The Health Services Research Matrix

1. The Health Services Research Matrix Lisa Simpson Peter Margolis

2. Co-Leaders • Peter Margolis – Co-Director, Center for Health Care Quality, HPCE • Lisa Simpson – Director, Child Policy Research Center, HPCE

3. Center for Health Care Quality Peter Margolis & Carole Lannon Mission: to serve as a local, national and international resource to make quality health care a reality for children and their families. Support transformational projects Research & methods of QI & clinical research methods to translate new knowledge rapidly into practice Provide education in QI methods and advanced experimental design Work to integrate QI methods into the daily work of health care professionals. Child Policy Research Center Lisa Simpson Mission: to develop and communicate evidence-based information for policy makers, program leaders and advocates to support a commitment to improving child health and wellbeing and the quality of health care for children Research Policy analysis Translation Local/community State National

4. What is Health Services Research? AHRQ • …research that provides evidence-based information on healthcare outcomes; quality; and cost, use, and access. • The information helps healthcare decisionmakers—patients and clinicians, health system leaders, and policymakers—make more informed decisions and improve the quality of healthcare services.

5. What is Health Services Research? • Health services research is used throughout the health care field to understand how to finance the costs of care, measure and improve the quality of care, and improve coverage and access to affordable services. • It provides patients, providers, payers, and policymakers with the data and evidence they need to make decisions that optimize health care and improve health outcomes. • This includes information necessary to translate scientific innovations from the bench to the bedside and into the community.

6. Eisenberg, Health Affairs, 1997

7. HSR Matrix: Purpose • Develop a system at CCHMC to support health services research that improves child health and transforms delivery of care • includes outcomes, QI and policy research • Become national leader in developing new knowledge about how to re-design the health care system and translate innovation and evidence into practice and policy

8. Goals • Create collaboration and synergy across Divisions, Centers and Programs • Apply research methods to accelerate translation of new evidence from bench to bedside to community • Effectively manage expansion of effort in HSR by anticipating and creating research infrastructure necessary to support it • Increase external funding for research

9. Strategy • Improve communication internally and externally around scientific themes • Accelerate the development of good ideas by generating a portfolio of projects at all stages of development • Improve quality of research while increasing research efficiency • Promote • Innovation • multi-disciplinary collaboration • information sharing • scientific interchange • Attract, train and mentor faculty interested in the field • Consultation capacity

10. Approach • Phase I (June – September, 2007) • Internal needs & capacity assessments • External opportunities & model assessments • Communication • Phase II (October – December, 2007) • Plan for future • Communication