Implementation Laboratory

实施实验室

• 批准号: 10020998
• 负责人: Jennifer E DeVoe
• 金额: $ 23.49万
• 依托单位: OREGON HEALTH & SCIENCE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-09-19 至 2024-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10020998
• 关键词: Adoption; Cancer Center; Cancer Control; Caring; Common Data Element; Communities; Community Health Networks; Complex; Data; Data Analytics; Data Element; Data Sources; Development; Electronic Health Record; Ensure; Epidemiologist; Evidence based intervention; Foundations; Geographic Locations; Gold; Health; Health Sciences; Healthcare Systems; Household; Imprisonment; Informatics; Infrastructure; International; Knowledge; Laboratories; Lead; Leadership; Medicaid; Medical; Monitor; Neighborhood Health Center; Oregon; Patients; Prevention; Primary Health Care; Provider; Publications; Research; Research Personnel; Research Project Grants; Rural; Sampling; Schools; Scientist; Screening for cancer; Testing; Underserved Population; Uninsured; Universities; Work; base; data harmonization; data management; data quality; data resource; data sharing; data warehouse; design; dissemination research; experience; federal poverty level; implementation research; implementation science; implementation strategy; improved; insurance claims; member; multidisciplinary; neoplasm registry; novel; practice setting; practice-based research network; programs; research in practice; research study; social health determinants; success; transgender

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.

实施实验室项目摘要 基于Ochin实践的研究网络（PBRN）> 500个社区卫生中心（CHC）20 各州将作为实施建筑研究的实施实验室和 传播以缩小差距并实现癌症控制（桥接C2）中心的公平性。 Ochin PBRN 拥有美国最大的CHC网络，该网络共享中央托管的电子健康记录（EHR）和一个 研究人员，质量改进教练和能够支持大量投资组合的知识专家团队 传播和实施研究。 Ochin的成员CHC为服务不足的人提供护理 近260万患者的人口，其中62％来自收入<138％的联邦的家庭 贫困水平为49％，由医疗补助保险，而21％的人没有保险。 Ochin主持CHC的共享EHR， 并建立了一个集中的数据仓库，其中包括所有患者的纵向数据元素 这些CHC。 Bridge-C2中心的实施实验室将利用和增强强大的 Ochin PBRN（AIM 1A），并由实施科学家领导，并由多学科团队支持（AIM 1b）。实施实验室将与> 500 CHC实践的利益相关者与研究和 将新知识传播给CHC（AIM 2）。实验室将建立数据 管理单元建造和维护一个数据仓库，以支持Bridge-C2中心的工作， 协调数据共享和监管要求，确保数据质量和协调，并与 整个实施科学中心癌症控制财团的其他实验室 影响采用癌症筛查和预防的常见数据要素和度量定义 基于证据的干预措施（AIM 3）。实验室还将建立一个实践监视单元，以实现 鉴定关键的癌症筛查和预防差异，以实现未来的研究，以及迅速和 不断监控旨在增强实施的策略的进步和可持续性 基于证据的干预措施（AIM 4）。实施实验室将以基础为基础 创建Ochin PBRN的工作。实验室中的实践多样性（例如，农村/城市，大/小， 不同的地理区域）以及包含用于弱势亚群的专业计划 增强发现与许多不同CHC环境有关的可能性。此外，我们的能力 选择各种桥梁C2中心研究的实践样本将使能够发展 实施策略和支持策略将传播到许多其他初级保健网络。因此， 实施实验室经过良好的努力，可以与中心合作，以应对前进的巨大挑战 实施科学以改善服务不足人群的癌症筛查和预防。