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Hard-won Wisdom from Successful Healthcare Hard-won Wisdom from Successful Healthcare Services Research Innovators:Services Research Innovators:
Challenges, Opportunities and SolutionsChallenges, Opportunities and Solutions
Shakeh J. Kaftarian, Ph.D.Shakeh J. Kaftarian, Ph.D.Senior Advisor, Women's Health and Gender ResearchSenior Advisor, Women's Health and Gender Research
AHRQ Annual ConferenceAHRQ Annual ConferenceSeptember 8, 2008September 8, 2008
AHRQ’s MissionAHRQ’s Mission
Improve the quality, safety, efficiency and Improve the quality, safety, efficiency and effectiveness of health care for all Americanseffectiveness of health care for all Americans
Our ChallengeOur Challenge
Facilitate an Facilitate an innovative culture in innovative culture in health services health services researchresearch
Close the cost-quality Close the cost-quality gapgap
AHRQ Portfolios of WorkAHRQ Portfolios of Work
Comparative EffectivenessComparative Effectiveness
Health information technologyHealth information technology
Patient safetyPatient safety
Prevention/Care ManagementPrevention/Care Management
ValueValue
EMERGING ISSUES & INNOVATIONSEMERGING ISSUES & INNOVATIONS
The VisionThe Vision
Identify/capture emerging issues to be included Identify/capture emerging issues to be included in HSRin HSR
Foster and nurture ideas and approaches that Foster and nurture ideas and approaches that have the potential for highly have the potential for highly
innovative solutions to innovative solutions to
healthcare challengeshealthcare challenges
The Vision The Vision (continued)(continued)
Put fast-paced and customer-Put fast-paced and customer-centered innovations in centered innovations in healthcare to improve:healthcare to improve:
Delivery Delivery OrganizationOrganization FinancingFinancing
The VisionThe Vision (continued)(continued)
Support researchers who:Support researchers who:
Have innovative ideas with the Have innovative ideas with the
potential for high impactpotential for high impact
Covering a diverse & non-traditional Covering a diverse & non-traditional
array of disciplinesarray of disciplines
The VisionThe Vision (continued)(continued)
Customer & Customer & stakeholder centered stakeholder centered modelsmodels
Shared risks & rewardsShared risks & rewards New paradigms of HSRNew paradigms of HSR
Samples of Specific Target AreasSamples of Specific Target AreasInclude:Include:
Health care workforce/teamsHealth care workforce/teams Financing approachesFinancing approaches Organization of careOrganization of care Horizontal networks of:Horizontal networks of:
– Health care Health care – Wellness careWellness care
Improved responsibility/accountability:Improved responsibility/accountability:– ProvidersProviders– SystemsSystems– UsersUsers
Goals Goals
Support ideas Support ideas substantially substantially differentdifferent from those pursued from those pursued elsewhere & beforeelsewhere & before
Promote innovative Promote innovative solutions to existing solutions to existing conditions and pressingconditions and pressing healthcare problemshealthcare problems
Accelerated Accelerated improvement in improvement in healthcare and its healthcare and its financingfinancing
Our Thoughts So FarOur Thoughts So Far
Request for ideas from fieldRequest for ideas from field Town hall meetings (Town hall meetings (Tuesday, 10-11:30 amTuesday, 10-11:30 am) ) Funding announcements:Funding announcements:
– Awards for innovative approaches to emerging Awards for innovative approaches to emerging issues and methodologies in HSRissues and methodologies in HSR
Learn from others Learn from others
Learn From Others:Learn From Others:How did they… How did they…
Identify new/emerging areasIdentify new/emerging areas Develop processes, methods, mechanisms, Develop processes, methods, mechanisms,
financing sources financing sources Develop approaches with successful Develop approaches with successful
technical, economic, managerial and technical, economic, managerial and organizational facets organizational facets
Deal with important challenges, opportunities Deal with important challenges, opportunities and solutionsand solutions
Validate/confirm value of innovative approach Validate/confirm value of innovative approach
This PlenaryThis Plenary
Nigel Smith, AARPNigel Smith, AARP Shelly Evenson, Carnegie Mellon UniversityShelly Evenson, Carnegie Mellon University Matthew Maleska, Mayo ClinicMatthew Maleska, Mayo Clinic Tim Ogilvie, Peer InsightTim Ogilvie, Peer Insight Q/AQ/A
This PlenaryThis Plenary
Nigel Smith, AARPNigel Smith, AARP– Member-centric approach toMember-centric approach to– Capturing emerging areas of member needsCapturing emerging areas of member needs– Through concept mapping methodologyThrough concept mapping methodology
Shelly Evenson, Carnegie Mellon UniversityShelly Evenson, Carnegie Mellon University– Design thinking Design thinking – Match HS needs of clients to technology, viable business options, Match HS needs of clients to technology, viable business options,
value and opportunityvalue and opportunity
Matthew Maleska, Mayo ClinicMatthew Maleska, Mayo Clinic– A “lab” model @ Mayo clinicA “lab” model @ Mayo clinic– Transform HS experience through innovative approachTransform HS experience through innovative approach– Bring new services into practiceBring new services into practice