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Implementing Common Metrics across the NIH Clinical and Translational Science Awards (CTSA) consortium

  • Denise H. Daudelin (a1) (a2), Laura E. Peterson (a1), Lisa C. Welch (a1), Redonna Chandler (a3), Mridu Pandey (a1), Farzad Noubary (a1), Philip L. Lee (a4) and Harry P. Selker (a1) (a2)...

Abstract

The Clinical and Translational Science Award (CTSA) Consortium and the National Center for Advancing Translational Science (NCATS) undertook a Common Metrics Initiative to improve research processes across the national CTSA Consortium. This was implemented by Tufts Clinical and Translational Science Institute at the 64 CTSA academic medical centers. Three metrics were collaboratively developed by NCATS staff, CTSA Consortium teams, and outside consultants for Institutional Review Board Review Duration, Careers in Clinical and Translational Research, and Pilot Award Publications and Subsequent Funding. The implementation program included training on the metric operational guidelines, data collection, data reporting system, and performance improvement framework. The implementation team provided small-group coaching and technical assistance. Collaborative learning sessions, driver diagrams, and change packages were used to disseminate best and promising practices. After 14 weeks, 84% of hubs had produced a value for one metric and about half had produced an initial improvement plan. Overall, hubs reported that the implementation activities facilitated their Common Metrics performance improvement process. Experiences implementing the first three metrics can inform future directions of the Common Metrics Initiative and other research groups implementing standardized metrics and performance improvement processes, potentially including other National Institutes of Health institutes and centers.

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Copyright

This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.

Corresponding author

Address for correspondence: D.H. Daudelin, RN, MPH, Tufts Clinical and Translational Science Institute, 800 Washington Street, Box #63, Boston, MA 02111, USA. Email: DDaudelin@TuftsMedicalCenter.org

References

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1. Leshner, AI, Terry, SF, Schultz, AM, et al., eds. The CTSA Program at NIH: Opportunities for Advancing Clinical and Translational Research. Washington, DC: The National Academies Press, 2013.
2. NIH. NIH-wide strategic plan fiscal years 2016–2020: turning discovery into health. 2015 [cited May 30, 2018]. (https://www.nih.gov/sites/default/files/about-nih/strategic-plan-fy2016-2020-508.pdf)
3. NCATS. CTSA program hubs 2018. https://ncats.nih.gov/ctsa/about/hubs. Accessed May 30 2018.
4. Friedman, M. Trying Hard Is Not Good Enough: How to Produce Measurable Improvements for Customers and Communities. Victoria, BC: FPSI Publishing, 2005.
5. CMS Innovation Learning and Diffusion Group. Defining and Using Aims and Drivers for Improvement: A How-To Guide [Internet]. U. S. Department of Health and Human Services Centers for Medicare & Medicaid Services; January 2018 [cited Nov 19, 2018]. (https://innovation.cms.gov/files/x/hciatwoaimsdrvrs.pdf)
6. Wang, MC, Hyun, JK, Harrison, M, et al. Redesigning health systems for quality: lessons from emerging practices. The Joint Commission Journal on Quality and Patient Safety 2006; 32(11): 599611.

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Implementing Common Metrics across the NIH Clinical and Translational Science Awards (CTSA) consortium

  • Denise H. Daudelin (a1) (a2), Laura E. Peterson (a1), Lisa C. Welch (a1), Redonna Chandler (a3), Mridu Pandey (a1), Farzad Noubary (a1), Philip L. Lee (a4) and Harry P. Selker (a1) (a2)...

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