Email this pageTranslating Research into Practice and Policy (TRIPP)
The predoctoral and postdoctoral programs will have the ability and expertise to train their fellows in how to translate research findings into measurable improvements in quality, patient safety, health care outcomes, cost, use, and access for clinical and organizational interventions that have been found to be effective.
Peter Veazie and Katia Noyes are participating in an international study, the Multicenter Automatic Defibrillator Implantation Trial (MADIT-CR), of the cost and quality of life effects of implantable defibrillators with cardiac resynchronization therapy, a clinical intervention for which there is sufficient evidence of effectiveness. Several studies offer opportunities for training on organizational interventions found to be effective.
Helena Temkin-Greener is being funded by the National Institute on Aging (NIA) to assess teamwork performance and its relationship to quality of patient care with a goal of improving the latter through changes in managerial practices. Dr. Temkin-Greener is also testing strategies for adoption and implementation of evidence-based interventions. Specifically, Aetna is funding her to test an early palliative care intervention for patients with cancer or congestive heart failure (CHF) that are receiving home health care.
Dr. Bruce Friedman’s work on the Medicare Primary and Consumer-Directed Care Demonstration will be very useful to trainees that are interested in gaining experience with assessing the degree to which interventions that have been proven successful in just a few health care settings or outside of health care are appropriate to other health care settings and non-traditional health care settings, and the degree to which practices that worked well with one population fit other populations—especially AHRQ priority populations.
The Medicare Demonstration tested the effectiveness of a home visiting health promotion-disease management nurse, a consumer-directed long term care voucher, and their combination. An example of an assessment of the impact of organizational, payment, or market forces on the successful adoption and implementation of evidence-based interventions is a Robert Wood Johnson Foundation-funded study that is examining the effect of supplemental nurses on the quality and costs of hospital care.
Katia Noyes is participating in this study. An opportunity for training in methodological studies focusing on assessments of approaches to translational research exists in Byung-Kwang Yoo’s K25 Award (“Effects of Individual Behavioral Responses on Benefits of Influenza Vaccination” sponsored by the National Institute of Allergy and Infectious Diseases [NIAID]) that aims to develop mathematical models for explaining influenza epidemics and assessing interventions for flu epidemics.
Finally, training in the assessment of the actual use of methods to implement and spread evidence from the knowledge domains to improve patient safety and quality and patient-centered care can occur in Dr. Veazie’s recently funded study by the Foundation for Informed Medical Decision Making that will investigate the effectiveness of a graphical decision dashboard in supporting informed patient decisions.
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