1. What Works proposal discussion May 31, 2005 Director of Project: Patricia J. Martens PhD The Need To Know: collaborative research by MCHP, rural and northern RHAs, and Manitoba Health funded through CIHR’s Community Alliances for Health Research Program

2. Do not go where the path may lead, go instead where there is no path and leave a trail. Ralph W. Emerson

3. Time series (quasi experiment with comparison group) O O X O O - - - - - - - - - - - - - - - O O Let’s play X’s and O’s

4. From CIHR proposal submission September 2004 Example of a quasi-experimental time series with comparison groups to determine effectiveness of a regional teen pregnancy reduction program

5. MCHP’s … “paperclips” “Population Health Research Data Repository” Population- Based Health Registry Hospital Home CarePharmaceuticals Cost Vital Statistics Provider Nursing Home Medical Family Services Education Immunization National surveys Census Data EA/DA level

6. Brainstorming: “What Works” proposal Pick (a) a policy; and (b) a program – Think of something that your region has done in the past, somewhere between 1997 and the present (hopefully, with a few years of data AFTER the onset of this) What OUTCOME measures would you think this would impact? – Think of what you would expect to see if this intervention was “working” – Are there specific target groups to which this intervention applies? (e.g. teens, people living in a certain district of your region?) – What measures of this intervention would be available through the Repository data? Brainstorm and report! (see sheet for recording)

7. Policy or Program Outcome Measure(s) Target Group Outcome available in Repository ? Other comments Teen pregnancy reduction Teen pregnancy rate 12-19 year olds? Certain district? pregnancies or live births? Maybe birth control pill use in Rx data?