Evidence map›Paper›PMID 34175093›Full record

ReviewHealthcare (Amsterdam, Netherlands)2021

Recommendations for strengthening the role of embedded researchers to accelerate implementation in health systems: Findings from a state-of-the-art (SOTA) conference workgroup.

Laura J Damschroder, Andrew J Knighton, Emily Griese, Sarah M Greene, Paula Lozano, Amy M Kilbourne, Diana S M Buist, Karen Crotty, A Rani Elwy, Lee A Fleisher and 7 more

Open access · hybridAbstract readReview
In one paragraph

Review in Healthcare (Amsterdam, Netherlands), 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
7.8field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

26 citing papers in PubMed, 36 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

17 authors at 13 institutions in 1 country.

Laura J DamschroderVA Center for Clinical Management Research, VA Ann Arbor Healthcare System, 2800 Plymouth Rd. Building 16, Floor 3, (152), Ann Arbor, MI, 48105, USA. Electronic address: laura.damschroder@va.gov.
Andrew J KnightonHealthcare Delivery Institute, Intermountain Healthcare, 5026 South State Street, 3rd Floor, Murray, UT, 84107, USA. Electronic address: Andrew.knighton@imail.org.
Emily GrieseSanford Research, Sanford Health, 2301 E 60th Street, N Sioux Falls, SD, 57106, USA. Electronic address: Emily.griese@sanfordhealth.org.
Sarah M GreeneHealth Care Systems Research Network, 1249 NE 89th Street, Seattle, WA, 98115, USA. Electronic address: smgreene27@outlook.com.
Paula LozanoKaiser Permanente Washington Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA, 98101, USA. Electronic address: Paula.Lozano@kp.org.
Amy M KilbourneQuality Enhancement Research Initiative (QUERI), U.S. Dept of Veterans Affairs, 810 N Vermont Avenue (10X2), Washington, DC, 20420, USA; Learning Health Science, University of Michigan Medical School, North Campus Research Complex, 2800 Plymouth Road, Bldg 16 Ann Arbor, MI, 48198, USA. Electronic address: Amy.Kilbourne@va.gov.
Diana S M BuistKaiser Permanente Washington Health Research Institute, 1730 Minor Avenue, Suite 1600, Seattle, WA, 98101, USA. Electronic address: Diana.S.Buist@kp.org.
Karen CrottyRTI International, 3040 E. Cornwallis Road, Hobbs 139 P.O. Box 12194, Durham, NC, 27709, USA. Electronic address: kcrotty@rti.org.
A Rani ElwyVA Center for Healthcare Organization and Implementation Research, Edith Nourse Rogers Memorial Veterans Hospital, 200 Springs Road (152), Bedford, MA, 01730, USA; Department of Psychiatry and Human Behavior, Alpert Medical School, Brown University, Box G-BH, Providence, RI, 02912, USA. Electronic address: Rani.Elwy@va.gov.
Lee A FleisherDepartment of Anesthesiology and Critical Care, Leonard Davis Institute of Health Economics, University of Pennsylvania, 3400 Spruce Street, Dulles 680, Philadelphia, PA, 19104, USA. Electronic address: Lee.fleisher@pennmedicine.upenn.edu.
Ralph GonzalesDivision of General Internal Medicine, Department of Medicine, UCSF, 350 Parnassus Avenue, Box 0361, San Francisco, CA, 94117-0361, USA. Electronic address: ralph.gonzales@ucsf.edu.
Amy G HuebschmannUniversity of Colorado (CU) School of Medicine, Department of Medicine, Division of General Internal Medicine, 12631 E. 17th Ave., Mailstop, B180, Aurora, CO, 80045, USA. Electronic address: amy.huebschmann@cuanschutz.edu.
Heather M LimperVanderbilt University Medical Center, 2525 West End Ave, Nashville, TN, 37203, USA. Electronic address: Heather.m.limper@vumc.org.
NithyaPriya S RamalingamDepartment of Family Medicine, Oregon Health & Science University, 3181 Sam Jackson Park Rd, Portland, 97239, USA. Electronic address: ramalinn@ohsu.edu.
Katherine Wilemon680 East Colorado Boulevard, Suite #180, Pasadena, CA 91101-6144, USA. Electronic address: kw@thefhfoundation.org.
P Michael HoCardiology Section, Rocky Mountain Regional VA Medical Center, 1700 N. Wheeling St, Aurora, CO 80045, USA. Electronic address: Michael.ho@ucdenver.edu.
Christian D HelfrichfcrSeattle-Denver Center of Innovation for Veteran-Centered Value-Driven Care, 1660 South Columbian Way, S-152, Seattle, WA, 98108, USA. Electronic address: christian.helfrich@va.gov.
Kaiser Permanente Washington Health Research Institute · USBrown University · USCenter for Innovation · USIntermountain Healthcare · USOregon Health & Science University · USResearch Network (United States) · USRTI International · USSanford Research · USUniversity of Colorado Denver · USUniversity of Michigan–Ann Arbor · USUniversity of Pennsylvania · USVA Center for Clinical Management Research · USVanderbilt University Medical Center · US

Funding

Utah Center for Clinical and Translational ScienceUL1TR002538 · NCATS · UNIVERSITY OF UTAH · PI HESS, RACHEL, MAJERSIK, JENNIFER JUHL · 2018 to 2022
$26.0M
Research BaseP30DK092926 · NIDDK · UNIVERSITY OF MICHIGAN AT ANN ARBOR · PI MARY ELLEN MICHELE HEISLER, ADESUWA B OLOMU · 2011 to 2026
$10.0M
Vascular Health and Risk Factors in Children with Down SyndromeKL2TR002539 · NCATS · UNIVERSITY OF UTAH · PI MURTAUGH, MAUREEN A, NYGAARD, INGRID E · 2018 to 2022
$4.3M
NCATS NIH HHS KL2 TR002539NCATS NIH HHS UL1 TR002538NIDDK NIH HHS P30 DK092926
6 · The paper itself

Abstract

backgroundTraditional research approaches do not promote timely implementation of evidence-based innovations (EBIs) to benefit patients. Embedding research within health systems can accelerate EBI implementation by blending rigorous methods with practical considerations in real-world settings. A state-of-the-art (SOTA) conference was convened in February 2019 with five workgroups that addressed five facets of embedded research and its potential to impact healthcare. This article reports on results from the workgroup focused on how embedded research programs can be implemented into heath systems for greatest impact.

methodsBased on a pre-conference survey, participants indicating interest in accelerating implementation were invited to participate in the SOTA workgroup. Workgroup participants (N = 26) developed recommendations using consensus-building methods. Ideas were grouped by thematic clusters and voted on to identify top recommendations. A summary was presented to the full SOTA membership. Following the conference, the workgroup facilitators (LJD, CDH, NR) summarized workgroup findings, member-checked with workgroup members, and were used to develop recommendations.

resultsThe workgroup developed 12 recommendations to optimize impact of embedded researchers within health systems. The group highlighted the tension between "ROI vs. R01" goals-where health systems focus on achieving return on their investments (ROI) while embedded researchers focus on obtaining research funding (R01). Recommendations are targeted to three key stakeholder groups: researchers, funders, and health systems. Consensus for an ideal foundation to support optimal embedded research is one that (1) maximizes learning; (2) aligns goals across all 3 stakeholders; and (3) implements EBIs in a consistent and timely fashion.

conclusionsFour cases illustrate a variety of ways that embedded research can be structured and conducted within systems, by demonstrating key embedded research values to enable collaborations with academic affiliates to generate actionable knowledge and meaningfully accelerate implementation of EBIs to benefit patients. IMPLICATIONS: Embedded research approaches have potential for transforming health systems and impacting patient health. Accelerating embedded research should be a focused priority for funding agencies to maximize a collective return on investment.

Indexed as

Delivery of Health CareGovernment ProgramsConsensusHumansEmbedded researchPartnered researchState-of-the-art review

Identifiers

PMID34175093
PMCPMC8243415
OpenAlexW3173713436

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.