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Health IT and the Evolution of Health Services Research
1. Health IT and the Evolution of Health
Services Research
2nd Annual Workshop on HIT and Economics
Michael E. Gluck, PhD, MPP
October 21, 2011
2. Overview
What is AcademyHealth? What is health
services research (HSR)?
The current policy backdrop for HSR
HIT’s role in HSR
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3. AcademyHealth’s Mission
As the professional society for health services researchers
and health policy analysts, AcademyHealth:
Supports the development of
health services research
Facilitates the use of the best
available research and
information by decision-makers
Assists health policy and
practice leaders in addressing
major health challenges
3
4. In Other Words…
We help build the knowledge base
and
move knowledge into action
through programs and services for
producers and users of research.
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5. What is Health Services Research?
A multidisciplinary field of scientific investigation that
– examines how social factors, financing systems,
organizational structures and processes, health
technologies, and personal behaviors
– affect access to health care, the quality and cost of
health care, and ultimately our health and well-
being
– by studying individuals, families, organizations,
institutions, communities, and populations.
--AcademyHealth, June 2000
7. The Current Policy Backdrop for HSR
HITECH
Comparative effectiveness research (CER)
– Health care services and its delivery
– ARRA funding: $1.1 billion
– Patient Centered Outcomes Research Institute (PCORI): $500
million/year by 2015 from trust fund
The Patient Protection and Affordable Care Act (ACA)
– Coverage expansion
– Delivery system transformation with significant reliance on HIT
Focus on the Triple Aim:
– Improved care experience
– Improved population health
– Cost containment
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8. HSR Generates Knowledge
About HIT
the diffusion and uptake of HIT
the optimal use and implementation of HIT
impact on care delivery
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9. HIT Changes How HSR
Generates Knowledge
New sources and types of data
Data that is more timely & proximate to
care
New research infrastructures
New professional opportunities for
researchers
New challenges
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10. HIT Provides New Sources and
Types of Data for HSR
Traditional data for HSR – surveys and claims
Emerging data for HSR
– Electronic health records & registries --
clinically rich & statistically more powerful
– Patient/population contributed data –
biomonitored, crowd-sourced, & self-
reported
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11. HIT Provides Data for HSR That Is More
Timely and Proximate to Care
More seamless integration of data for
research, operations, and patient care.
More seamless integration of the research,
operational, patient care workforces and
processes.
Opportunity for iterative, learning health care
system
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12. HIT Generates New Infrastructure and
Professional Opportunities for Researchers
New research and data networks
– HMO Research Network (HMORN)
– Clinical & Translational Science Awards (CTSA)
consortium
– AcademyHealth’s EDM Forum
– FDA’s distributed Sentinel network
Research collaborations between academics
and health care delivery organizations.
Delivery system employment of health
services researchers
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13. HIT Presents New Challenges
for HSR: Some Examples
Analytic Methods
– Analyzing patient/population contributed & other new data
– Managing research teams across dispersed data networks
Informatics
– Data exchange
– Variations in use of EHR fields across sources
– Implications of cloud computing
Data governance
– HIPAA and other privacy concerns
– IRBs and human subjects concerns
– Is it research? Operations? QI?
Research workforce
– Conflicts with academic incentives and norms
– Training needs
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14. AcademyHealth Is Helping Prepare
the Field for HIT-Enriched HSR
Programs and projects
– Electronic Data Methods (EDM) Forum
– HIT for Actionable Knowledge project
– Beacon Evidence and Innovation Network
– Multi-Payer Claims Database
– REACH Challenge
– Professional development offerings
More information?
– www.academyhealth.org
– michael.gluck@academyhealth.org