Monday, June 17, 2013

Clinical Research Oriented Workshop (CROW) SUPPLEMENTAL Meeting: June 13, 2013

Present:  Abby Crocker,  Rodger Kessler, Ben Littenberg, Charlie MacLean, Connie van Eeghen
Guests: Wilson Pace MD, Director of NRN, Professor of Family Medicine and the Green-Edelman Chair for Practice-based Research at the University of Colorado.
               David West PhD, the Director for COHO (Colorado Health Outcomes) and Faculty at the School of Medicine, University of Colorado.   Associate Chair for Departmental Affairs for the Department of Medicine.  Past experience in alternatives to FFS funding mechanisms.
               Lisa Shilling, MD, University of Colorado, Director SAFTINet project in 3 or 4 states, collecting claims and clinical data for CE research
1.                  Start Up: Introductions and summary of common interests from the previous meeting: opiate patient groups; geographic data, pilot data for anti-psychotics

2.                  Opportunity Development: Rodger arranged this meeting to give CROW participants a chance to talk with Wilson Pace, Director, Dave West, and Lisa Shilling from the largest practice based research network, sponsored by American Academy of Family Physicians, with access to Medicaid data base.
a.       Background: SAFTINet project now includes 9 FAHC clinics, plus all FQHC clinics; other areas of interest: patient engagement
                                                  i.      Helpful contacts to date: FAHC medical information CIO, DIVA, Green Mountain Care Board discussion about different collaborative care models supported by different financial models; Liz Chen and Neil Sarkar; and others.
b.      Opioid study opportunity: modeling use of urine screening to predict when its use is helpful; how to humanize the experience for patients; how to systematize learning and change (e.g. toolkits)
                                                  i.      Outcome measures: county-wide arrest rates for opioid diversion?  Process measure: telephone call traffic?
                                                ii.      Center for Implementation Science in CO, Allie Kemp
c.       The science of studying implementation – successes and failures
d.      The activation of patient engagement – a natural history experiment in the market place
                                                  i.      Using data to identify and change patient/provider behavior (diabetics)
                                                ii.      The same with respect to chronic kidney disease
e.       Maternal/child health, including opioid use, disease surveillance (diabetes; funding available through CDC)

3.                  Next Workshop Meeting(s): Wednesday, 11:30 a.m. – 1:00 p.m., at Given Courtyard South Level 4. 
a.       June 19: Abby: Update on data analysis of “Exploration of analytical plan for Natural History of Acute Opioid Use” (Kairn to phone in)
b.      June 26: Connie: Manuscript review of “Integrating Behavioral Health in Primary Care Using Lean Workflow Analysis: A Quality Improvement Case Study” (Kairn to phone in)
a.       July 3: (no Connie)
b.      July 10: Marianne: Review of literature review (no Connie)
c.       July 17:
d.      July 24:
e.       July 31:
f.       August 7
g.      August 14
h.      August 21
i.        August 28
j.        Future agenda to consider:
                                                  i.      Peter Callas or other faculty on multi-level modeling
                                                ii.      Charlie MacLean: demonstration of Tableau; or Rodger’s examples of Prezi
                                              iii.      Journal article: Gomes, 2013, Opioid Dose and MVA in Canada (Charlie)
                                              iv.      Ben: Tukey chapter reading assignments, or other book of general interest
                                                v.      Summer plan: each week, one person will send out an article or prezi ahead for review or discussion by all.  Alternatively, if a participant is working on a key document for their professional development, this is also welcome (e.g. K awards, F awards, etc.)

Recorder: Connie van Eeghen

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