|
IDSRN awards FY 2000-FY 2003, by type |
||||||
| Type of project |
Description |
Total projects |
Total funding |
Examples |
Potential link between research and practice |
Challenges that influence value |
|
|
||||||
| Research linked to operational settings |
||||||
|
|
||||||
| Research using IDS data |
Take advantage of IDS administrative, claims, or other data to carry out applied health services research |
12 |
$3,191,558 |
Racial differences in care outcomes; impact of payment policies on care in provider group with diverse characteristics; medication errors |
Enhances the knowledge base for understanding how health systems work; gives access to data not otherwise available for research |
Identifying questions for research that have potential for ultimate operational value; ability to generate findings that build on evidence base and are taking the "next step" |
| Operational data assessment and validation |
Assess the capacity of systems to provide specific data, develop specific measures |
4 |
$1,083,674 |
Capacity to conduct studies of race, ethnicity; operational validation of hospital quality measures; private sector data for national quality reporting. |
Assesses one facet of infrastructure readiness to determine need for or make operational improvements |
Uniqueness of individual systems; ability to move beyond assessment to make changes or take appropriate action |
| Clinical intervention and assessment |
Patients in the IDS are involved in intervention; outcomes assessed |
12 |
$2,769,120 |
Electronic order entry; otitis media practice guidelines; falls management tool |
Identifies promising delivery interventions that work in practice |
Evidence base for interventions; ability to generalize or bring to scale results |
|
|
||||||
| Stretching traditional research boundaries |
||||||
|
|
||||||
| IDS systems analysis |
Prospectively analyze IDS systems and flows to identify performance, needs, or potential areas for improvement |
8 |
$1,958,126 |
Modeling link between care transitions and iatrogenic injury; assessing factors that influence diffusion of IT; assessing reasons for pneumonia hospitalization by Evercare patients |
Uses delivery base to better understand problems or constraints and ways of intervening |
Ability to generalize beyond a single system or point in time; follow-through on findings to identify and test improvements |
| Tool development |
Develop web-based or other tools for care delivery or public health improvement |
17 |
$3,957,230 |
Electronic order entry; otitis media practice guidelines; falls management tool |
Identifies promising delivery interventions that work in practice |
Evidence base for interventions; ability to generalize or bring to scale the results |
|
|
||||||
| Other |
||||||
|
|
||||||
| Organizational studies using data outside of IDSRN |
Projects that take advantage of IDSRN vehicle and participants to study issues relevant to IDS but not otherwise built on IDSRN unique qualities |
3 |
$643,863 |
Quality provisions in MCO contracts; hospital-volume link; nursing home policies and quality |
Addresses research questions that shed light on health care delivery organizations |
Does not necessarily capitalize on IDSRN capacity |
| Dissemination infrastructure |
Projects that aim to support infrastructure in various ways to encourage dissemination |
2 |
$594,310 |
National network of medical group practices; leadership conference on patient safety |
Improves channels of communication to get information out |
Strategic importance of particular effort; relevance of infrastructure to other IDSRN work, AHRQ, or field |
|
Source: Authors' classification based on awards information provided by AHRQ. | ||||||
Gold and Taylor Implementation Science 2007 2:9 doi:10.1186/1748-5908-2-9 |
||||||