2009 IHP Annual Report
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2009 IHP Annual Report

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The 2009 annual report for the UT Institute for Health Policy.

The 2009 annual report for the UT Institute for Health Policy.

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    2009 IHP Annual Report 2009 IHP Annual Report Document Transcript

    • Our primary mission: to translate public health research into evidence-based policies and programs to enhance the health of communities. 2 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • TableofContents Looking Back at 2009 5 KTExchange.org Becomes a Reality 6 SBIRT: Saving Lives, Time, Money 8 Exercise, Academics: PASS & CATCH Lead the Way 10 It’s a Wired World 12 Identifying Our 2010 Topics 13 Investigating the Health of Houston 14 Sharing Our Expertise 16 Looking Forward to 2010 19 Appendices 21 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 3
    • LookingBackat2009 4 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • This past year, Research Into Action advanced the craft and science of knowledge translation (KT) in three principal ways: through our practical translation activity, in modeling and protocol refinement, and by building new infrastructure for professionals in the field. Our translation activity involved two separate initiatives – PAss & CATCH, and screening, Brief Intervention and Referral to Treatment – that are grounded in different scientific fields and directed toward very different audiences. In the first case, our potential adopters were school administrators. Our challenge was to bring new evidence on the link between physical activity and academic achievement to local school decision-makers, who in turn could introduce it into their grade-school curricula. We partnered with a key scientist in the school health field and matched her involvement with a new model for linking message content to factors that influence adoption. Our first phase in Texas is complete, and evaluation is underway. Following publication of the latest results, we will be taking our messages nationwide with the guidance and support of the U.s. Centers for Disease Control. Our second KT case involves research directed at operations in hospital emergency rooms. The research shows a dramatic improvement in outcomes and reduction in return visits when screening for alcohol and substance abuse is accompanied by an on-site intervention for positive cases. Our ongoing efforts are directed at administrators who can make the adoption decision. We have developed a special briefing program with supporting materials to encourage as well as facilitate adoption of a screening and brief intervention protocol in trauma centers throughout the greater Houston area. Here, the KT model was matched to user needs and involved direct, rather than mediated communications. Our modeling repertoire, more fully developed in this past year, is sufficiently flexible to accommodate a wide range of circumstances, content and adoption patterns. Finally, with the launch of our KT Web portal this past summer, the RIA team offers a public resource for building better communications, collaboration and scholarship within the field of KT. The portal not only contributes to scholarship with databases on funding and literature, but also informs with a calendar of events and a newsroom. Collaboration is encouraged through the support of user-provided content and networking. Communications include active Twitter and Facebook accounts and a growing inventory of podcasts. Plans are in place for a phased expansion of these capabilities based on user feedback. None of this would have been possible without the continued support and encouragement of the ExxonMobil Foundation and our valued liaison, Dr. Myron Harrison. We are very grateful and intend to expand our activities and innovations in the coming year. Associate Director, Institute for Health Policy 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 5
    • One-Stop Shopping for KT Information On Aug. 10th, 2009, Research Into Action (RIA) launched www.KTExchange. org, a comprehensive, Web-based portal for knowledge translation (KT). The site launch was the culmination of many months of intense research, development, and design work by the entire RIA staff. starting with a Web site audit and a worldwide survey of KT experts conducted in the summer of 2008, RIA staff constructed a detailed picture of a Web portal that would be extremely user-friendly; meet the research, information, and networking needs of a broad audience; and set the standard for design and ease of use. KTExchange.org features regularly updated, searchable databases for KT literature, events, and funders; best practices, case studies, and glossary sections; a growing library of KT podcasts; and social networking tools that allow registered members to build a professional profile, upload professional and research work samples, and connect with colleagues from around the 6 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • world. The combination of searchable databases, social networking, and an extensive worldwide events calendar to stay informed is unique. The launch was accompanied by significant publicity, including traditional direct mail, e-mail blasts, professional articles, and publicity at a Centers for Disease Control conference on health communication in Atlanta, Georgia. “KTExchange.org was created to support the development of an active community of KT scholars and practitioners with social networking tools for building collaboration and for sharing best practices,” said stephen Linder, Ph.D., associate director of the Institute for Health Policy. “Researchers writing about knowledge translation or practitioners involved in actually doing translation will find the databases we’ve developed invaluable, and they can also use the site to build new connections with those who share their interests and experiences.” Currently, RIA staff is involved in improving KTExchange.org’s search engine optimization by identifying key words that will lead people who are interested in KT to the site. During the Phase II expansion of KTExchange.org, which will be undertaken in February 2010, we plan to enlarge our presence and active outreach in a variety of social media. We will add bookmarking widgets to the front page of the site and add more Rss categories, which will enable users to further customize their interactions with the site. We will increase our activities and connections on our Twitter feed and expand our KT newsroom by adding background information and links to external resources. We will also add a blog and discussion boards to the site as ways to increase the interaction between RIA staff and the members of KTExchange.org. 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 7
    • Spreading the Word about SBIRT Today, there are 23 million people in the United states who are either addicted to or abuse illegal drugs and alcohol. Over 95% of those who need treatment do not receive any, and are unaware that there are programs in place to help them recognize the problem and begin to deal with it. The most comprehensive, integrated public health approach to meeting this need is sBIRT – screening, Brief Intervention, and Referral to Treatment. That’s why RIA chose it as one of its first-year topics. RIA staff spent 2009 carrying out detailed efforts to promote sBIRT. These included preparing a resource document to support implementation of future sBIRT programs within level three and four trauma centers, creating a comprehensive sBIRT evidence-based presentation, and identifying key stakeholder presentations. A highlight of the year was RIA’s presentation to the Regional Advisory Council on Trauma Hospital Care Management Committee. In February 2010, RIA will present again, this time to selected chief nursing officers of the level three and four trauma centers within Harris County. Both presentations are pivotal for informing key stakeholders within the community. These final presentations are instrumental in laying the foundation for future potential adoption of sBIRT programs within level three and four trauma centers in Harris County. There are no guarantees for program adoption. However, the vast body of literature demonstrates that sBIRT programs are cost-effective to both the bottom line of each trauma center and their return on investment overall. so it would be surprising if these respective trauma centers did not support adoption. sBIRT 8 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • Today, there are 23 million people in the United States who are either addicted to or abuse illegal drugs and alcohol. Over 95% of those who need treatment do not receive any, and are unaware that there are programs in place to help them recognize the problem and begin to deal with it. programs allow for screening and intervention services to be billed, are effective, and decrease costs. sBIRT programs have even been found to decrease re-admissions, in some cases. Potential outcomes for a positive impact could result in adoption of sBIRT programs, either on a partial, full or hybrid scale. The sBIRT materials provided by the RIA team allow for a full adoption of an entire sBIRT program. The program resource guide RIA developed functions as a “how to” guide to the implementation process. Ultimately, we created a tool that will help any trauma center in the United states that wants to adopt the sBIRT program. six months after our last presentation, the RIA team will assess the sBIRT uptake of these respective trauma centers within Harris County, and investigate why or why not the program was implemented in each trauma center. The American College of surgeons has mandated that level one trauma centers have screening and intervention efforts, while level two trauma centers currently require only a screening process. Given the effectiveness and low-cost nature of the sBIRT program, we believe it is only a matter of time before a mandate for level three and four trauma centers to implement similar practices is enacted. Our hope is that, if and when this happens, the materials produced by RIA will help hospital staff do so. 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 9
    • PASS & CATCH Lead the Way Exercise, Academics: Moving On From PASS & CATCH One of Research Into Action’s first-year topics was the linkage of PAss & CATCH. Investigators posit that increased classroom physical activity can help teachers improve math and reading scores; improve classroom management, concentration, and time on task; and help students make healthy choices and develop healthy habits. RIA wrapped up its PAss & CATCH commitment in 2009 by working with the principal investigator to develop an academic manuscript that describes the science behind the program and the evidence supporting the results. The manuscript is currently undergoing review at the American Journal of Public Health for possible publication. 10 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • subsequent to peer review and publication, RIA will work with the Centers for Disease Control’s national marketing team to ensure extensive awareness of the PAss & CATCH programs and encourage their adoption by schools throughout the United states. Meanwhile, RIA is pilot testing an evaluation instrument that measures the uptake and implementation of the interventions, and the success of our communications model. Once this instrument has been developed, RIA staff plan to measure our efforts toward raising awareness and understanding of PAss & CATCH among educators, parents, and other audiences in the Houston area. 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 11
    • RIA Embraces Social Media During the research and development phase of KTExchange.org, RIA staff learned more about the lightning-fast growth of social networking media on the Internet, including Facebook, Twitter, and YouTube. Integrating KTExchange.org into this rapidly expanding social networking universe quickly became a secondary goal of the site’s launch. During the first six months of thesite’s existence, we have added a Facebook page, a Twitter feed, and a YouTube channel. In fact, RIA was one of the first entities within The University of Texas Health science Center at Houston to establish all of these – and was the first in the UT school of Public Health. The Facebook page is not specific to KTExchange. org, but covers all of the activities of the Institute for Health Policy (IHP). KTExchange.org, with its numerous updates, is featured frequently on the IHP Facebook page. Original video programming is in the works for the YouTube channel, starting with a brief review of the most recent Rice University 360 conference, “Transitioning Technologies From Labs to Least Developed Countries.” All of these social media outlets are accessible from the front page of KTExchange.org. The Twitter feed, accessible at www.twitter.com/ KTExchange, is updated daily with public health and knowledge translation-related news from around the Web, all in the more informal Twitter style. The RIA staff will continue to explore social networking advancements in order to remain easily accessible to those interested in KT. 12 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • Post-Doctoral Fellow Leah Fischer, Senior Communications Specialist Rick Austin, and Program Manager Nick Rocha listen as Research Associate Amy Beaven makes a point while choosing the 2010 research topics. Narrowing Our Focus – New RIA Research Topics In January 2009, the Research Into Action staff initiated the selection of new projects for a second round of knowledge translation (KT) efforts. The group retained the useful review criteria used for selecting projects in round one, but decided to depart from our previous process by looking beyond research conducted at the UT school of Public Health. Instead, RIA turned to agencies and organizations of public health at the regional, state, and national level for timely public health topics and community interventions. We reviewed Web sites and publications and compiled a list of the most pressing public health issues. sixteen broad topics were identified for further consideration based on the perceived size of the problem, potential impact of a solution, local relevance and expertise, and group interest. Information on each topic was then gathered from peer-reviewed literature, grey literature, and news sources and distributed to the RIA team. After a brief review, each team member rated the prospects of the topics individually. In April 2009 the team met for a day-long retreat to narrow our selections down to six topics using our criteria scores and a consensus-building exercise similar to a Delphi method. Members of the team then researched sub-themes and evidence-based community interventions for each of the six topics, compiling materials to help determine the readiness of new research for KT. Insurance coverage and environmental public health were selected as the most KT-ready topic areas. Local experts were brought in to discuss research ready for dissemination and 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 13
    • practice within these fields. The RIA team decided that, within environmental health, the evidence on the physiological effects of noise pollution and noise abatement programs and policies was something we should pursue further. Due to the timeliness of both state and federal attention to the expansion of insurance coverage and the concern that, with only 25% of its population insured, Texas ranks last among the states for coverage, RIA determined translation of research on policies or programs of expanded coverage was an appropriate KT project. A post-doctoral position was created and filled within RIA to study expansion of insurance coverage through three-share programs, a recommendation of the Code Red report currently employed in Galveston and Houston. since August 2009, the RIA team has been developing KT efforts around the expansion of insurance coverage through three-share programs and interventions to reduce the physiological effects of noise pollution. The RIA team has been Expansion of Insurance Coverage developing KT efforts The 2007 release of the “Code Red: The Critical Condition around the expansion of Health in Texas” report included a review of innovative programs for expanding insurance coverage to low-income of insurance coverage families and to employees of small businesses. Three-share through three-share pilot programs from other states were highlighted as one potential model, with the task force recommending state programs investment in local three-share programs for Texas. shortly thereafter, the state legislature passed a bill authorizing counties to establish or participate in a local or regional health care program offering health care services or benefits to uninsured employees of small employers. Grant funding from two state agencies made it possible for three-share programs to be created in several Texas localities. The three-share program is a community-based health coverage model that is designed as a locally governed nonprofit. Collaborative arrangements and the integration of community resources allow three-share programs to deliver affordable health care by spreading the financial risk. Further, three-share programs are not state-regulated insurance products and so are not required to comply with mandated requirements for health coverage. Additionally, the cost of health care is shared among employers, employees and a community subsidy. Affordable health care improves access to health care. In this way, three-share programs fill the gap between government-funded health programs and commercial health insurance. The first area in Texas to establish a program was Galveston County in 2008. More recently, Harris County and the Central Texas region (Travis, Hayes, and Williamson counties) implemented programs, while three additional ones are expected to launch within the next year. The six Texas three-share programs combined are expected to cover 50,000 individuals. Across the country there are approximately seven other active three-share programs, with six others (excluding those in Texas) in planning and developmental stages. And while indi- 14 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • vidual programs are tailored to address specific community needs and preferences, common design features include: an enrollment mechanism; income eligibility requirements; a limited local provider network; and a defined set of benefits. The RIA team recognized a large gap in knowledge about the different mechanisms, effectiveness, and sustainability of insurance coverage provided through three-share. In fact, little to no evaluation has been done of the existing pilot programs. The RIA staff will spend time in 2010 generating a report and other communication pieces sharing information that is currently lacking about three-share programs and other innovative coverage strategies. As the project moves forward, we will work to place our recommendations and KT products in the context of rapidly changing state and federal efforts to expand insurance coverage. Research Into Action, and the Institute for Health Policy, will be providing a much-needed and timely service to local and state decision-makers by synthesizing information, evaluating existing programs, and reporting on policies and programs to insure more Texans. Noise Pollution and Abatement Noise pollution is currently a hot topic within the environmental public health field. Growth in urbanization and industrialization has led to life getting louder at home and in the workplace. City residents may recognize the annoyance, but few realize it could be making them sick. The relationship between exposure to excessively loud noises and hearing loss is well-established. However, until recently other physiological effects related to extreme or chronic exposure to noise were less researched and certainly less known. And while occupational noise exposure has been a source for adverse health information and receives a fair amount of attention, non-occupational urban noise may be a not-so-silent and less obvious killer. The RIA team is currently reviewing and mapping the evidence of a growing body of literature on the adverse health effects of urban noise. so far, the evidence has shown associations between urban noise and adverse outcomes such as: • Poor performance in tasks such as reading and memorizing; poor cognition; poor motivation • Adverse health effects, such as cardiovascular disease; ischemic heart disease; stroke; hypertension; elevated stress hormones; raised levels of nor-adrenaline and adrenaline; disturbed sleep patterns • Adverse psychiatric disorders, such as headaches, restless nights and being tense and edgy As we compile information on adverse health effects, we are also working to identify noise abatement efforts at the local, state, and national levels. We are gathering information on acceptable noise levels set by relevant governing agencies, active ordinances, and enforcement activities. We will be in contact with government officials, researchers, and other stakeholders as we try to identify effective interventions or gaps warranting further KT. 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 15
    • InvestigatingtheHealthofHouston Focused on the Health of Houston Three distinctive, yet interconnected projects make up the Health of Houston Initiative. All are aimed at providing new information and insight, based on careful research, that will help improve Houston’s health overall and the quality and effectiveness of its public health care delivery systems. The Institute for Health Policy’s goal for these projects is to provide community leaders and government officials with better evidence on which to base their decisions and resource commitments. Evidence, in this instance, will include evaluations of mental health policy and service initiatives, assessments of the performance and challenges in our safety net system, and more accurate portrayals of the population’s health status and health care gaps. A number of reports will be produced in the coming two years – seven on mental health policy and five on safety net topics – and a large data repository will be assembled from interviews and serve as a basis for analyses and dissemination. several of the reports are well underway and will be completed in the next few months. For the most part, however, our first year of projects implementation was devoted to planning, data gathering and background analysis. Targeted dissemination will be a critical feature of our success in reaching decision-makers with our results in a form that they can use and appreciate. As the dissemination plan becomes more detailed in year two, we will be working with various organizations to help ensure that the directions and products of our research will prove useful in determining how best to impact the health of our community. 16 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • Finally, collaboration across these three projects is critical to the success of evaluating our efforts. Have these projects made a difference to decision-makers? Have they made a difference in how agencies, services and philanthropic organizations direct their programmatic investments? We plan to be able to answer these questions in addition to those more topical ones that direct our research. The Mental Health Policy Analysis Collaborative The Mental Health Policy Analysis Collaborative (MHPAC) is on track to produce seven studies on current mental health care concerns and policy issues. The project’s inter-institutional team (The University of Texas Health science Center at Houston, Baylor College of Medicine, Rice University, the University of Houston, and the Mental Health and Mental Retardation Authority of Harris County) has completed its background research, drawing both on the literature and direct contacts with researchers and experts. Relationships were developed with several local and state organizations – the Texas Department of state Health services (DsHs), the Michael E. DeBakey Veteran’s Affairs Medical Center, the Houston Independent school District, and the juvenile justice system. Already, these relationships have resulted in contract negotiations with the Texas Medicaid office of DsHs to acquire a complete and identified dataset of Medicaid in Harris County, necessary to address several of the MHPAC’s research questions. It is likely the most comprehensive dataset of its kind in the United states. Houston Health Services Research Collaborative The overall goal of the collaborative is to conduct high-quality policy-relevant health services research focusing on key issues in Harris County and southeast Texas that affect low-income populations. The specific objectives are to: • Organize research teams to conduct specific projects that provide needed information to health policy decision makers, community leaders, and program administrators • Develop and maintain databases that can be used by the community to monitor health problems and health service performance • Provide technical assistance to the community in health services research, planning, and program evaluation In the summer of 2009, community leaders were interviewed on local health care issues and key informational needs that could be addressed by the collaborative researchers. 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 17
    • The Health of Houston 2010 Survey An important goal for the 2010 survey is to involve community groups and stakeholders throughout the planning, implementation, and dissemination process. In the first year, attention focused on building cooperative relationships with governmental, provider and community organizations and preparing communication and dissemination materials. We designed a Web page (www.sph.uth.tmc.edu/ihp/survey2010) to support the survey’s dissemination, created tailored PowerPoint presentations, online and printed survey brochures, and online and paper-based forms to solicit public input on the selection of topics for the survey questionnaire. Briefings were held with the leadership of the Houston Department of Health and Human services and the Harris County Public Health and Environmental services, with provider groups focused on health (Harris County Health Care Alliance, One Voice Texas and Gateway to Care) and with community groups, including super neighborhood councils and civic organizations. An input form was distributed, and responses were gathered from 88 organizations throughout the Houston area. We produced customized fact sheets for each participating stakeholder and community group reporting on the results from this input process. An important goal, once our survey is completed in early 2011, is to establish full and easy access to survey results and to tailor data dissemination to the needs of potential users. Our intent is to utilize recent technological advances to support Web-based access, analysis and visualization of statistical information. To that end, the team selected data presentation products that will permit us to reach two kinds of potential users – those who just want simple summaries and displays, and those who will require complex multivariate analysis. 18 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • sharingOurExpertise Sharing and Supporting Our Work Research Into Action staff were busy this past year with activities beyond KTExchange and our research topics. staff prepared public health information for government officials, helped spread the word about knowledge translation, and established a new way to reach out to potential donors in 2009. Becoming the Go-To Resource for Elected Officials Elected officials are often required to make tough decisions regarding health care and the public’s best interests. In 2009, Research Into Action provided information on a variety of topics for our government representatives. For instance, a research associate produced a policy brief at the request of Texas state senator Rodney Ellis on routine testing for HIV/AIDs in Texas. The brief outlined the benefits of widespread testing for HIV, and identified the obstacles – such as testing too late, testing too few people, and the costs involved. The brief gave sen. Ellis a snapshot of the current state of HIV/AIDs in Texas, and the cost-effectiveness and public health benefits of expanding testing. RIA also created a summary of the public health research being carried out at the six research centers and institutes and six regional campuses of The University of Texas school of Public Health. This summary was made available to the leadership of the Texas state Legislature, so our state representatives were aware 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 19
    • of the cutting-edge research into important topics - including diabetes, obesity, cancer, and prevention - currently being undertaken by the school. Spreading the Word The Institute for Health Policy’s associate director, stephen Linder, Ph.D., began 2009 by presenting his research on climate change at the National Academy of science in Washington, D.C. This was just the first of many opportunities Linder had throughout the year to demonstrate his knowledge of a variety of public health topics – everything from causality and epidemiology before an international audience in Barcelona, spain, to the Environmental Protection Agency’s endangerment findings at the society of Risk Analysis in Baltimore, Maryland. In addition, senior Communication specialist Rick Austin and Research Associate Amy Beaven attended the Centers for Disease Control’s National Conference on Health Communication, Marketing and Media in August 2009, an annual gathering in Atlanta that brings together more than 1,000 professionals from the fields of public health, social marketing, health communications, and academia. This was the second consecutive year RIA staff had attended and presented at the conference. They presented a poster session titled, “An Axial Model for Knowledge Translation: Building Complexity Into Design.” The session introduced RIA’s new model for knowledge translation, and drew interest from a variety of attendees. 20 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • A secondary goal of the conference was to introduce and publicize www.KTExchange. org, RIA’s new Web portal, which launched the first day of the conference. Beaven and Austin brought promotional materials for both the Web portal and RIA, and distributed them throughout the conference. Establishing Online Giving The Research Into Action initiative relies on the financial support of organizations such as the ExxonMobil Foundation and the Houston Endowment Inc. to carry out its work. Launching Web sites, producing knowledge translation materials, presenting at conferences, and offering fellowships all costs money, and RIA receives limited funding from The University of Texas Health science Center at Houston or The University of Texas school of Public Health. In an effort to reach out to potential donors, the RIA, working with the UT school of Public Health’s development director, created a way for interested groups to help us bridge the gap between research and public health policy and practice by donating online at the Institute for Health Policy’s university Web site, located at www.sph.uth.tmc. edu/ihp, and on our knowledge translation portal, www.KTExchange.org. Gifts to the institute and the RIA initiative enable us to address large-scale public health issues with evidence-based programs and policies that have proven effective. Philanthropic gifts provide necessary funds for our work in helping effective KT become the norm. As more people use the Internet as their main information resource, we are meeting the challenge to thrive in the new 2.0 world. 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 21
    • LookingForwardto2010 22 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • As we reported earlier, our intent in the coming year is to introduce two new content areas for practical translation and to refine further our modeling and implementation efforts. Likewise, we will be expanding the Web portal to incorporate new features and capabilities, based on user experience and preferences, and extending our reach with search engine optimization. Given the time it takes to see impact from translation activity, in the coming year we will also be better able to assess our performance in the prior round of translation activity. Our point of departure in 2010 will be efforts to leverage our direct funding to take on new KT challenges. Certainly, efforts to raise matching funds for other institute projects will continue. In this instance, however, we will seek new funds to underwrite an expansion of the RIA initiative with new staff and communications capabilities. Our key funding opportunity follows the release by the National Institutes of Health (NIH) of a new request for proposals in the area of translation and dissemination. Although other funding lines have included a KT component as part of conventional scientific research, this is the first in the United states focused on KT modeling and the testing of alternative communication schemes. continued... 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 23
    • A second source of supplemental funding will come with our assumption of a leadership role over the community engagement component of UT’s Center for Clinical and Translational sciences. This center was one of the first funded by the NIH and will seek a full renewal this spring, with RIA funding included. The opportunity to join the center is, in part, a reflection of our growing reputation for effective KT. The content areas we have chosen for translation represent special challenges that will stretch our models and communications capabilities. We will also continue to lead in KT Web applications and pursue new interactive features. Finally, we will lay a foundation for long-term sustainability of the RIA by applying for federal funding support. None of this would be possible without the initial commitment of the ExxonMobil Foundation to our idea and their willingness, as the founding funder, to provide multiple years of support to help us achieve this sustainability. Thank you. 24 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • Appendices KT Model KTExchange Databases Staff List 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 25
    • KT Axial Model Developed by RIA 26 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • sampleKTExchangeDatabases 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 27
    • sampleKTExchangeDatabases 28 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • sampleKTExchangeDatabases 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 29
    • sampleKTExchangeDatabases 30 2009 Annual Report/Research Into Action A Knowledge Translation Initiative
    • INSTITuTE FOR HEALTH POLICy Staff Information Rick Austin Dritana Marko Shannon Rasp senior Communications specialist Faculty Associate senior Communications specialist 713-500-9486 210-562-5541 (sPH-san Antonio) 713-500-9490 Richard.A.Austin@uth.tmc.edu Dritana.Marko@uth.tmc.edu shannon.M.Rasp@uth.tmc.edu Amy Beaven Syed W.B. Noor Tom Reynolds Research Associate Graduate Assistant Research Associate 713-500-9409 713-500-9497 713-500-9387 Amy.T.Beaven@uth.tmc.edu syed.W.Noor@uth.tmc.edu Thomas.F.Reynolds@uth.tmc.edu Larissa Estes Folake M. Olaniran Nick Rocha Graduate Assistant Graduate Assistant Program Manager 713-500-9443 713-500-9498 713-500-9488 Larissa.J.Estes@uth.tmc.edu Folake.O.Olaniran@uth.tmc.edu Nickalos.A.Rocha@uth.tmc.edu Leah Fischer, Ph.D. Patty Poole Denise Truong Post-Doctoral Fellow Executive Assistant Graduate Assistant 713-500-9410 713-500-9318 713-500-9480 Leah.s.Fisher@uth.tmc.edu Patricia.A.Poole@uth.tmc.edu Denise.H.Truong@uth.tmc.edu Stephen H. Linder Jessica M. Tullar Interim Director Faculty Associate 713-500-9494 713-500-9481 stephen. H. Linder@uth.tmc.edu Jessica.M.Tullar@uth.tmc.edu 2009 Annual Report/Research Into Action A Knowledge Translation Initiative 31