We propose creating an integrated Center for patient-centered outcomes research (PCOR) and comparative effectiveness research (CER) at the University of Texas Southwestern Medical Center in Dallas (UTSW), Parkland Health and Hospital System (Parkland), Children's Medical Center (Children's), and the North Texas Veterans Administration Health Systems (Dallas VA). The theme of the Center is PCOR/CER in underserved patients, populations, and settings, including those served by safety net systems. We will leverage the resources at UTSW, Parkland, Children's, Dallas VA, UTSW CTSA and all UTSW academic institutions, and broadly engage stakeholders needed to achieve the following aims: 1. Develop the infrastructure and programs to increase expertise and research activity in PCOR/CER. 2. Create formal education, training, mentorship and career development activities in PCOR/CER for faculty, trainees, and students, and expand understanding of PCOR/CER across our campus. 3. Establish the structures, policies and procedures needed to support meaningful stakeholder engagement. 4. Conduct PCOR/CER to improve the outcomes of care among underserved patients and populations. 5. Disseminate findings to researchers, health systems, and local, state and national stakeholders. 6. Perform formative and summative evaluation of our progress and overcome any barriers to success. We have strong financial commitments from the leaders of all UTSW and partner institutions. Three projects will harness data in the electronic medical record to conduct observational and interventional studies to improve care for high risk, underserved patients and populations. All projects will engage stakeholders throughout the research, implementation, and dissemination process. We will partner with the AHRQ-funded Johns Hopkins University EPC and DEclDE Centers of Excellence. We will collaborate with our 5 other sister Univ. of TX Health Science Centers (in Houston, San Antonio, Galveston, Tyler) ~all who have safety net affiliates to disseminate our findings. All activities aim to promote PCOR/CER to improve the delivery of care to the underserved that is patient-centered, evidence-based, high quality, equitable, and efficient.

Public Health Relevance

Patients that are poor, minority, and lack insurance have worse outcomes. Our Center will develop, assess, and disseminate approaches to improving patient-centered care among underserved patients and populations. We will emphasize approaches that use electronic medical records to identify those at high risk of poor outcomes and system-based outreach programs to deliver high quality care to those most in need.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Resource-Related Research Projects (R24)
Project #
1R24HS022418-01
Application #
8600349
Study Section
Special Emphasis Panel (ZHS1-HSR-A (02))
Program Officer
Moore, Jennifer E
Project Start
2013-09-30
Project End
2018-09-29
Budget Start
2013-09-30
Budget End
2014-09-29
Support Year
1
Fiscal Year
2013
Total Cost
Indirect Cost
Name
University of Texas Sw Medical Center Dallas
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
800771545
City
Dallas
State
TX
Country
United States
Zip Code
75390
Gerber, David E; Laccetti, Andrew L; Xuan, Lei et al. (2014) Impact of prior cancer on eligibility for lung cancer clinical trials. J Natl Cancer Inst 106:
Pruitt, Sandi L; Leonard, Tammy; Zhang, Song et al. (2014) Physicians, clinics, and neighborhoods: multiple levels of influence on colorectal cancer screening. Cancer Epidemiol Biomarkers Prev 23:1346-55