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Research Translation. June 10, 2008 Academy Health’s 25 th ARM. Presenters. Panelists: Bradley Doebbeling, MD, MSc, Director of Health Services Research and Research Scientist, Regenstrief Institute, Indianapolis, IN
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Research Translation June 10, 2008 Academy Health’s 25th ARM
Presenters • Panelists: • Bradley Doebbeling, MD, MSc, Director of Health Services Research and Research Scientist, Regenstrief Institute, Indianapolis, IN • Benjamin Brooke, MD, Department of Surgery, Johns Hopkins Hospital, Baltimore, MD • David Baker, PhD, Principal Research Scientist, American Institutes of Research, Washington, DC and Director, Quality Management, Carilion Clinic, Roanoake, VA • Chair: Cynthia Palmer, MSc, Senior Research Fellow and Program Officer for ACTION, AHRQ
What Do We Mean By Research Translation? • A relatively new and rapidly evolving field • The study of how to influence individual and organizational behavior change to improve healthcare delivery and outcomes
How Do We Define the Process? • In 33 agencies studied recently, 29 terms (mostly undefined) were used for this process (Milbank Quarterly, March 2008) - examples: diffusion; dissemination; research into practice; impact; implementation; knowledge transfer / management / translation / utilization / brokering; linkage and exchange; taking to scale…
How Do We Operationalize the Process? • The VA Quality Enhancement Research Initiative (QUERI) has used a 4-phase sequence to refine and spread effective, sustainable implementation programs: • Single-site pilot • Small scale, multi-site implementation trial • Large-scale, multi-region implementation trial • System wide roll-out (Stetler et al, Implementation Science 2008)
Topics • Implementing a Novel Approach to Reducing MRSA in a Multihospital Collaborative (Brad Doebbeling) • Implementing the Leapfrog Standard for Beta-Blocker Use during Abdominal Aneurysm Repair in California Hospitals: Translation of Evidence-Based Measures to Improve Surgical Outcomes (Ben Brooke) • Nationwide Adoption of TeamSTEPPS (David Baker)
Presentation Components • Purpose - evidence base, who/what drove the effort • Scope - organization, time frame • How implemented - infrastructure, coordination • Evaluation of impact - implementation methods, structure • Results - outcomes, operations • Dissemination - opportunities and methods • Lessons learned • Next steps