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Round Table: International Experiences in Research Governance. Patricia Pitman June 10, 2008. PANELISTS. Carolyn Clancy, Director of Agency for Healthcare Research and Quality (AHRQ)
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Round Table: International Experiences in Research Governance Patricia Pitman June 10, 2008
PANELISTS • Carolyn Clancy, Director of Agency for Healthcare Research and Quality (AHRQ) • Sharon Arnold, Director of Robert Wood Johnson Foundation’s Health Care Financing and Organization Initiative (HCFO) • Susan Law, VP of Research and Evaluation and the Canadian Health Services Research Foundation (CHSRF) • Kieran Walshe, Research Director Dept of Health’s Institute for Health Research Service Delivery and Organization Research Program (SDO)
AHRQ • Goal: Improve quality, safety, effectiveness and efficiency of health care for all Americans. • Focus: (full spectrum) Portfolios:Health IT; Care Management and Prevention; Patient Safety and Quality; Comparative Effectiveness Research; Value-Based Health Care; Emerging Issues and Innovations 3. Funding source: Congressional appropriations 4. Total Budget: $334.5 M, $KT 4-5M, $27.4 M for training researchers 5. Other HSR Funders: NIH, CDC, VA, foundations • Challenges: • Balancing investments in business lines (research and data, synthesis and tools and dissemination and implementation) • Best approaches to KT and dissemination / implementation.
HCFO • Goal: To fund policy relevant research in healthcare financing and organization • Focus: Changes in health care financing and organization that have implications for public policy. • Funding source: RWJF, whichdetermines the amount. • Budget: Base of $3M, with additional funding for special solicitations. • Other HSR Funders: Federal government is primary funder (NIH, AHRQ, VA and CDC), but among foundations RWJF is largest. • Challenge : • Evaluating the policy relevance of proposals • Disseminating the research findings to policymakers who can use them.
CHSRF 1. Goal: To promote evidence-informed decision-making in healthcare management and policy. 2. Focus: Research topics are theme-based following national consultation exercise every 3-4 years. Currently they are: quality and safety; healthy workplaces; change management; decision-making 3. Funding source: Endowment from federal government : $151.5M 4. Budget: Annual budget: $13-15M • research: $3M • training for researchers: $2M • KT: $1.8M • training for research use $3.4M • program and adm. support: $4.5M 5. Other HSR Funders:Institute of Health Services and Policy Research, = other institutes in Canadian Institutes of Health Research @ 5.2 m. ….or 4% of total health research. 6. Challenge: Evaluation of impact (demonstrating value-added for investment in HSPR – related to long-term sustainability)
SDO • Goals: • Commission research AND produce evidence • Build capacity amongst those who manage servicesto conduct research and to understand and use research literature • Focus: Healthcare service delivery and organization. • Funding source: part of the Department of Health. Budget set annually by negotiation with the DH Director General for Research. • Total budget: Commissioned research currently $16M per year, but will increase to $24M over the next two years. $5M will go to KT. • Other HSR Funders?: The Department of Health has a separate policy research program that spends around $60M. Some research is also commissioned by the Economic and Social Research Council, charitable research funders, and other bodies. • Challenge : KT: Build stronger links with and support from the NHS management community for our research, and to see much more effective processes for knowledge mobilization and utilization.
Approaches to Priority-Setting and Proposal Selection • How do you set research priorities? • What is the balance of stakeholder involvement? • How is relevance or potential system impact assessed at the proposal stage?
2. Funding Modalities • What is the spectrum of funding mechanisms and project types you use for different objectives? • What are the trade-offs of different models?
3. Knowledge Transfer • Budget allocated to KT? • Range of mechanisms and tools used? • Repercussions of increased attention to KT? • Role in influencing university culture?
4. Impact Assessment • Are you accountable for demonstrating the impacts of your investments and, if so, to whom? • What is being measured and how? • Any changes in policy as a result of assessments?