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Restructuring Study Sections in Healthcare Delivery and Methodologies Integrated Review Group Kate Bent, RN, PhD, CNS Chief, Healthcare Delivery and Methodologies Integrated Review Group Peer Review Advisory Committee 2/1/2010 National Institutes of Health U.S. Department of Health and Human Services

Integrated Review Groups Biobehavioral & Behavioral Processes Risk, Prevention & Health Behavior Population Sciences and Epidemiology Healthcare Delivery & Methodologies AIDS and Related Research Division of AIDS, Behavioral and Population Sciences Health Services Organization and Delivery (HSOD) Community Level Health Promotion (CLHP) Community Influences on Health Behavior (CIHB) Biomedical Computing and Healthcare Informatics (BCHI) Biostatistical Methods and Research Design (BMRD) Nursing Science (x2): Adults and Older Adults (NSAA); Children and Families (NSCF) Special Emphasis Panels

HDM Study Section averages/round HDM total: 800/round Number of Applications

Exploratory Process March 2009: Internal CSR Review Chairs of all Study Sections Reviewers CSR Leadership October 2009: Advisory Group Meeting External experts IRG staff IC representatives Nov Jan 2010: comments and revisions NIH community Academic community

HDM IRG Advisory Group – Oct Teri Albrecht, Wayne State Claudia Baquet, U Maryland Yvonne Bryant, NINR David Chambers, NIMH Zohara Cohen, NIBIB Vicki Conn, U Missouri Marie Davidian, NC State Dave Davis, AAMC Lisa Klesges, U Memphis Rick Kodish, Case Western Randy Miller, Vanderbilt Brian Mittman, VA QUERI Abby Rives, NIH Ofc of Biotech Lynn Sommers, U Penn Marita Titler, U Mich Mary Ellen Wewers, Ohio State

Post-meeting Comments: NIH Community NCI, NHLBI, NIAID, NIDA, NIEHS Academic Community U Penn, U Michigan, Ohio State, U Wisconsin, Brown, Johns Hopkins, UCSF, Emory, Fred Hutchinson, Dana Farber, MD Anderson Advisory Committee Members

Consensus view Develop guidelines for 3 new study sections Two nursing sections with identical science but split by age not helpful Consensus ‘lite’: one merged nursing science study section Monitor closely for increase in size to signal need for later split along conceptual/science lines

Plan to restructure HDM study sections New Clinical and Research Ethics (CRE) (≈ 50) Health Disparities and Equity Promotion (HDEP) (≈ 55) Dissemination and Implementation Research in Health (DIRH) (≈ 65) Merged NSAA + NSCF >> Nursing and Related Clinical Science (NRCS) (≈ 90) Total Old: 7 study sections + recurring SEPs New: 9 study sections

Possible guidelines Clinical and Research Ethics Clinical ethics and the ethical issues in biomedical and behavioral research, public health, and healthcare delivery Health Disparities & Equity Promotion Address, reduce or eliminate health disparities in access, treatment, or health outcomes Dissemination and Implementation Research in Health Bridging the gap; science about the transmission and implementation of knowledge from scientific discovery

Next Steps 2010/05 study sections unchanged 2010/10 implement plan for new and merged study sections as SEPs New/revised sections chartered and members appointed by October Monitor: BMRD, BCHI: shrinking, but 2010/05 spike NRCS: watch for future growth and need to divide along conceptual lines