The center for health management research chmr transliteration in action
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The Center for Health Management Research (CHMR): Transliteration in Action. Douglas A. Conrad, PhD University of Washington Nancy Neil, PhD Virginia Mason Medical Center & University of Washington Seattle, WA. CHMR’s Identity.

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The Center for Health Management Research (CHMR): Transliteration in Action

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The center for health management research chmr transliteration in action

The Center for Health Management Research (CHMR): Transliteration in Action

Douglas A. Conrad, PhD

University of Washington

Nancy Neil, PhD

Virginia Mason Medical Center &

University of Washington

Seattle, WA


Chmr s identity

CHMR’s Identity

  • 17 Member Universities Connected through the Network for Healthcare Management

  • 7 Health System Members United in Search of System Integration and an Interest in Management Research

  • Sponsored by the National Science Foundation (NSF)


More on the center s identity

More on the Center’s Identity

  • NSF Sponsorship of the Center for Health Management Research (CHMR) is through NSF’s Industry/University Cooperative Research Center Program

  • This “Town-Gown” Partnership is Driven by System Member Research Priorities


Chmr s membership roll the health system members

CHMR’s Membership Roll: The Health System Members

  • Sharp HealthCare

  • Summa Health System

  • Sutter Health

  • Swedish Medical Center

  • VA, Upper Midwest Health Care Network

  • Virginia Mason Medical Center

  • Washington Hospital Healthcare System


Chmr university members

… CHMR University Members

  • University of California at Los Angeles

  • University of Colorado at Denver

  • University of Michigan

  • University of Missouri

  • University of North Carolina

  • University of Pennsylvania


Chmr university members1

… CHMR University Members

  • University of Southern California

  • University of Toronto

  • University of Washington

  • Virginia Commonwealth University  


Chmr leadership structure

CHMR Leadership Structure

  • University of Washington CHMR Primary Administrative Home:

    • Douglas Conrad, CHMR Director

  • University of California @ Berkeley Affiliated Research Site of CHMR

    • Thomas Rundall, CHMR Co-Director

  • CHMR System Member Executive Committee


Chmr s operating model

CHMR’s Operating Model

  • NSF Provides Infrastructure Support (5-Year Renewable Grants) & Networking/Exchange Opportunities

  • CHMR System Members Pay Annual Membership Dues ($35,000 each) to Support Research Projects & a Share of CHMR Infrastructure


Chmr decision making

CHMR Decision-Making

  • CHMR System Members Collectively Choose the Center’s Research Priorities

    • With Academic/Scientific Counsel from the Center’s Co-Directors & Senior Advisers

    • Additional Technical Counsel on Prospective Projects by External Academic Reviewers


How delivery systems are using the findings from chmr products to improve healthcare

How Delivery Systems are Using the Findings from CHMR Products to Improve Healthcare


Supply chain management

Supply Chain Management

  • Schneller & Smeltzer (Arizona State)

  • Burns (Wharton School)

    Focused on the interrelationships between producers, purchasers & suppliers in the health care value chain.


Paying for performance

Paying for Performance

  • Conrad & Saver (University of Washington)

    How organizational-level and provider-level compensation influence medical care structures and the processes that affect health outcomes.


Handheld devices pda s

Handheld Devices (PDA’s)

McAlearney & Schweikhart (Ohio State)

  • Understanding organizational strategies for using handheld devices.

  • Needs/concerns of the providers using them.

  • Detail of avail. applications, uses, benefits.


Living with diabetes

Living with Diabetes

  • Goldberg & Murphy (Univ. of Washington)

    Documenting the patient care benefits of web-based physician-patient interactions in the care of diabetes.


The center for health management research chmr transliteration in action

  • Stone et al. (U. Missouri at Columbia)

  • Shortell et al. (UC Berkeley)

    Organizational and clinical factors influencing the use of clinical guidelines.


The center for health management research chmr transliteration in action

Shortell et al (UC Berkeley)

Neil & Nerenz (VM and Michigan State)

Hughes et al. (Northwestern Univ.)

Physician & health system integration

Performance Measurement

Assessing evidence on CQI initiatives


The user s perspective

The “User’s” Perspective

  • Value of Testing “Concepts in Action”

  • Structured, Systematic Discussion of Common Management Challenges

  • Opening People’s Minds to New Ways of Thinking and Solving Problems

  • Magic of “Storytelling:

  • Structured “Try-Storming”


Value in town gown collaborations

Value in “Town-Gown” Collaborations

  • Knowledge Synthesis

  • Knowledge Transfer & Innovation

  • Incremental Insight

  • Storytelling

  • “Trystorming”, or Proof of Concept


Challenges facing chmr

Challenges Facing CHMR

  • Academic time vs. Business Time

  • Engaging the Real-World Organizations, rather than Just Studying Them

  • Framing the Right Management Research Questions:

    • “Answerable” & “Actionable”

  • Need for Transliterators


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