Tuesday, May 21, 2013

Clinical Research Oriented Workshop (CROW) Meeting: May 16, 2013

Present:  Marianne Burke, Abby Crocker, Kairn Kelley, Rodger Kessler, Ben Littenberg, Charlie MacLean, Connie van Eeghen
1.                  Start Up: Project review for GIM-Research – to be posted on SharePoint, when we set up a new site.

2.                  Presentation: Connie: Feedback on poster presentation on “Quick Turns in Tight Places: Implementing Change in Small Practices,” to be presented at Academy Health at the end of June in Baltimore.  Comments:
a.       Focus on the audience: predominately researchers rather than clinicians.  They will be more interested in the method of implementation than in the practice strategies for managing opioid prescriptions.
b.      Organize the poster to visually support this: the process flow steps go top and center, not the strategies.  Shrink the strategies, remove the “universal” part of the title as this is not self-explanatory to this group and does not add to the discussion.
c.       Change the color scheme in the process flow: using yellow on the one least used step makes it look like the most important step. 
d.      Add an “Intervention” section to highlight the process flow; remove this language from Methods
e.       Modify the objectives to match this focus.
f.       Streamline the discussion to focus on the points about the intervention.
g.      Adjust the title to reflect all of the above.  Yes, it’s been accepted under the current title, but as long as the first five words stay the same, it won’t confuse the audience. Add the department name.
h.      (Took a half hour – Efficiency is Us!)

3.                  Manuscript Review: Connie: Introduction and Methods sections of manuscript with working title: “Integrating Behavioral Health using Workflow (Lean)”
a.       As with the above poster, it is important to emphasize the key purpose of the study.  In this case, with submission planned for JGIM, the readers are clinicians with a keen interested in the topic of integrating behavioral health (BH), with less interest/prior understanding of Lean.  So this is a story about integration, its impact, and what the participants (providers and staff) thought about the method of integration, which happens to be Lean.
b.      Lots of helpful rewording, with clearer language; not listed here.
c.       Discussion of whether we should add 18 months of data and re-analyze: the P value is about as good as it can get, so more data are not needed to improve power.  And in the 3-4 months it would take to re-do, we likely wouldn’t have gained much.  Keep as is.
d.      Debated identifying the practice.  At this point, no.
e.       Next step: rewrite, with Results & Discussion, and ask for more comments.  Thank you!

4.                  Next Workshop Meeting(s): Thursday, 2:00 p.m. – 3:30 p.m., at Given Courtyard South Level 4. 
a.       May 23: Kairn: Discussion of binomial model in 1978 journal article by Thornton Raffin “Speech Discrim Scores Modeled As Binomial Variable” (no Marianne)
b.      May 30:  (no Abby)
c.       June 5: NOTE: New summer schedule will start: Wednesdays, 11:30 – 1:00.  Abby: Shared learning on the NAMCS, DAWN, NHANES and KID databases?
d.      June 12: Marianne: Feedback on ideas for web site that will help CTS students (faculty, and fellows too)  find/know /access, evaluate/apply content and literature they need for courses and research
e.       June 19:
f.       June 26:
g.      July 3:
h.      July 10: Marianne: Review of literature review
i.        July 17:
j.        July 24:
k.      July 31:
l.        4 Wednesdays in August
m.    Future agenda to consider:
                                                  i.      Abby and Charlie: data analysis of Exploration of analytical plan for Natural History of Acute Opioid Use
                                                ii.      Peter Callas or other faculty on multi-level modeling
                                              iii.      Charlie MacLean: demonstration of Tableau
                                              iv.      Journal article: Gomes, 2013, Opioid Dose and MVA in Canada (Charlie)

Recorder: Connie van Eeghen

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