Over the next five years, the Johns Hopkins pre-doctoral AHRQ NRSA training program will prepare PhD health services researchers within the following three high priority areas: 1) Patient Safety, Quality and Outcomes: This area will focus on the multi-dimensional factors associated with attaining patient safety, quality and optimal outcomes of care delivery in diverse settings; 2) Transforming the Financing and Organization of Health Care Services: This area will focus on expanding our understanding of the ways in which our health care system's public and private financing mechanisms and organizational structure affect the efficiency, equity, and quality of care; and 3) Reducing Health Care Disparities for Vulnerable Populations: This area will focus on racial and ethnic minorities and populations disadvantaged by lack of access to health services (low income persons, uninsured children, residents of underserved areas) and vulnerable groups with complex care needs that often lead to poor care coordination and lower quality care. In the proposed program, we will place greater emphasis than in previous years on patient centered outcomes research and research related to the transformation of the health care system. Trainees will also gain a better appreciation for the secondary use of electronic health records and the role of health information technology in health services research. We will address patient/consumer, clinical and management perspectives. Our three areas of pre- doctoral training build from a common core of course work that emphasizes statistical, measurement, database/IT application, evaluation, and policy analysis skill sets. A significant addition to the program is the requirement of a Practicum that will allow students to acquire experience in research directed toward practical applications. This proposal presents a detailed set of core competencies and learning objectives that will provide important guidance for the students' training. The competencies are based in large part on the recommendations of an AHRQ sponsored national HSR core competencies conference our Department hosted in 2005. Our training program benefits from a large faculty with great breadth and depth in our priority areas and from the extensive research opportunities both at Johns Hopkins and in the Baltimore / Washington area. Our program will offer personalized small group and one-on-one support, mentoring and guidance to ensure a coordinated and cohesive training program experience for each of our trainees.

Public Health Relevance

Given the many pressures and dramatic transformations facing US health care, there is great need for well-trained researchers to help assure the quality and safety of care that is delivered, to determine how it should be organized and paid for, and to assure equitable access and outcomes. The proposed training program at Johns Hopkins will prepare multidisciplinary PhD researchers to meet these needs.

Agency
National Institute of Health (NIH)
Institute
Agency for Healthcare Research and Quality (AHRQ)
Type
Institutional National Research Service Award (T32)
Project #
5T32HS000029-31
Application #
9297228
Study Section
Special Emphasis Panel (ZHS1)
Program Officer
Benjamin, Shelley
Project Start
1987-09-30
Project End
2018-06-30
Budget Start
2017-07-01
Budget End
2018-06-30
Support Year
31
Fiscal Year
2017
Total Cost
Indirect Cost
Name
Johns Hopkins University
Department
Public Health & Prev Medicine
Type
Schools of Public Health
DUNS #
001910777
City
Baltimore
State
MD
Country
United States
Zip Code
21205
Wong, Michelle S; Chan, Kitty S; Jones-Smith, Jessica C et al. (2018) The neighborhood environment and obesity: Understanding variation by race/ethnicity. Prev Med 111:371-377
Jarman, Molly P; Curriero, Frank C; Haut, Elliott R et al. (2018) Associations of Distance to Trauma Care, Community Income, and Neighborhood Median Age With Rates of Injury Mortality. JAMA Surg 153:535-543
Jarman, Molly P; Haut, Elliott R; Curriero, Frank C et al. (2018) Mapping areas with concentrated risk of trauma mortality: A first step toward mitigating geographic and socioeconomic disparities in trauma. J Trauma Acute Care Surg 85:54-61
DuGoff, Eva H; Walden, Emily; Ronk, Katie et al. (2018) Can Claims Data Algorithms Identify the Physician of Record? Med Care 56:e16-e20
Wong, Michelle S; Roberts, Eric T; Arnold, Carolyn M et al. (2018) HUD Housing Assistance and Levels of Physical Activity Among Low-Income Adults. Prev Chronic Dis 15:E94
Harrison, Krista L; Taylor, Holly A; Merritt, Maria W (2018) Action Guide for Addressing Ethical Challenges of Resource Allocation Within Community-Based Healthcare Organizations. J Clin Ethics 29:124-138
Oakes, Allison H; Sharma, Ritu; Jackson, Madeline et al. (2017) Determinants of the overuse of imaging in low-risk prostate cancer: A systematic review. Urol Oncol 35:647-658
Haber, Susan G; Wensky, Suzanne G; McCall, Nancy T (2017) Reducing Inpatient Hospital and Emergency Room Utilization Among Nursing Home Residents. J Aging Health 29:510-530
Wong, Michelle S; Jones-Smith, Jessica C; Colantuoni, Elizabeth et al. (2017) The Longitudinal Association Between Early Childhood Obesity and Fathers' Involvement in Caregiving and Decision-Making. Obesity (Silver Spring) 25:1754-1761
Wegener, Stephen T; Pollak, Andrew N; Frey, Katherine P et al. (2017) The Trauma Collaborative Care Study (TCCS). J Orthop Trauma 31 Suppl 1:S78-S87

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