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

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 and David L. Reich
Additional contact information
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

Health Care Management Science, 2021, vol. 24, issue 1, No 13, 234-243

Abstract: 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.

Keywords: Health Care delivery research; Comparative effectiveness research; Pragmatic clinical trials; Predictive analytics; Decision modeling; Qualitative research (search for similar items in EconPapers)
Date: 2021
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DOI: 10.1007/s10729-020-09521-5

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