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A Case Study: Connecting Research and Patient Care

A Case Study: Connecting Research and Patient Care. 2008 QUERI National Meeting December 11, 2008. John S. Rumsfeld, MD PhD Clinical Coordinator, IHD-QUERI. Getting started…. 2003: Concerns about (and lack of sufficient data to evaluate) cardiac procedure use and outcomes.

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A Case Study: Connecting Research and Patient Care

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  1. A Case Study: Connecting Researchand Patient Care 2008 QUERI National Meeting December 11, 2008 John S. Rumsfeld, MD PhD Clinical Coordinator, IHD-QUERI

  2. Getting started… • 2003: Concerns about (and lack of sufficient data to evaluate) cardiac procedure use and outcomes. • 2004: Funding to develop prototype: a clinical application to capture data for cardiac procedures.

  3. CART: 2004-2008

  4. Quality Research What does it do? Clinical Care Transactional Quality and Management

  5. MOU’s and DUA’s CPRS Integration JCAHO C&A Lab Mapping Time and patience… IT Development OI&T Local Clinicians Site support Data security changes Local Systems Unanticipated Requests Funding Contracts Local IRMS Barriers • Just a few…

  6. Facilitators • Nearly as many… PCS OI OQP Local IT champions CART Team Local clinical champions National Directive Clinical need/ requests Embedded in clinical care ACC Funding MOU’s and DUA’s Contracts

  7. Implementation Conceptual Model: Macro and Micro Site VA Evidence Context Facilitation Successful Quality Improvement Adapted from Kitson, Harvey, and McCormack. Qual Health Care 1998

  8. Lessons Learned… • Synergistic mission / relationship • Control IT development • Extensible application • Local clinician engagement • “by us, for us” • Carrots and sticks: need both • Transactional quality and management

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