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West Virginia Co llaborative H ealth O utcomes R esearch of T herapies and S ervices Center

West Virginia Co llaborative H ealth O utcomes R esearch of T herapies and S ervices Center. Introduction Administrative structure Specific Aims: Rationale Accomplishments & Future Plans Expected Outcomes Program evaluation: Advisory Boards Long term goals. Outline. Introduction

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West Virginia Co llaborative H ealth O utcomes R esearch of T herapies and S ervices Center

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  1. West VirginiaCollaborative Health Outcomes Research of Therapies and Services Center

  2. Introduction Administrative structure Specific Aims: Rationale Accomplishments & Future Plans Expected Outcomes Program evaluation: Advisory Boards Long term goals Outline

  3. Introduction Funded since June 2006 through the “Building Research Infrastructure and Capacity” (BRIC) grant from the Agency for Healthcare Research and Quality (AHRQ) Aimed at health services research competitiveness for future federal and other extramural grant funding The WV CoHORTS Center

  4. Mission To stimulate multi-disciplinary health services and health outcomes research activities, and to provide the infrastructure necessary for new and established scientists to collaborate on research projects. Vision To be recognized for excellence in producing high quality research in health services and health outcomes that will focus on addressing healthcare problems specific to the citizens of West Virginia and the Appalachian region. The WV CoHORTS Center

  5. HSC Strategic Research Plan The WV CoHORTS Center

  6. Administrative Structure Fred Butcher, PhD Patricia Chase, PhD Michael Smith, PhD Rachel Abraham, MD,

  7. Create a repository of various state and federal healthcare data to serve as a resource and catalyst for the conduct of health services and health outcomes research in West Virginia. National: HCUP, MEPS, BRFSS, NHANES, NAMCS, NHIS… State: Medicaid, PEIA, CHIP Specific Aim 1

  8. Rationale Most national datasets are publicly available Complex instructions for use and manipulation is time-consuming State data are costly and needs an arduous procurement process CoHORTS center will create, update, and maintain a ready repository of all such data Will offer easy in-house access and expertise for research facilitation Specific Aim 1

  9. Year 1 MOU and Data Use Agreement signed with WVBMS and WV Medicaid data up to June 2006 procured Guidelines for data access and use established for Medicaid data Data procurement and use being discussed with CHIP and PEIA All necessary hardware and software procured Key Accomplishments

  10. Year 2 Develop processes for CHIP and PEIA data access, protection, and appropriate use standards Procure federal public-use datasets Make public announcement of database repository Explore other sources of relevant data – Medicare, the Health Plan, and link cost/utilization data with WV Cancer Registry Explore funding sources for continual maintenance and updating of data sets Plans

  11. Expected Outcomes Large longitudinal health services research data Enhance competitiveness for federal and other grants (NCI, AHRQ…) Catalyst for industry funded research Facilitate thesis and dissertation research for graduate students Specific Aim 1

  12. Develop collaborative relationships that bring together health services researchers to stimulate multi-disciplinary research as well as develop a plan for new faculty recruitment and investment for long-term growth. Specific Aim 2

  13. Rationale Effective utilization of the repository is critical Need to facilitate collaborative research Need to create awareness about availability of HS&OR expertise Recruit funded health services researchers to serve as role models and to raise overall competitiveness Specific Aim 2

  14. Year 1 Contacts made with key stakeholders in health services research at the institutional and state levels. Web site developed Development of health services researcher directory in progress Health services research seminars started as part of CMED Grand Rounds Coben Committee Report Key Accomplishments

  15. Year 2 Have monthly health services research seminars Create directory with web-access Organize grant writing workshops Recruit funded researchers Hold meetings and retreats for multi-disciplinary exchanges Organize a state conference to formally launch WV CoHORTS Center Plans

  16. Expected Outcomes Facilitate formation of academic research networks Generate enthusiasm and support for HS&OR Foster research team building and collaborative grants Create a pool of health services research experts in the region Specific Aim 2

  17. Establish a mentoring program for junior faculty investigators to become more competitive for federally funded grants in health services and health outcomes research. Specific Aim 3

  18. Rationale Structured mentoring will facilitate individual faculty development Enlist senior researchers to help nurture junior researchers to become competitive grant funded researchers Need to develop a forum for junior faculty to meet and discuss ideas and develop research teams Foster multi-disciplinary research Specific Aim 3

  19. Year 1 Associates identified and paired with mentors Mentoring agreements formalized and signed-off Monthly meetings between Associates and mentors started Monthly meetings of Associates and Mentoring Director started Funded development of pilot studies and travel to meetings Key Accomplishments

  20. Associates Dr. Mary Carter - COA/Community Medicine Dr. Dina Jones - Orthopedic Medicine Dr. Michael Smith - Pharm. Systems & Policy Dr. Robert Bossarte - CREM/ ICRC/Community Medicine Dr. Maurice Moffett – Pharm. Systems and Policy Primary Mentors Dr. Jeffrey Coben - CREM-ICRC/Community Medicine Dr. George Kelley - Community Medicine Dr. Harakh Dedhia - Pulmonary Medicine Dr. Jeffrey Coben - CREM/ICRC/ Comunity Medicine Dr. Suresh Madhavan - Pharm. Systems and Policy Mentoring Core

  21. Year 2 Evaluation of: Associate's 1st year research goals Mentoring relationship between Associates and mentors Mentoring Program by Associates and mentors Conduct pilot studies and submission of grants Plans

  22. Time commitment to CoHORTS is a challenge as not all associates have a 45% research FTE Lack of administrative help to assist with grant submission and grants management Very few experienced researchers to serve as role models No critical mass in any particular area of research No common forum that brings researchers together from across HSC. Some Associate concerns…

  23. Responsibility: Internal and External Advisory Boards Frequency: Half-yearly and annual Areas: Infrastructure development Associates’ growth and development Achievement of benchmarks in a timely manner Program Evaluation

  24. Internal Dr. Thomas Saba Dr. Jeffrey Coben Dr. Richard Crout Dr. Dan Flynn Dr. June Lunney Dr. Carol Harris Dr. Michael Smith External Dr. Edmund Ricci, PA Dr. Paul Young, UT Dr. William Campbell, NC Advisory Boards (Associate Representative)

  25. Get funded for Phase II (years 3 to 5). Make data repository self-sustaining through funding support from research grants and contracts. Identify and develop a theme to focus our initiatives Build a network of health services researchers and stake holders (providers, payers, and policy makers). Recruit and retain talented research faculty. Expand mentoring program. Become competitive for larger federal grants (CERT). Next few years…

  26. Research program administered by the Agency for Healthcare Research and Quality (AHRQ) Vision: To serve as a trusted national resource for people seeking to improve health through the best use of medical therapies Mission: To conduct research and provide education that will advance the optimal use of drugs, medical devices, and biological products, by: Developing knowledge - Managing risk. Improving practice - Informing policy makers Centers for Education & Research on Therapeutics (CERTs)

  27. Arizona – detection and prevention of adverse drug interactions Cornell – research into the outcomes and cost-effectiveness of medical devices Duke – therapies of the heart and blood vessels HMO Research Network – use, safety, and effectiveness studies of therapeutics using health plans for defined populations Houston – risk and health communication; patient, consumer and professional education; health decision-making and decision-support; and therapeutic adherence Iowa – research related to the elderly and aging Current CERT themes

  28. Rutgers – improving outcomes in the use of mental health therapeutics in at-risk populations UPenn – therapies for infection and the reduction of antibiotic drug resistance UAB – therapies for musculoskeletal disorders UNC – therapies for children Vanderbilt – prescription drug use in Medicaid and veteran populations Current CERT themes… contd. • CoHORTS – a significant stepping stone

  29. Thank You

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