1. Research Translation June 10, 2008 Academy Health’s 25 th ARM

2. Presenters Panelists: Panelists: Bradley Doebbeling, MD, MSc, Director of Health Services Research and Research Scientist, Regenstrief Institute, Indianapolis, INBradley Doebbeling, MD, MSc, Director of Health Services Research and Research Scientist, Regenstrief Institute, Indianapolis, IN Benjamin Brooke, MD, Department of Surgery, Johns Hopkins Hospital, Baltimore, MDBenjamin Brooke, MD, Department of Surgery, Johns Hopkins Hospital, Baltimore, MD David Baker, PhD, Principal Research Scientist, American Institutes of Research, Washington, DC and Director, Quality Management, Carilion Clinic, Roanoake, VADavid Baker, PhD, Principal Research Scientist, American Institutes of Research, Washington, DC and Director, Quality Management, Carilion Clinic, Roanoake, VA Chair: Cynthia Palmer, MSc, Senior Research Fellow and Program Officer for ACTION, AHRQ Chair: Cynthia Palmer, MSc, Senior Research Fellow and Program Officer for ACTION, AHRQ

3. What Do We Mean By Research Translation? A relatively new and rapidly evolving field A relatively new and rapidly evolving field The study of how to influence individual and organizational behavior change to improve healthcare delivery and outcomes The study of how to influence individual and organizational behavior change to improve healthcare delivery and outcomes

4. How Do We Define the Process? In 33 agencies studied recently, 29 terms (mostly undefined) were used for this process (Milbank Quarterly, March 2008) - examples: diffusion; dissemination; research into practice; impact; implementation; knowledge transfer / management / translation / utilization / brokering; linkage and exchange; taking to scale… In 33 agencies studied recently, 29 terms (mostly undefined) were used for this process (Milbank Quarterly, March 2008) - examples: diffusion; dissemination; research into practice; impact; implementation; knowledge transfer / management / translation / utilization / brokering; linkage and exchange; taking to scale…

5. How Do We Operationalize the Process? The VA Quality Enhancement Research Initiative (QUERI) has used a 4-phase sequence to refine and spread effective, sustainable implementation programs: The VA Quality Enhancement Research Initiative (QUERI) has used a 4-phase sequence to refine and spread effective, sustainable implementation programs: Single-site pilotSingle-site pilot Small scale, multi-site implementation trialSmall scale, multi-site implementation trial Large-scale, multi-region implementation trialLarge-scale, multi-region implementation trial System wide roll-outSystem wide roll-out (Stetler et al, Implementation Science 2008)

6. Topics Implementing a Novel Approach to Reducing MRSA in a Multihospital Collaborative (Brad Doebbeling) (Ben Brooke) Implementing the Leapfrog Standard for Beta- Blocker Use during Abdominal Aneurysm Repair in California Hospitals: Translation of Evidence- Based Measures to Improve Surgical Outcomes (Ben Brooke) (David Baker) Nationwide Adoption of TeamSTEPPS (David Baker)

7. Presentation Components Purpose - evidence base, who/what drove the effort Purpose - evidence base, who/what drove the effort Scope - organization, time frame Scope - organization, time frame How implemented - infrastructure, coordination How implemented - infrastructure, coordination Evaluation of impact - implementation methods, structure Evaluation of impact - implementation methods, structure Results - outcomes, operations Results - outcomes, operations Dissemination - opportunities and methods Dissemination - opportunities and methods Lessons learned Lessons learned Next steps Next steps