1. Hard-won Wisdom from Successful Healthcare Services Research Innovators: Challenges, Opportunities and Solutions Hard-won Wisdom from Successful Healthcare Services Research Innovators: Challenges, Opportunities and Solutions Shakeh J. Kaftarian, Ph.D. Senior Advisor, Women's Health and Gender Research AHRQ Annual Conference September 8, 2008

2. AHRQ’s Mission Improve the quality, safety, efficiency and effectiveness of health care for all Americans

3. Our Challenge Facilitate an innovative culture in health services research Facilitate an innovative culture in health services research Close the cost-quality gap Close the cost-quality gap

4. AHRQ Portfolios of Work Comparative Effectiveness Comparative Effectiveness Health information technology Health information technology Patient safety Patient safety Prevention/Care Management Prevention/Care Management Value Value EMERGING ISSUES & INNOVATIONS EMERGING ISSUES & INNOVATIONS

5. The Vision Identify/capture emerging issues to be included in HSR Identify/capture emerging issues to be included in HSR Foster and nurture ideas and approaches that have the potential for highly Foster and nurture ideas and approaches that have the potential for highly innovative solutions to innovative solutions to healthcare challenges healthcare challenges

6. The Vision (continued) Put fast-paced and customer- centered innovations in healthcare to improve: Delivery Delivery Organization Organization Financing Financing

7. The Vision (continued) Support researchers who: Have innovative ideas with the Have innovative ideas with the potential for high impact potential for high impact Covering a diverse & non-traditional Covering a diverse & non-traditional array of disciplines array of disciplines

8. The Vision (continued) Customer & stakeholder centered models Customer & stakeholder centered models Shared risks & rewards Shared risks & rewards New paradigms of HSR New paradigms of HSR

9. Samples of Specific Target Areas Include: Health care workforce/teams Health care workforce/teams Financing approaches Financing approaches Organization of care Organization of care Horizontal networks of: Horizontal networks of: – Health care – Wellness care Improved responsibility/accountability: Improved responsibility/accountability: – Providers – Systems – Users

10. Goals Support ideas substantially different from those pursued elsewhere & before Support ideas substantially different from those pursued elsewhere & before Promote innovative solutions to existing conditions and pressing healthcare problems Promote innovative solutions to existing conditions and pressing healthcare problems Accelerated improvement in healthcare and its financing Accelerated improvement in healthcare and its financing

11. Our Thoughts So Far Request for ideas from field Request for ideas from field Town hall meetings ( Tuesday, 10-11:30 am ) Town hall meetings ( Tuesday, 10-11:30 am ) Funding announcements: Funding announcements: – Awards for innovative approaches to emerging issues and methodologies in HSR Learn from others Learn from others

12. Learn From Others: How did they… Identify new/emerging areas Identify new/emerging areas Develop processes, methods, mechanisms, financing sources Develop processes, methods, mechanisms, financing sources Develop approaches with successful technical, economic, managerial and organizational facets Develop approaches with successful technical, economic, managerial and organizational facets Deal with important challenges, opportunities and solutions Deal with important challenges, opportunities and solutions Validate/confirm value of innovative approach Validate/confirm value of innovative approach

13. This Plenary Nigel Smith, AARP Nigel Smith, AARP Shelly Evenson, Carnegie Mellon University Shelly Evenson, Carnegie Mellon University Matthew Maleska, Mayo Clinic Matthew Maleska, Mayo Clinic Tim Ogilvie, Peer Insight Tim Ogilvie, Peer Insight Q/A Q/A

14. This Plenary Nigel Smith, AARP Nigel Smith, AARP – Member-centric approach to – Capturing emerging areas of member needs – Through concept mapping methodology Shelly Evenson, Carnegie Mellon University Shelly Evenson, Carnegie Mellon University – Design thinking – Match HS needs of clients to technology, viable business options, value and opportunity Matthew Maleska, Mayo Clinic Matthew Maleska, Mayo Clinic – A “lab” model @ Mayo clinic – Transform HS experience through innovative approach – Bring new services into practice