Hard-won Wisdom from Successful Healthcare Services Research Innovators: Challenges, Opportunities and Solutions Hard-won Wisdom from Successful Healthcare.

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