Implementation Laboratory

实施实验室项目总结 OCHIN以实践为基础的研究网络(PBRN)由覆盖20个国家的500个社区卫生中心(CHC)组成 各国将担任执行和建设研究的执行实验室。 传播以缩小差距和实现癌症控制的公平(桥-C2)中心。Ochin PBRN 是否有全国最大的社区健康中心网络共享中央托管的电子健康记录(EHR)，以及 研究人员、质量改进教练和信息学家组成的团队，能够支持大量 传播和实施研究研究。人道协调厅的成员社区健康中心为服务不足的人提供照顾 近260万患者，其中62%来自收入占联邦医疗保险138%的家庭 贫困水平，49%的人有医疗补助，21%的人没有保险。OCHIN托管CHC的共享EHR， 并构建了一个集中式数据仓库，其中包括所有患者的纵向数据元素 这些社区卫生中心。桥-C2中心的实施实验室将利用和增强强大的 OCHIN PBRN(AIM 1a)，并由一名执行科学家领导，由多学科小组(AIM)提供支持 1B)。实施实验室将让&gt；500 CHC实践的利益相关者参与研究和 协调向社区卫生保健中心传播新知识(目标2)。实验室将建立一个数据 管理股建立和维护一个数据仓库，支持桥-C2中心的工作， 协调数据共享和监管要求，确保数据质量和一致性，并与 实施科学中心癌症控制联盟的其他实验室将开发 影响采用癌症筛查和预防的通用数据元素和指标定义 循证干预(目标3)。实验室还将设立一个实践监督股，以使 在未来的研究中识别关键的癌症筛查和预防差异，并迅速和 持续监测旨在加强执行以下目标的战略的进展情况和可持续性 儿童保健中心的循证干预(目标4)。实施实验室将建立在基本的 创建OCHIN PBRN的工作。实验室实践的多样性(例如，农村/城市、大/小、 不同地理区域)，并纳入针对弱势群体的专门方案 增强了研究结果与许多不同的CHC设置相关的可能性。此外，我们有能力 为桥梁选择不同的实践样本-C2中心的研究研究将使 实施战略和支助战略将推广到许多其他初级保健网络。因此， 实施实验室已做好准备，与中心合作，迎接推进 在服务不足的人群中改进癌症筛查和预防的实施科学。

IMPLEMENTATION LABORATORY PROJECT SUMMARY The OCHIN practice-based research network (PBRN) of >500 community health centers (CHCs) across 20 states will serve as the Implementation Laboratory for the Building Research in Implementation and Dissemination to close Gaps and achieve Equity in Cancer Control (BRIDGE-C2) Center. The OCHIN PBRN has the nation's largest network of CHCs sharing a centrally-hosted electronic health record (EHR), and a team of researchers, quality improvement coaches, and informaticists capable of supporting a large portfolio of dissemination and implementation research studies. OCHIN's member CHCs provide care for an underserved population of nearly 2.6 million patients, of whom 62% are from households earning <138% of the federal poverty level, 49% are insured by Medicaid, and 21% are uninsured. OCHIN hosts the CHCs' shared EHR, and has built a centralized data warehouse that includes longitudinal data elements for all patients across these CHCs. The BRIDGE-C2 Center's Implementation Laboratory will leverage and enhance the robust OCHIN PBRN (Aim 1a) and be led by an implementation scientist, supported by a multi-disciplinary team (Aim 1b). The Implementation Laboratory will engage stakeholders from the >500 CHC practices in research and coordinate dissemination of new knowledge to CHCs (Aim 2). The Laboratory will establish a Data Management Unit to build and maintain a data warehouse that supports the work of the BRIDGE-C2 Center, coordinate data sharing and regulatory requirements, ensure data quality and harmonization, and liaise with other laboratories across the Implementation Science Centers for Cancer Control consortium to develop common data elements and metric definitions that impact adoption of cancer screening and prevention evidence-based interventions (Aim 3). The Laboratory will also establish a Practice Surveillance Unit to enable identification of critical cancer screening and prevention disparities to target in future research, and rapidly and continuously monitor the progress and sustainability of strategies designed to enhance the implementation of evidence-based interventions in CHCs (Aim 4). The Implementation Laboratory will build on the foundational work that created the OCHIN PBRN. The diversity of practices in the Laboratory (e.g., rural/urban, large/small, different geographic regions) and the inclusion of specialized programs for vulnerable subpopulations strengthens the likelihood that findings will be relevant to many different CHC settings. Further, our ability to select a diverse sample of practices for BRIDGE-C2 Center research studies will enable the development of implementation strategies and support strategies to be spread to many other primary care networks. Thus, the Implementation Laboratory is well-poised to work with the Center to take on the grand challenge of advancing implementation science to improve cancer screening and prevention in underserved populations.