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Delivery System Research: Discovering Ways to Improve Care Value*

Delivery System Research: Discovering Ways to Improve Care Value*. Michael I. Harrison Center for Delivery, Organization & Markets AHRQ Annual Meeting Sept. 20, 2011 * Thanks to Dina Moss, co-lead on this initiative . Session Overview. AHRQ ’ s ARRA Delivery System Research Initiative

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Delivery System Research: Discovering Ways to Improve Care Value*

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  1. Delivery System Research: Discovering Ways to Improve Care Value* Michael I. Harrison Center for Delivery, Organization & Markets AHRQ Annual Meeting Sept. 20, 2011 *Thanks to Dina Moss, co-lead on this initiative.

  2. Session Overview • AHRQ’s ARRA Delivery System Research Initiative • Recommendations on Advancing Delivery System Research • Progress Reports/Early Findings • Discussion

  3. DELIVERY SYSTEM FOAs • 6 Evaluation Grants ($12 million) – RFA 10-012 • Research on existing designs or redesigns (interventions) in payment, reporting, and organization of care delivery • CER= compare alternative designs or redesigns; compare one redesign to status quo accepted as current policy • 4 Demonstration Grants ($7 million) – RFA 10-013 --Implementation & Research on effectiveness of redesigns in • primary care • care continuum • payment and reporting • 5 Spread Demonstration Grants ($18 million) -- Accelerating Implementation of CER Findings through Networks  – RFA 10-014 • Spread of CER findings by leveraging the capacities of multi-stakeholder or multi-site networks: Goal is implementation of existing evidence, not creation of new evidence. • Evaluation to be conducted by external contractor.

  4. ARRA Delivery System FOA Grantees: Geographic Spread 1 1 1 1 1 2 3 2 2 1 1 1 1 1 1 5 2 2 1 2 1 2 1 National =2

  5. Meeting: Advancing Delivery System Research • ARRA CER Delivery System grantees, other grantees, stakeholders, experts discuss white papers: • Gaps in Research Topics & Concepts • Research Designs, Methods, & Measures • Spread Strategies • Steps for Researchers – Most need leadership by funders: • Use more mixed methods (Needed: journal, study section support) • Examine diverse contexts for improvements • Model change over longer time periods (3+ yrs) • Apply common evaluation frameworks for similar initiatives (e.g. P4P, PCMH) • Test valuable improvements in additional, diverse contexts • Develop measures for readiness, change contexts, culture http://www.ahrq.gov/qual/deliverysys/2011mtg/mtgsumm.htm

  6. For more information • http://www.ahrq.gov/qual/deliverysys/2011mtg/mtgsumm.htm • Michael Harrison (RFA 10-012, 10-013 and meeting) Michael.Harrison@ahrq.hhs.gov • Dina Moss (RFA 10-014) Dina.Moss@AHRQ.hhs.gov

  7. Reports from Delivery System Research Teams • Michael Magill, MD, University of Utah School of Medicine • Rebecca A. Malouin, PhD, Michigan State University • Wally R. Smith, MD, Virginia Commonwealth University

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