Brief History of Public Health Systems and Services Research (PHSSR)
A Brief History of PHSSR andthe National Coordinating Center. Lessons from History February XX, 2011 F. Douglas Scutchfield, M.D. Bosomworth Professor University of Kentucky National Coordinating Center for PHSSR
THE MISSION OF PUBLIC HEALTH ISFULFILLING SOCIETY’S INTEREST INASSURING CONDITIONS IN WHICHPEOPLE CAN BE HEALTHYThe public health system is more than just the official governmentalpublic health agency. It is:• All public, private, and voluntary entities that contribute to publichealth in a given area.• A network of entities with differing roles, relationships, andinteractions.•All entities contribute to the health and well-being of our population
What is Public Health Services & Systems Research (PHSSR) ?A field of study that examines theorganization, financing, and delivery ofpublic health services at local, state andnational levels, and the impact of theseactivities on public health.Mays, Halverson, and Scutchfield. 2003
• Organization and structure• Finance• Workforce• Technology, data and methods – CDC-PHSR and Workforce Agendas – Council on Linkages-Workforce and Research Gaps – NACCHO-Accrediation, Credentialing and Certification – Univ. of Pittsburgh-Rural PHSR • Available at www.phf.org/link/research.htm
What did we need and do early on?• Data – HSRR Listing – Data Harmonization – Bibliographic citations• Researchers – Mini-grants• Venues and opportunities for net working – Keeneland Conference – AcademyHealth PHSR Special Interest Group• Funding for research – RWJ/NNPHI• Linkage of practice to research and translation – PBRNs – Communication/website/Social networking
Data HarmonizationThe Data Harmonization Advisory Committee consists Collaboration will help to achieve:of members from the Public Health Systems o create internal consistency across theResearch (PHSR) community including: surveys o NACCHO o support the advocacy needs of local and o ASTHO state public health departments and local boards of health o NALBOH o Provide good data for use by PHSSR o Academic researchers, researchers. o Public health practitioners at local and state level Complete Projects:Primary goal of the Committee: o Standardized definitions of common words o To review and facilitate standardization of and phrases used within each survey-Data the primary data survey instruments used by Dictionary NACCHO,ASTHO and NALBOH o Psychometrically sound questions o Mission based survey questionnaires o Collaboration in administration and data sharing , data use policy o Current updates available on UK-CPHSSR website
PHSSR Endnote Library Our intention is that the library provided on this website will stand as thecornerstone for a database of PHSSR references. Click on EndNote logo to access PHSSR Library webpage Download the Entire Updated PHSSR Reference Library as of December 2010 Import as an XML file, PHSSRAUG2010XML
Researchers and VenuePHSSR Mini-Grantee Program – PHSSR KeenelandSince the initial call for the proposals, Conference – The center hasUK-CPHSSR has awarded mini- successfully organized thegrants to 22 junior faculty or doctoral Keeneland Conference for thedissertation candidates from across past three years.the nation. The mini-grantees have This year’s Keenelandpresented their research at the Conference will be held AprilAcademyHealth & APHA annual 12-14 in Lexington, KY .meetings
Linkage to PracticePractice Based Research Network Public Health Finance(PBRN) PBRNs allow practicing health A field of study that examines care providers to collaborate the acquisition, utilization, and with researchers in designing, management of resources for implementing, evaluating, and the delivery of public health diffusing solutions to real-world functions and the impact of problems in clinical practice. these resources on population health and the public health system.
National Coordinating Center for PHSSR• RWJF Funded Coordinating center for PHSSR work• Awarded Competitively to UK• Five Pillars – Education of Researchers – Education of Practitioners to use research – Increased base of Funding for Research – Increased current grant funding for research – Technical Assistance, communication, dissemination, utilization and visibility of PHSSR
Lead by National Advisory Committee• Linda Bilheimer, Ph.D. • Carmen Nevarez, M.D.,• Scott Burris, J.D. M.P.H.• Michael Caldwell, M.D., • Ed Sanchez, M.D., M.P.H. M.P.H. • Steve Shortell, Ph.D.,• Philip Huang, M.D., M.B.A., M.P.H. M.P.H. • Eduardo Simoes, M.D.,• Robert Kaplan, Ph.D. M.Sc., M.P.H.• Carol Moehrle, RN, B.S.N. • Steve Thacker, M.D.,• Judy Monroe, M.D., M.Sc. FAAFP • William Vega, Ph.D.
National Advisory Committee (NAC)Linda Bilheimer, Scott Burris, Michael Caldwell, Philip Huang, RobertKaplan, Carol Moehrle, Judy Monroe, Carmen Nevarez,Ed Sanchez, Steve Shortell, Eduardo Simoes,Steve Thacker, WilliamVega, Ph.D. Senior Leaders to Guide the NAC Researcher Practitioner Increase Expanding Workgroup Workgroup Researchers FundingBuilding Evidence: Paul Erwin F. D. Scutchfield Julia CostichGlen Mays Phyllis Meadows F. D. ScutchfieldData Integration:Jeff Jones Robert Wood Johnson Foundation Debra Perez, Katie Wehr, and the RWJF Public Health Team
Communication and Promotion of PHSSR• The Coordinating Center will stay connected to its audience via email and various social media outlets.• The marketing and communications team has developed an editorial calendar to ensure the PHSSR community is informed about the latest articles, webinars and discussions on a weekly basis.• Close to 1000 public health researchers, practitioners and policymakers have joined the PHSSR community.• The center exhibits at up to four trade shows a year to inform attendees about the benefits of joining the PHSSR community.• Communication from the center always closes with the motto, “Stay connected. Stay informed”.
PHSSR VISIBILITY• In addition to the e-alerts and newsletters, information is posted on Facebook, Twitter, YouTube.• One of the primary goals of the National Coordinating Center is to increase the visibility of PHSSR among the three key audiences.• Press releases and newsletters are distributed to ASPH, ASTHO, NACCHO and other organizations that support PHSSR.
What have we learned• Funding is key, Willie Sutton principle applies in the academy, if you fund it they will come• Transitioning a researcher from an existing comfortable research area to a new one is hard, it is easier to grow new ones• With practitioners, if you build it they won’t come, you have to go to them• Things that work in HSR in general also work in PHSSR, like typology, QI, accreditation
continued• Questions from practice are always more interesting• Categorical disease approaches are the enemy of PHSSR, but also provide some salvation• With many players and organizations in PH, coordination is herding cats• We don’t get no respect and what we do is hard to explain• We need new data, particularly financial data and longitudinal data• We have some research agendas, but many are out of date and need upgrading• ACA has a lot of opportunity for PHSSR, we must carpe diem• How do we get interest from Feds other than CDC, like NIH’s CTSA and AHRQ Comparative Effectiveness and HIT work• We need to use new and more robust methodology for our efforts