Health IT and the Evolution of Health Services Research


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2nd Annual Workshop on Health IT and Economics
Michael E. Gluck, Ph.D., M.P.P.
October 21, 2011

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Health IT and the Evolution of Health Services Research

  1. 1. Health IT and the Evolution of HealthServices Research 2nd Annual Workshop on HIT and Economics Michael E. Gluck, PhD, MPP October 21, 2011
  2. 2. Overview What is AcademyHealth? What is health services research (HSR)? The current policy backdrop for HSR HIT’s role in HSR2
  3. 3. AcademyHealth’s MissionAs the professional society for health services researchersand 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. 4. In Other Words…We help build the knowledge base and move knowledge into actionthrough programs and services forproducers and users of research. 4
  5. 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
  6. 6. Health Services Research What works? For whom? At what cost? Under what circumstances?
  7. 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 containment7
  8. 8. HSR Generates Knowledge About HIT the diffusion and uptake of HIT the optimal use and implementation of HIT impact on care delivery 8
  9. 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 challenges9
  10. 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- reported10
  11. 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 system11
  12. 12. HIT Generates New Infrastructure andProfessional 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 researchers12
  13. 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 needs13
  14. 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? – –