CMO Panel: How to Achieve Health Systems Change

March 2022 – In Grand Rounds 25, Vince Mor, PhD, IMPACT multiple principal investigator, moderates a panel of three Chief Medical Officers as they share their experiences in how to implement organizational change within healthcare systems.

 

Troyen Brennan, MD

Troyen Brennan, MD
Executive Vice President and Chief Medical Officer, CVS Health

Saul N. Weingart, MD

Saul N. Weingart, MD
President
Rhode Island Hospital
Hasbro Children's Hospital

 

 

Richard Feifer, MD, MPH

Richard Feifer, MD, MPH
President of Genesis Physician Services, Executive Vice President and Chief Medical Officer at Genesis HealthCare

Healthcare-Generated Data to Identify People Living with Dementia for Embedded Pragmatic Trials

January 2022 – In Grand Rounds 23, Dr. Bynum describes the use of data to identify people living with dementia as well as strengths, challenges and potential equity gaps when using a healthcare-generated data approach in pragmatic clinical trials.

Speaker

Julie Bynum, MD, MPH

Julie Bynum, MD, MPH

Margaret Terpenning Professor of Medicine

University of Michigan

                     Download webinar slides

Learning Objectives

  • Understand the use of data to achieve pragmatic study aims
  • Identify strengths & challenges when use Healthcare-generated data (billing or electronic health record data) for participant identification
  • Identify threats to Health Equity and Generalizability related to choices about data use.

 

Challenges conducting pragmatic trials of interventions for care partners of people living with dementia

November 2021 – In Grand Rounds 21, Drs. Penfold, Hanson, and Fortinsky, describe challenges from three pragmatic trials to share lessons learned and ideas for how to overcome these challenges in future research.

Webinar Slides

Robert Penfold, PhD

 

 

 

 

 

Robert Penfold, PhD
Senior Investigator, Kaiser Permanente
Washington Health Research Institute

 

Leah Hanson, PhD

 

 

 

 

 

Leah Hanson, PhD
Senior Research Investigator,
Health Partners Institute

 

Richard H. Fortinsky, PhD

 

 

 

 

 

Richard H. Fortinsky, PhD
Professor and Health Net, Inc. Endowed Chair in Geriatrics and Gerontology
UConn Center on Aging

Learning Objectives

  • Be familiar with some legal, ethical and logistical barriers to recruiting caregivers and measuring caregiver outcomes
  • To gain knowledge about the potential for mindfulness to reduce stress and depressive symptoms in care partners
  • Explain how issues involving consent and HIPAA authorization could be addressed and resolved during the IRB approval process in pragmatic trials compared to more conventional clinical trials.

Dyadic designs, their foundation on theory and analytic methods

October 2021 – In Grand Rounds 20, Dr. Lyons explains a dyadic approach to illness and care, as well as the role of theory and concepts, design and methodological considerations, and family and culture in dyadic research.

 

Speakers

Karen Lyons

Karen S. Lyons, PhD, FGSA (she/hers)

Professor

Boston College
William F. Connell School of Nursing
@KSLCareDyads

Learning Objectives

  • Understand what is meant by “dyad as unit of analysis or focus.”
  • Understand the importance of theory and concepts as foundations to dyadic research.
  • Understand some of the design and methodological considerations in designing and conducting dyadic research.

 

Challenges Implementing Innovative Programs in Long Term Care: Examples from Pragmatic Trials

September 2021 – In Grand Rounds 19, Dr. Mor discusses the complexities of making changes in health care systems through four examples of embedded pragmatic clinical trials.

 

Speaker

Vincent Mor, PhD

Vincent Mor, PhD
Florence Grant Pirce Professor of Community Health
Brown University School of Public Health

                     Download Webinar Slides

Learning Objectives

  • Understand the complexities of Making Changes in Health Care Systems
  • Understand the kinds of Implementation Challenges that arise in conducting ePCTs in nursing homes
  • Understand the Implications of how difficult it is to Change Care Practices to improve Dementia care
woman standing at Grand Canyon

Mission Moment: Dr. Brenda Nicholson on Living with Dementia During COVID-19

woman standing at Grand CanyonBrenda Nicholson, MD, a member of the IMPACT Collaboratory Stakeholder Engagement Team Executive Committee and person living with dementia, shares her reflections on living with dementia in the context of COVID-19. Dr. Nicholson’s talk was the mission moment for the IMPACT Collaboratory Steering Committee & Business Planning Meeting on April 6, 2021.  Dr. Nicholson shares her unique experience living with dementia and provides a valuable perspective into the feelings of both people living with dementia and their care partners.

 

 

Watch the Video

Grand Rounds 11 November 2020

Implementation Outcomes: Their Role in Treatment Success

November 2020 – In Grand Rounds 11, Dr. Proctor presents on the role of implementation outcomes in implementation science, the current state of knowledge, conceptual and methodological challenges they pose, and directions for research to clarify how to effectively achieve implementation outcomes, understand their dynamic relationships to one another, and capture their effects in treatment effectiveness and public health impact.

Speaker

Enola Proctor, PhD

Enola Proctor, PhD

Professor
Brown School, Washington University in St. Louis

Learning Objectives

  • Participants will understand the importance of implementation outcomes
  • Participants will understand the conceptual and methodological challenge for studying implementation outcomes
  • Participants will know priorities for future research on implementation outcomes

Mission Moment: Louise Phillips, MD

link to videoThe mission of the NIA IMPACT Collaboratory is to build the nation’s capacity to conduct pragmatic clinical trials of interventions embedded within health care systems for people living with dementia and their care partners.   Our Mission Moments highlight the perspective of someone directly involved with dementia to remind us of the importance of our mission. In this Mission Moment, Louise Phillips, MD shares her experience as a person living with dementia and a retired physician.

 

 

 

IMPACT Ethics and Regulation Core

The Ethics and Regulation Core (previously known as the Regulation and Ethics Core) focuses on clarifying the balance among the competing priorities of conducting ePCTs in people living with dementia (PLWD) and their care partners, protecting the interests of participants, and assuring health care systems that regulatory issues are addressed. Learn more about the core's work from Core Leader Jason Karlawish, MD.

 

 

 

 

The IMPACT Collaboratory Regulation and Ethics Core from NIA IMPACT Collaboratory on Vimeo.