Public Health Services and Systems Research: Setting the Research Agenda July 22, 2011 ~ NACCHO ~ Hartford, CTCynthia Lamberth, MPH, CPH National Coordinating Center for Public Health Services and Systems Research, University of Kentucky College of Public Health

Katie Wehr, MPH Robert Wood Johnson Foundation

RWJF Theory of Change

RWJF & the new PHSSR agenda

Relevant Practice- and policy-oriented Useful Utilized

Agenda for This Session

Brief review of Public Health Services and Systems Research Agenda setting activities

Tabletop discussions and input into the national agenda based on the four areas:

Public Health Workforce Organization/Structure Public Health Finance Technology, data and methods

Public Health Services & Systems ResearchA field of study that examines the organization, financing, and delivery of public health services at local, state and national levels, and the impact of these activities on public health. Mays, G. P., Halverson, P. K., & Scutchfield, F. D. (2003). Behind the curve? What we know and need to learn from public health systems research. J Public Health Management and Practice, 9(3), 179-182.

Developmental Path for PHSSR Measuring practice and performance Detecting variation in practice Examining determinants of variation

Organization Law & policy Financing Information Workforce Preference

Determining consequences of variation Health outcomes Medical care use

Economic outcomes Disparities Testing strategies to reduce harmful,

unnecessary, and inequitable variation in practice and outcomes

Descriptive

Inferential

Translational

Why PHSSR Needs a New AgendaWe have some research agendas, but many

are out-of-date and need upgradingACA has a lot of opportunity for PHSSRHow do we get interest from Feds other than

CDC, like NIH’s CTSA and AHRQ work with Comparative Effectiveness & HIT

We need to use new & more robust methodology for our efforts

PHSSR Systematic Review

PHSSR field experts conducted a comprehensive systematic review targeting the following areas:

Public Health Workforce Organization/Structure Technology/Data Methods Quality Improvement

Drafting the PHSSR Research AgendaA research agenda was drafted through a series of webinar between RWJF, CDC, and NCC PHSSSRThe webinars targeted four areas:

• Public Health Workforce• Organization/Structure• Public Health Finance • Technology, data and methods

Discussions were facilitated to develop and discuss key areas of research, and research questions that have utility to the practice community Coming together in September to finalize research agenda and seek action steps

PHSSR Research Agenda Development To gain feedback from the research and practice communities – the PHSSR Research Agenda is being vetted at different venues:

Keeneland Conference (April 2011)AcademyHealth PHSR ARM (June 2011)NACCHO Annual Meeting (July 2011) Online Virtual vetting process (90-day period)CDC Science Meeting (TBD in Sept.) ASTHO discussion group (Oct. 2011)

PHSSR Research Agenda Dissemination

Pending publication in an AJPM supplement Widespread dissemination through social media Document process

• Help assure practice community the process, and results were/are robust

Historical value to future researchers Contemporary value to practice

Using IdeaScale

Visit http://phssragenda.ideascale.com View our brief tutorial Login or register as a new user Allocate your 35 chips among the 109

questions Comment on existing questions Post a new question

Guiding Questions

Are there any questions about the research categories that require further clarification? If so, what requires clarification?

Are there any recommended revisions to the research questions? If so, what are they?

Are there any key research gaps within this category that have been missed? If so, what are they?

How can the priority research gaps be effectively addressed? What resources (i.e., financial and/or non-financial) are available that can potentially address this research category?

For more information contact:Cynthia D. Lamberth

cynthia@uky.edu

121 Washington Avenue, Suite 212Lexington, KY 40517

859-218-2036 www.publichealthsystems.org