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Table 2 IDSRN awards FY 2000-FY 2003, by type

From: Moving research into practice: lessons from the US Agency for Healthcare Research and Quality's IDSRN program

Type of project Description Total projects Total funding Examples Potential link between research and practice Challenges that influence value
Research linked to operational settings
Research using IDS data Take advantage of IDS administrative, claims, or other data to carry out applied health services research 12 $3,191,558 Racial differences in care outcomes; impact of payment policies on care in provider group with diverse characteristics; medication errors Enhances the knowledge base for understanding how health systems work; gives access to data not otherwise available for research Identifying questions for research that have potential for ultimate operational value; ability to generate findings that build on evidence base and are taking the "next step"
Operational data assessment and validation Assess the capacity of systems to provide specific data, develop specific measures 4 $1,083,674 Capacity to conduct studies of race, ethnicity; operational validation of hospital quality measures; private sector data for national quality reporting. Assesses one facet of infrastructure readiness to determine need for or make operational improvements Uniqueness of individual systems; ability to move beyond assessment to make changes or take appropriate action
Clinical intervention and assessment Patients in the IDS are involved in intervention; outcomes assessed 12 $2,769,120 Electronic order entry; otitis media practice guidelines; falls management tool Identifies promising delivery interventions that work in practice Evidence base for interventions; ability to generalize or bring to scale results
Stretching traditional research boundaries
IDS systems analysis Prospectively analyze IDS systems and flows to identify performance, needs, or potential areas for improvement 8 $1,958,126 Modeling link between care transitions and iatrogenic injury; assessing factors that influence diffusion of IT; assessing reasons for pneumonia hospitalization by Evercare patients Uses delivery base to better understand problems or constraints and ways of intervening Ability to generalize beyond a single system or point in time; follow-through on findings to identify and test improvements
Tool development Develop web-based or other tools for care delivery or public health improvement 17 $3,957,230 Electronic order entry; otitis media practice guidelines; falls management tool Identifies promising delivery interventions that work in practice Evidence base for interventions; ability to generalize or bring to scale the results
Other
Organizational studies using data outside of IDSRN Projects that take advantage of IDSRN vehicle and participants to study issues relevant to IDS but not otherwise built on IDSRN unique qualities 3 $643,863 Quality provisions in MCO contracts; hospital-volume link; nursing home policies and quality Addresses research questions that shed light on health care delivery organizations Does not necessarily capitalize on IDSRN capacity
Dissemination infrastructure Projects that aim to support infrastructure in various ways to encourage dissemination 2 $594,310 National network of medical group practices; leadership conference on patient safety Improves channels of communication to get information out Strategic importance of particular effort; relevance of infrastructure to other IDSRN work, AHRQ, or field
  1. Source: Authors' classification based on awards information provided by AHRQ.