Research TranslationResearch Translation

June 10, 2008June 10, 2008

Academy Health’s 25Academy Health’s 25thth ARM ARM

PresentersPresenters Panelists:Panelists:

• Bradley Doebbeling, MD, MSc, Director of Bradley Doebbeling, MD, MSc, Director of Health Services Research and Research Health Services Research and Research Scientist, Regenstrief Institute, Scientist, Regenstrief Institute, Indianapolis, INIndianapolis, IN

• Benjamin Brooke, MD, Department of Benjamin Brooke, MD, Department of Surgery, Johns Hopkins Hospital, Surgery, Johns Hopkins Hospital, Baltimore, MDBaltimore, MD

• David Baker, PhD, Principal Research David Baker, PhD, Principal Research Scientist, American Institutes of Scientist, American Institutes of Research, Washington, DC and Director, Research, Washington, DC and Director, Quality Management, Carilion Clinic, Quality Management, Carilion Clinic, Roanoake, VARoanoake, VA

Chair: Chair: Cynthia Palmer, MSc, Senior Research Cynthia Palmer, MSc, Senior Research Fellow and Program Officer for ACTION, AHRQFellow and Program Officer for ACTION, AHRQ

What Do We Mean By Research What Do We Mean By Research Translation?Translation?

A relatively new and rapidly A relatively new and rapidly evolving fieldevolving field

The study of how to influence The study of how to influence individual and organizational individual and organizational behavior changebehavior change to improve to improve healthcare delivery and outcomeshealthcare delivery and outcomes

How Do We Define the Process?How Do We Define the Process?

In 33 agencies studied recently, In 33 agencies studied recently, 29 terms (mostly undefined) were 29 terms (mostly undefined) were used for this process (Milbank used for this process (Milbank Quarterly, March 2008) - Quarterly, March 2008) - examples: diffusion; examples: diffusion; dissemination; research into dissemination; research into practice; impact; implementation; practice; impact; implementation; knowledge transfer / management / knowledge transfer / management / translation / utilization / translation / utilization / brokering; linkage and exchange; brokering; linkage and exchange; taking to scale…taking to scale…

How Do We Operationalize the How Do We Operationalize the Process?Process?

The VA Quality Enhancement Research The VA Quality Enhancement Research Initiative (QUERI) has used a 4-phase Initiative (QUERI) has used a 4-phase sequence to refine and spread effective, sequence to refine and spread effective, sustainable implementation programs:sustainable implementation programs:• Single-site pilotSingle-site pilot• Small scale, multi-site implementation trialSmall scale, multi-site implementation trial• Large-scale, multi-region implementation trialLarge-scale, multi-region implementation trial• System wide roll-out System wide roll-out

(Stetler et al, Implementation Science 2008)(Stetler et al, Implementation Science 2008)

TopicsTopics 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) (Ben Brooke)

Nationwide Adoption of TeamSTEPPS (David (David Baker)Baker)

Presentation ComponentsPresentation Components

Purpose Purpose - evidence base, who/what drove the - evidence base, who/what drove the efforteffort

ScopeScope - organization, time frame - organization, time frame How implementedHow implemented - - infrastructure, coordinationinfrastructure, coordination

Evaluation of impactEvaluation of impact -  - implementation methods, structure implementation methods, structure

ResultsResults - outcomes, operations - outcomes, operations DisseminationDissemination  - opportunities and methods   - opportunities and methods Lessons learnedLessons learned Next stepsNext steps