Operations Research and Implementation Science Introduction Operations Research Mini-Course July 2012 Stephen Gloyd Professor and Associate Chair Department.

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Presentation transcript:

Operations Research and Implementation Science Introduction Operations Research Mini-Course July 2012 Stephen Gloyd Professor and Associate Chair Department of Global Health University of Washington

Background  Operations research (OR) has been used for decades to improve the quality, efficiency, and effectiveness of service delivery strategies throughout the world.  OR integrates research methodology into program implementation  OR is an important tool to help project managers develop and test new service delivery approaches improve program effectiveness inform policy decisions.  This aim of this workshop is to improve program managers’ and researchers’ understanding of operations research theory and methodology.  The course is designed for people involved in STD/HIV programs, including implementers, evaluators & researchers.

Learning Objectives for OR Mini-Course 1.State the similarities and differences between OR and other types of health-related research 2.Define the basic steps of performing OR 3.List the common types of study design methodologies that are used in OR, & identify considerations for choosing an appropriate operational study design 4.Identify features of conducting OR that may make it more or less successful in changing health systems and health policy

Operations Research and Implementation Science Schedule for the day

Increasing use of HSR/OR/IS  WHO – grants, HSR conferences, society  Doris Duke Foundation - OR grants  PEPFAR -Technical Evaluations, Public Health Evaluations  NIH/USAID/CDC – Implementation research FOAs  IAS 2012 – Imp Sci/OR everywhere

Defining research to improve health systems, Remme et al, PLoS Medicine Nov 2010

Implementation science at the UW  Operations research in several courses (Micek, Dept of Industrial & Systems Engineering)  CFAR: Health Systems and Strategies Research (Gloyd- Micek; ) - to Implementation Science Working Group  HIVCore, Project SEARCH (USAID)  OR at Health Alliance International (HAI) - CIOB  Implementation science course (Sherr, Wasserheit – since 2010)  MPH in leadership, policy, and management (Katz)  PhD in Global Health: Metrics & Implementation Science (Institute for Health Metrics and Evaluation and Health Alliance International)

‘Implementation Science’ in Health Umbrella concept for rigorous approaches to improving health care delivery (Gloyd 2009) Management, Leadership & Policy Critical elements: Information technology, financing, human resources, logistics, anthropology, clinical science Operations Research Quality Improve - ment

Operations research - HAI/UW model Problem identification 1. Frame problem/validate data/indicators 2. Identify variability in performance (disaggregate!) 3. Map steps/identify bottlenecks – compare high and low performers – plus other studies (qualitative or quantitative) as necessary Intervention & assessment 4. Make changes to address bottlenecks 5. Measure impact of changes 6. Expand changes, impact policy

Operations research - HAI/UW model Problem identification 1. Frame problem/validate data/indicators (Gimbel, Pfeiffer) 2. Identify variability in performance (disaggregate!) ( Micek) 3. Map steps/identify bottlenecks – compare high and low performers – plus other studies (qualitative or quantitative) as necessary (Micek, Gimbel, Pfeiffer) Intervention & assessment 4. Make changes to address bottlenecks (Micek, Behrens,Hughes) 5. Measure impact of changes (Micek, Gimbel, Ghate, Hughes) 6. Expand changes, impact policy (Sherr) Today’s course