Saturday, June 7, 2014
Rodger Kessler, Assistant Professor of Family Medicine, will be presenting Improving Primary Care: Measurement of Primary Care Behavioral Health Integration:Rationale,Measurement,Validation,Applications and Initial Data at the 2014 Conference on Practice Improvement in Tampa, FL in December. Congratulations, Rodger!
Posted by Ben Littenberg at 6/07/2014 05:24:00 PM
Tuesday, June 3, 2014
Present: Marianne Burke, Juvena Hitt, Kairn Kelley, Rodger Kessler, Ben Littenberg, Connie van Eeghen
Start Up: FRED has a new cable for HDMI but warning: it doesn’t fit all PC’s, so check ahead. Kairn brought a conference brochure for developing a Gross National Happiness indicator, with events tonight and through the weekend (in Burlington).
1. Discussion: RE-AIMing Planning and Evaluation in Health Care - Rodger
a. Background: Rodger reviewed the past decade or so of studying the use of new knowledge in practice, with the result of an evaluation tool (and now a planning tool) to do so. The model is called RE-AIM, which is a checklist for an evaluation scheme and specific measures.
b. The framework focuses on context, practicality, is robust, comparative, comprehensive, and representative of the real world.
c. The evidence must be: relevant, rapid, rigorous and replicable, identifies resources needed to for implementation, recursive (iterative)
d. RE-AIM Framework:
i. Reach: what percent and types of patients are reached?
ii. Effective: For whom is the intervention effective; in improving what outcomes; with what unanticipated consequences?
iii. Adopted: In what percent and types of settings and staff is this approach adopted?
iv. Implementation: How consistently are different parts of it implemented at what cost to different parties?
v. Maintenance: And how well are the intervention components and their effects maintained?
e. Dimensions and definitions:
i. Reach: participation rate and representativeness of participants
ii. Efficacy/effectiveness: effects on primary outcome of interest; impact on quality of life, negative outcomes
iii. Adoption: participation rate among possible settings; representativeness of settings participating
iv. Implementation: extent to which intervention was delivered as intended; time and costs
v. Maintenance: individual level (primary outcome over time): longer term effects of intervention > 6 months; impact of attrition on outcomes; and setting level (persistence of program): sustained delivery and modification of intervention
f. Future issues:
i. Health equity: will the design of the study effect the outcomes? Will the way patient engagement operates effect the outcomes?
2. Discussion: Book club assignment for the summer: Exploratory Data Analysis (Tukey); Kairn will create an assignment plan. Read 1st chapter (all 26 pages) and be ready to say something/ask question about that assignment. Kairn will circulate reading materials.
3. Next Workshop Meeting(s): Thursdays, 11:30 a.m. – 12:45 p.m., at Given Courtyard South Level 4. Remember: the first 15 minutes are for checking in with each other.
a. June 5: Chapter 1 of Exploratory Data Analysis (see above)
Posted by Connie at 6/03/2014 10:00:00 AM