1. C.A.R.E. CENTER for ANESTHESIA RESEARCH EXCELLENCE
September 24, 2014
Balachundhar Subramaniam, MD MPH
Valerie Banner-Goodspeed
Patient Engagement, Systems Science, and the Elimination of Preventable Harm

2. Why CARE?
A recent survey of the department showed strong interest in research.
The same survey showed frustration with the difficulties inherent in conducting research on top of existing responsibilities, without additional resources.

3. Research Interests
Current Research Activities
Research Interests of those not currently doing research
DIVERSE! Research interests are well-balanced. People are doing an array of types of research, and people who want to do research are interested in a variety of research types

4. What are the barriers to conducting research?
Everyone needs more time! Those doing research identify funding and statistical support, while those looking to begin identify mentorship and idea development as needs

5. What Resources Would Help?
Full spectrum of resources desired by both current researchers and those who want to begin

6. What is CARE?
CARE is a one-stop shop for department members who want help conducting research.
Our goal is to simplify and streamline research endeavors in the department, and help make you more successful in your research.

7. CARE Services Development of core research idea
Patient screening & recruitment strategies
Study design
Data collection and source documentation
Mentorship facilitation
Audit readiness
Protocol writing
Research regulation education, team training
IRB communications
Database and Case Report Form building
Manuscript & grant writing
Sample processing & storage
Survey design
Data analysis
Based on our own experience and the survey responses, we’re ready to offer help from start to finish with getting your clinical research project started and successfully finished

8. Research Domains within CARE
Study Types
Interventional trials
Physiologic studies
Epidemiologic studies
Education research
Simulation research
Quality Improvement research
Outcomes research
Divisions Represented
Critical Care
Cardiothoracic
Pain Medicine OB
General
Education/QI
CARE is not ready at this stage to support animal studies. We intend to readdress this a year from now and see the progress. We probably can help the bench research a year from now.

9. CARE must prioritize projects
How Does CARE Work?
You bring the research idea: contact Bala & Valerie
Present to the Physician Review Panel
Modifications based on feedback and suggestions
CARE sends proposal of resources to support you
Provide CARE with regular updates on your progress
CARE must prioritize projects
As of today, bring ideas to CARE.
DO NOT approach research staff individually. As convenient as it is to go straight to statistician or assistants for IRB writing, if you want to use CARE personnel it must come though from the top. We need to protect people’s time

10. What do you need to do? CARE is not a free ride Bring good ideas
Be willing to work
CARE facilitates, does not replace
Notify us about your success: publications, presentations, grants

11. CARE Financial Plan
Currently CARE is staffed with people supported by departmental funds and research grants.
By prioritizing projects, we will provide help to unfunded applicants.
Applicants who have funds will be asked to pay for services according to an established fee schedule.
Those submitting grants who intend to use CARE will be asked to budget money for CARE.
Path for private donations
*Resource allocation will be prioritized to projects that show promise. This will be the decision of the Physician Review Panel and ultimately the departmental chair.
** continuation of funding is contingent on several factors including progress made and potential to gain funding.

12. Education & simulation
CARE Structure
Medical Director of Research
Clinical Research Administrator
Critical Care
CRC
CRA-2
Pain
Cardioth
OB/General
Education & simulation
CRA-1
Research students
Physician Panel
Lead Statistician
Biostatistician
Data Scientist
IRB-SRO
Entry point for onboarding and training research students, matching students with projects if requested

13. Who are all these people?
Medical Director of Research
Clinical Research Administrator
Critical Care
CRC
CRA-2
Pain
TBD
Shruthi Digh
OB/General
Education & simulation
CRA-1
Research students
Physician Panel
Lead Statistician
Biostatistician
Data Scientist
IRB-SRO
It takes a lot of people to get this done. Most of them are here and working – you may know some of them. Additional faculty will be invited to site on the physician review panel based on the proposals scheduled for discussion
Fung-sheen
Katie
Joe
Natalie

14. Where does CARE fit? Research administration (grants, student funding)
IRB
SRO review
CTO (industry funding, contracts)
Anesthesia Department members
Research administration (grants, student funding)

15. CARE Timeline July-Aug 2014 Develop operating plan Survey department
Hire staff
Sep 2014
Present plan to department
Incorporate suggestions
Oct 2014
Center launch
Formally begin accepting proposals
Jan 2015
Update to department
Public relations push
June 2015
Interim review of center progress

16. CARE Performance Metrics
Active protocols
Patients enrolled relative to targets
Completed studies
Publications & Presentations *please note that all publications, presentations, etc. will be required to acknowledge CARE*
Number of users – inside and outside of the department
Funding brought in
Path of research assistants/coordinators
Customer satisfaction surveys

17. Ways to Get Involved
Join the CARE Research Committee: meets once monthly during faculty hour (2nd Tuesday of the month). Contact Bala or Valerie.
Attend the proposal review sessions: Meets twice monthly: 1st Tuesday at 2 pm and 3rd Wednesday at 3 pm. Contact Bala or Valerie.
Care research committee: WEST CAMPUS. will evolve over time. Initially it will focus on structure and function of CARE.
Proposal review sessions: EAST CAMPUS (YA-2 conference rm) the presentations to the CARE Physician Review Panel will be open to the department.

18. Valerie Banner-Goodspeed
CARE Contacts
Director of CARE
Balachundhar Subramaniam, MD MPH
Clinical Research Administrator for CARE
Valerie Banner-Goodspeed
CARE Champion / Interim Dept Chair
Daniel Talmor, MD MPH