Creighton Research Infrastruture Program to Achieve Sustainability Project

描述(由申请者提供)：本提案是对2006年启动的AHRQ研究基础设施计划(建设研究基础设施能力)第二阶段的响应。金砖四国计划是一个为期两年的能力建设项目，旨在建立机构内的卫生服务研究。这项提议的目标是通过两个机制提升我们机构在金砖四国之外开展卫生服务创新研究的能力：完善、扩大和实施我们在金砖四国项目期间制定的计划，并开展三个卫生服务研究项目。这一提议反映了整个大学在课程和教职员工参与方面的增长。本提案的研究基础设施发展支持部分描述了我们在金砖四国计划期间取得的进展，评估了我们的机构能力和承诺，评估了持续资金的影响，并描述了我们的可持续发展计划。这一校园范围内的教职员工和管理人员协作建立和加强了不同健康科学学院和大学文理学系之间的学校、学院、部门和系之间的协作联系，超出了我们在金砖四国所取得的成就。三个主要领域在方案上是相结合的：发展、可持续性和研究。该发展计划延续了研究导师模式，推进了跨学科研究团队合作，推进了积极的导师计划，扩大了对教职员工和学生的研究教育，并提供了研究人员的发展。可持续发展计划包括将CHRP扩展为大学范围内的可持续研究中心，探索资助机制，开发和实施持续转化研究以广泛使用的战略方法，正式规定学生参与研究和教育，并为卫生服务研究中的博士项目制定计划。该研究计划培养项目主任和跨学科研究团队的研究管理技能，并开展三个研究项目--一个主要项目和两个试点项目。这些项目建立在卫生信息技术(HIT)和安全方面的研究流基础上。主要项目探索电子健康记录的使用：一项混合方法研究；对HIT和患者安全组合的响应。第一个研究试点项目探索社区基础设施、卫生专业人员和消费者之间的互动。这是一项关于消费者如何在社区中接收和使用健康信息和健康数据的混合方法研究。该项目是对HIT、患者安全、预防/护理管理以及创新和新出现问题组合的回应。第二个研究试点项目是个人健康记录(PHR)与跟踪糖尿病患者健康信息临床结果的传统方法的比较有效性试点研究。该项目是对HIT、患者安全、预防/护理管理以及创新和新出现问题组合的回应。 公共卫生相关性：提高卫生服务研究能力是为了响应我国的社会优先事项，即通过提高患者安全来提高卫生质量和减少伤害。该项目既符合卫生服务需求的基础设施发展和研究优先事项，又将促进这一领域的卫生服务研究能力和卫生专业教育。

DESCRIPTION (provided by applicant): This proposal responds to the second phase of the AHRQ Research Infrastructure Program (Building Research Infrastructure Capacity) initiated in 2006. The BRIC program was a 2 year capacity building project to establish health services research within institutions. The goal of this proposal is to advance our institution's capability beyond BRIC to conduct innovative research in health services through two mechanisms: refine, expand and implement our plans developed during the BRIC project and conduct three health services research projects. This proposal reflects growth in both programmatic and faculty involvement across the university. The Research Infrastructure Development Support portion of this proposal describes our progress made during the BRIC program, assesses our institutional capacity and commitment, assesses the impact of continued funding, and describes our plans for sustainability. This campus-wide faculty and administrator collaboration builds and strengthens collaborative linkages across schools, colleges, divisions and departments of the different health sciences schools and university arts and sciences departments beyond what we accomplished in the BRIC. Three major areas are programmatically integrated: development, sustainability, and research. The development plan continues the research mentee model, advances interdisciplinary research team work, advances the active mentoring program, expands research education for faculty, students, and provides research staff development. The sustainability plan includes expanding CHRP to a university-wide sustained Research Center, explores funding mechanisms, develops and implements a strategic approach for on going translation of research for wide spread use, formalizes student involvement in research and education and develops a plan for a PhD program in health services research. The research plan develops research management skills for the project directors and interdisciplinary research teams and conducts three research projects - a primary project and two pilot projects. These projects build on streams of research in health information technology (HIT) and safety. The primary project explores electronic health record use: a mixed methods study; responsive to the HIT and patient safety portfolio. The first research pilot project explores the interactions of community infrastructures, health professionals and consumers. It is a mixed methods study of how consumers receive and use health information and health data in communities. This project is responsive to the HIT, patient safety, prevention/care management and innovations and emerging issues portfolio. The second research pilot project is a comparative effectiveness pilot study of personal health records (PHRs) vs. traditional methods of tracking health information clinical outcomes in patients with diabetes. This project is responsive to the HIT, patient safety, prevention/care management and innovations and emerging issues portfolio. PUBLIC HEALTH RELEVANCE: Advancing health services research capacity is responsive to our nation's social priorities to improving health quality and reducing harm and injury through advancing patient safety. This project is responsive to both the infrastructure development and research priorities for health services needs and will advance both health services research capacity and health professions education in this field.