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Blewett Academy Health Jun2009
- 1. Using Research in the Real World: State Integrated Research Lynn A. Blewett, Ph.D.State Health Access Data Assistance CenterUniversity of Minnesota, School of Public HealthAcademyHealth Annual Research Meeting, Chicago, ILJune 29, 2009
- 2. 2Presentation OverviewModel of informed state policyInvolving states in the research processState Integrated Research (SIR)Pitfalls of not involving state partners
- 3. 3State policy-makers turn to state-level research to answer the following:What are the policy options?What other states have tried them? Do they work? e.g. increase access, improve quality, etc.How much does it cost?
- 4. Un-Informed State Health Policy ResearchResearcherState AnalystConduct research: use publically available data, state reports etc.Conduct lit review: search for reports/studies on key policy topic, evidence, support, data, informationMaybe finds articlePublic Research: in academic peer-reviewed journal, if lucky, Health AffairsState Policy MakerPolicy DecisionTenure: (maybe)4
- 5. Informed State Health Policy ResearchResearcherState AnalystConduct research and provide TA for capacity building, sharing of methods and modelsInformation gathering: Input to research question, identifying data and key actors, TA in state cultureTranslationof information/Research to Policy: Testimony, meetings, issue briefs, memo/letters to state officials, press releasePolicy DecisionsState Policy MakerPolicy Development: Politics, compromise, discussion of options, coalition building, lobbying5
- 6. 6State Integrated Research (SIR)A collaborative approach to research that depends on state participation throughout the research processState involved from the beginning by driving the research agendaResearcher committed to communicating findings to state in various waysSuccess of SIR hinges on connecting with the correct state contacts at various stages
- 7. 7Four Steps to State Integrated ResearchDetermine the stage of researchIdentify appropriate institutions and individuals Maintain communication with state contactsUse agreed-upon methods to share results - TRANSLATION
- 8. 8Step 1: Determine stage of researchDefining researchDrafting proposalData acquisitionProvide TA related to research/dataSharing research findingsTranslate to Policy FindingsNeed different peopleat different stages
- 9. 9Step 2: Identify appropriate institutions and individuals Dept of HEALTHPolicy TopicDept of Insurance or CommerceTax CreditComprehensive ReformSCHIP ExpansionDept of REVENUEDept of Medicaid Family/HumanServices Premium Buy-In
- 10. 10Step 3: Maintain communication with state contactsResearchers and state partners should be in touch throughout the research processIdentify key people to share preliminary findings and ongoing challengesDevelopment of synergy and trust between research and state needs
- 11. 11Step 4: Use agreed-upon methods to share results Capacity building workshop: demonstrate new method or use of dataTechnical assistance: assist with implementation of new model, forecast or technical finding Issue Brief: Technical finding with a policy consequenceTestimony: to key committee, advisory group, legislative hearingPress Release
- 12. Challenges to State Integrated ResearchTime constraints of policy processResearch results might not line up with state interests – then what?Tension between “client” (state) who is paying and research that is “objective”Communication of methodological approach and need for sound researchTranslation is critical…..Input to decision-making process not making the decision…12
- 13. 13Without State InvolvementDifficult to access needed dataAccess to data will be time consuming or blockedIRB process may be stalledFindings will be overlooked or ignored Information from findings will not reach key decision makersResearch will not inform policy
- 14. 14Example of State-Integrated Research effortState Health Access Research Evaluation RWJF National Program OfficeCo-located with the State Health Access Data Assistance Center (SHADAC)Providing technical assistance
- 15. Link to states and state analystsFunding 15 projects in 23 states
- 16. 15Contact informationwww.shadac.org/shareUniversity of MinnesotaSchool of Public HealthDivision of Health Policy and Management2221 University Avenue, Suite 345 Minneapolis, Minnesota 55414 (612) 624-4802Principal Investigator: Lynn A. Blewett, Ph.D. (blewe001@umn.edu)SHARE Deputy Director: Elizabeth Lukanen, M.P.H (elukanen@umn.edu)©2002-2009 Regents of the University of Minnesota. All rights reserved.The University of Minnesota is an Equal Opportunity Employer