Operating Model • NSF Provides Infrastructure Support (5-Year Renewable Grants) & Networking/Exchange Opportunities • CHMR System Members Pay Annual Membership Dues ($35,000 each) to Support Research Projects & a Share of CHMR Infrastructure
CHMR Decision-Making • CHMR System Members Collectively Choose the Center’s Research Priorities • With Academic/Scientific Counsel from the Center’s Co-Directors & Senior Advisers • Additional Technical Counsel on Prospective Projects by External Academic Reviewers
How Delivery Systems are Using the Findings from CHMR Products to Improve Healthcare
Supply Chain Management • Schneller & Smeltzer (Arizona State) • Burns (Wharton School) Focused on the interrelationships between producers, purchasers & suppliers in the health care value chain.
Paying for Performance • Conrad & Saver (University of Washington) How organizational-level and provider-level compensation influence medical care structures and the processes that affect health outcomes.
Handheld Devices (PDA’s) McAlearney & Schweikhart (Ohio State) • Understanding organizational strategies for using handheld devices. • Needs/concerns of the providers using them. • Detail of avail. applications, uses, benefits.
Living with Diabetes • Goldberg & Murphy (Univ. of Washington) Documenting the patient care benefits of web-based physician-patient interactions in the care of diabetes.
Stone et al. (U. Missouri at Columbia) • Shortell et al. (UC Berkeley) Organizational and clinical factors influencing the use of clinical guidelines.
Shortell et al (UC Berkeley) Neil & Nerenz (VM and Michigan State) Hughes et al. (Northwestern Univ.) Physician & health system integration Performance Measurement Assessing evidence on CQI initiatives
The “User’s” Perspective • Value of Testing “Concepts in Action” • Structured, Systematic Discussion of Common Management Challenges • Opening People’s Minds to New Ways of Thinking and Solving Problems • Magic of “Storytelling: • Structured “Try-Storming”
Value in “Town-Gown” Collaborations • Knowledge Synthesis • Knowledge Transfer & Innovation • Incremental Insight • Storytelling • “Trystorming”, or Proof of Concept
Challenges Facing CHMR • Academic time vs. Business Time • Engaging the Real-World Organizations, rather than Just Studying Them • Framing the Right Management Research Questions: • “Answerable” & “Actionable” • Need for Transliterators