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Developing an Institute for Health Care Delivery Science: successes, challenges, and solutions in the first five years

Author

Listed:
  • Madhu Mazumdar

    (Icahn School of Medicine at Mount Sinai)

  • Jashvant V. Poeran

    (Icahn School of Medicine at Mount Sinai)

  • Bart S. Ferket

    (Icahn School of Medicine at Mount Sinai)

  • Nicole Zubizarreta

    (Icahn School of Medicine at Mount Sinai)

  • Parul Agarwal

    (Icahn School of Medicine at Mount Sinai)

  • Ksenia Gorbenko

    (Icahn School of Medicine at Mount Sinai)

  • Catherine K. Craven

    (Icahn School of Medicine at Mount Sinai)

  • Xiaobo (Tony) Zhong

    (Icahn School of Medicine at Mount Sinai)

  • Alan J. Moskowitz

    (Icahn School of Medicine at Mount Sinai)

  • Annetine C. Gelijns

    (Icahn School of Medicine at Mount Sinai)

  • David L. Reich

    (Mount Sinai Hospital, Mount Sinai Queens)

Abstract

Medical knowledge is increasing at an exponential rate. At the same time, unexplained variations in practice and patient outcomes and unacceptable rates of medical errors and inefficiencies in health care delivery have emerged. Our Institute for Health Care Delivery Science (I-HDS) began in 2014 as a novel platform to conduct multidisciplinary healthcare delivery research. We followed ten strategies to develop a successful institute with excellence in methodology and strong understanding of the value of team science. Our work was organized around five hubs: 1) Quality/Process Improvement and Systematic Review, 2) Comparative Effectiveness Research, Pragmatic Clinical Trials, and Predictive Analytics, 3) Health Economics and Decision Modeling, 4) Qualitative, Survey, and Mixed Methods, and 5) Training and Mentoring. In the first 5 years of the I-HDS, we have identified opportunities for change in clinical practice through research using our health system’s electronic health record (EHR) data, and designed programs to educate clinicians in the value of research to improve patient care and recognize efficiencies in processes. Testing the value of several model interventions has guided prioritization of evidence-based quality improvements. Some of the changes in practice have already been embedded in the EHR workflow successfully. Development and sustainability of the I-HDS has been fostered by a mix of internal and external funding, including philanthropic foundations. Challenges remain due to the highly competitive funding environment and changes needed to adapt the EHR to healthcare delivery research. Further stakeholder engagement and culture change working with hospital leadership and I-HDS core and affiliate members continues.

Suggested Citation

  • Madhu Mazumdar & Jashvant V. Poeran & Bart S. Ferket & Nicole Zubizarreta & Parul Agarwal & Ksenia Gorbenko & Catherine K. Craven & Xiaobo (Tony) Zhong & Alan J. Moskowitz & Annetine C. Gelijns & Davi, 2021. "Developing an Institute for Health Care Delivery Science: successes, challenges, and solutions in the first five years," Health Care Management Science, Springer, vol. 24(1), pages 234-243, March.
    • Handle: RePEc:kap:hcarem:v:24:y:2021:i:1:d:10.1007_s10729-020-09521-5
    DOI: 10.1007/s10729-020-09521-5
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    References listed on IDEAS

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    1. Bart S Ferket & Bob J H van Kempen & M G Myriam Hunink & Isha Agarwal & Maryam Kavousi & Oscar H Franco & Ewout W Steyerberg & Wendy Max & Kirsten E Fleischmann, 2014. "Predictive Value of Updating Framingham Risk Scores with Novel Risk Markers in the U.S. General Population," PLOS ONE, Public Library of Science, vol. 9(2), pages 1-8, February.
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