# Presentation: 895547

## Update from the PBRN Resource Center 

**William Tierney, MD**
*Co-Director, PBRN Resource Center *
*Indiana University School of Medicine *
*Regenstrief Institute, Inc.*

## Categories of activities

- PBRN annual meeting
- PBRN registry
- Peer learning groups
- Technical assistance and consulting
- IT support
- Special projects

## Resource Center personnel

**Indiana University**
- Bill Tierney
- Brenda Hudson
- Jane French
- Amy Franklin

**National Opinion Research Center**
- Dan Gaylin
- Caitlin Oppenheimer
- Ben Hamlin
- Jessica Bushar

## PBRN annual meeting

- Planned, assisted, or managed 8 national meetings (semi-annual → annual)
- Meeting agenda → topics, abstracts, presenters → oral, poster, workshop
- Meeting attendees → hotels, registration, materials, details, details, details...
- Created and led precourses
- PBRN operations
- research methods
- health information technology

## PBRN registry

- Complete, publish initial survey (86 PBRNs)
- 1871 practices
- 12,957 physicians
- mean 152, median 100
- range 15 – 1760
- 14.7 million patients
- mean 230,000, median 105,000
- range 1200 to 2.7 million
- 68 PBRNs → practice locations...

## Slide 6

## Slide 7

## PBRN registry

- Complete, publish initial survey (86 PBRNs)
- Create Web-based registry → survey data
- Registered 114 PBRNs to date
- Request annual update of data

## Peer learning groups

- Educate and interaction between meetings
- Create/foster collaborative relationships
- Peer learning groups in 2006-07:
- _Operations_ → deciding on network ideas, community advisory boards, university-based vs. non-profit, getting a project started

## Peer learning groups

- Education and interaction between meetings
- Create/foster collaborative relationships
- Peer learning groups in 2006-07:
- Operations
- _Research Methods_ → non-parametric statistical methods

## Peer learning groups

- Education and interaction between meetings
- Create/foster collaborative relationships
- Peer learning groups in 2006-07:
- Operations
- Research Methods
- _Health Information Technology_ → how to collect and use prescription data; patients, the Internet, and the doctor-patient relationship; lessons learned implementing HIT in busy practices

## Peer learning groups

- Education and interaction between meetings
- Create/foster collaborative relationships
- Peer learning groups in 2006-07:
- Operations
- Research Methods
- Health Information Technology
- _Quality Improvement_ → tracking asthma QI data across a PBRN, QI and practice re-engineering, implementing the Chronic Care Model in rural and frontier clinics

## Technical assistance & consulting

- Maintain all PBRN listservers
- Fielded ~50 calls per month from PBRNs
- simple → how to register
- complex → quality indicators in PBRN research, PBRN infrastructure development, funding opportunities

## Technical assistance & consulting

- Maintain all PBRN listservers
- Fielded ~50 calls per month from PBRNs
- Example consultations
- design, edit, and implement surveys
- biostatistical assistance → advice, analysis
- questions → appropriate source for answers
- grant proposal writing → advice on unfunded
- identify and pay for consultants
- identify PBRNs to collaborate with, e.g. nursing PBRNs, mental health research in children

## Information technology support

- Work with Steve Bernstein → extranet space for PBRNs
- Use UltimateSurvey → design, training
- Develop PBRN public website → http://pbrn.ahrq.gov → ready to go live

## Slide 16

## Special Projects

- RWJ “*Prescription for Health*” project
- IT support for grantee PBRNs
- assist with Phases I and II
- John Hickner and Ben Hamlin → support of NPO and PBRNs → final phase of all projects

## Special Projects

- RWJ “*Prescription for Health*” project
- CDC “*Steps to a Healthier US*” project
- website to help grantees aid practices identify community resources for partnerships
- focus on...
- 3 conditions → obesity, asthma, diabetes
- 3 behaviors → nutrition, smoking, inactivity

## Special Projects

- RWJ “*Prescription for Health*” project
- CDC “*Steps to a Healthier US*” project
- website to help grantees aid practices identify community resources for partnerships
- focus on...
- list and links to tools → risk assessment, readiness for change, intervention
- evidence-based reviews, grades
- RFTO to master contractees to use and assess this toolkit

## Special Projects

- RWJ “*Prescription for Health*” project
- CDC “*Steps to a Healthier US*” project
- Medication Error and Adverse Drug Event Reporting System (MEADERS)
- Web-based tool to capture drug errors, ADEs
- provide data for outpatient QI, patient safety, and reports to the FDA’s MedWatch program
- field test in 4 PBRNs → CenTexNet, LA Net, ProHealth, and ORPRN

## Special Projects

- RWJ “*Prescription for Health*” project
- CDC “*Steps to a Healthier US*” project
- Medication Error and Adverse Drug Event Reporting System (MEADERS)
- Assessing unreimbursed care provided by community primary care practices
- survey of 1200 physicians in AAFP – NRN
- document factors that encourage or discourage private practices from → unreimbursed care

## Special Projects

- RWJ “*Prescription for Health*” project
- CDC “*Steps to a Healthier US*” project
- Medication Error and Adverse Drug Event Reporting System (MEADERS)
- Assessing unreimbursed care provided by community primary care practices
- IRB training program for PBRN practice staff
- identified as need at 2006 PBRN meeting
- content, context, and intensity fitting for PBRNs

## Special Projects

- PBRN research evaluation
- summarize AHRQ-funded PBRN research
- compare PBRNs supported by AHRQ vs. not
- document evolution of PBRNs and effects on evolution of AHRQ funding
- data...
- PBRN survey, PBRN literature
- semi-structured interviews with PBRN leaders, AHRQ staff, leaders of agencies funding PBRN research → recruitment begins next week

## Da Future

- PBRNs are alive, well, and  ⁭  in importance
- Serving the PBRNs and AHRQ has been fun and rewarding
- AHRQ will continue to support the PBRN Resource Center → RFP
- Indiana University and NORC will _not_ apply
- other opportunities for growth
- new RC leadership, new ideas, etc.
- smooth transition