Clinical Research Oriented Workshop (CROW) Meeting: July 17, 2013 - partial

Present:  Marianne Burke, Abby Crocker, Kairn Kelley, Amanda Kennedy, Rodger Kessler, Ben Littenberg, Connie van Eeghen 

Note: these notes are a partial representation of what was a great discussion.  For more info, see Rodger (the discussion leader).

1.                  Start Up: Updates on current projects around the table.  Elias Brandt is a “big data set analysis” analyst for the SAFTINet project – see Rodger for contact info. 

2.                  Discussion: Rodger: current version of “degree of integration measure”

a.       Rodger has applied for an R21 to validate a measure of integrating behavioral health care and medical care – this is a gap in the field.  Feedback from reviewers:

                                                  i.      Positive – good idea

                                                ii.      Need a draft with a measurement system, with a theory behind it

b.      Background: Rodger has developed a lexicon of integrated care, grounded in other theoretical work.  Has made a first draft of using the lexicon to develop a measurement system.  (Rodger previously sent out a draft.)  His lexicon does not include measures of standards of NCQA certification (primary or specialty care – which includes cardiology, for example, but not behavioral health) or Meaningful Use standards.

                                                  i.      A theoretically driven tool will examine the domains of care (integrated care) and identify measures that match those domains.  Neither NCQA or MU are theoretically driven, and have a limited relationship to integrated care.

                                                ii.      Rodger’s thought is to examine existing measures to map back to the domain, and possibly find missing domains.  He also wants to ensure that integrated care reaches out, to other domains, in developing a credible and useful measurement system. 

c.       The theoretical model can be expanded.  Start with the accepted instrument; add needed scales to reference other domains, e.g. inclusion of patient and family or caregiver, as a sidebar. 

3.                  Next Workshop Meeting(s): Wednesday, 11:30 a.m. – 1:00 p.m., at Given Courtyard South Level 4.   

a.       July 24: Kairn: Power Calculations and You: How Standard Deviation Affects The Research Question; also, check out CTS Blogspot for notifications (no Ben)

b.      July 31: (no Ben, Abby)

c.       August 7: Marianne: Journal club on Banks DE, Shi R, Timm DF, Christopher KA, Duggar DC, Comegys M, McLarty J. Decreased hospital length of stay associated with presentation of cases at morning report with librarian support. J Med Libr Assoc. 2007 Oct;95(4):381-7. PubMed PMID: 17971885; PubMed Central PMCID: PMC2000787.

d.      August 14 (no Abby); plan for new schedule Fall semester (week of Aug 26)

e.       August 21: Abby: Opiate project update

f.       August 28

g.      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