CoHSTAR’s 2019 Implementation Science Institute
The Agenda
May 1, 2019
7:30 – 8:45 AM
Registration and Breakfast
8:45 – 9:00 AM
Welcome
Linda Resnik, PT, PhD
9:00 –9:45 AM
Keynote Address: Driving Innovation, Implementation, and Sustainability
Amy Kilbourne, PhD, MPH
9:45 – 10:30 AM
Progress and Priorities in Implementation Science
Byron Powell, PhD
10:30 – 10:45 AM
Break
10:45 – 12:00
Panel Discussion: Applying Implementation Science to Physical Therapy
Moderator: Alan Jette, PT, PhD Panelists: Jason Beneciuk, PT, PhD, Gerard Brennan, PT, PhD, Janet Freburger, PT, PhD, Amy Pastva, PT, PhD
12:00 – 1:15
Lunch
1:15 – 2:15
Implementation Science Research Study Design & Outcomes
Julie Fritz, PT, PhD
2:15 – 3:15
Systematically Designing and Tailoring Implementation Strategies
Byron Powell, PhD
3:15 – 3:30
Break
3:30 – 4:30
Implementation Challenges Across Multiple Health Care Systems: Lessons Learned from a Large Pragmatic Trial
Joel Stevans, DC, PhD, Addie Middleton, PT, PhD
4:30 – 5:15
Implementation Science Pioneers in Physical Therapy
Accepted Platform Presentations
5:30 – 7:30
Reception and Poster Presentations
May 2, 2019
7:00 – 8:00
Breakfast
8:00 – 9:30
An Implementation Agenda for Physical Therapy
Justin Moore, PT, PhD, Jennifer Moore, PT, DHSc, NCS, Dan White, PT, PhD
9:30 – 10:30
Implementation Science Study Examples: What worked and What did not!
Moderator: Janet Freburger, PT, PhD, Gerard Brennan, PT, PhD, Peter Coyle, PT, PhD, Julie Tilson, PT, PhD
10:30 – 10:45
Break
10:45 – 11:30
Panel Discussion – Final remarks
Jason M. Beneciuk, PT, DPT, PhD, MPH, is the acting director of the Brookes Rehabilitation – College of Public Health Professions (University of Florida) Research Collaboration. He is also a Research Assistant Professor in the Department of Physical Therapy at the University of Florida. Gerard Brennan, PT, PhD, FAPTA, is experienced in the management of patients from the aspect of care delivery and measurement of treatment effectiveness, effectively integrating standardization of care in physical therapy and consistent tracking of patient-centered outcomes. For the past 22 years, Brennan has been in practice at Intermountain Healthcare, working closely with primary care physicians, orthopedic surgeons and spine specialist physicians in the management of surgical and nonsurgical patients. He holds a PhD in Exercise Science & Sport from the University of Utah-Salt Lake City; MS in Physical Therapy from Duke University; and BA in Biology from Providence College. As a Senior Research Scientist and Director of Research for Rehabilitation Services at Intermountain Healthcare, Brennan develops and supervises ongoing efforts in physical therapy to standardize care and to measure patient-centered outcome measures on approximately 20,000 patients per year using an intranet application encompassing 30 sites in Utah. He has also implemented a national network of PT practices using a cloud-hosted, web-based analytic outcomes tracking system, Intermountain ROMS. In addition, he has led a “pay for quality” program with Select Health, Utah’s largest payer. He has published 40 manuscripts and led randomized trials, plus quality-improvement, observational and practice-based studies. He has been funded by AHRQ and PCORI for multi-centered trials related to knee pain and low back pain, respectively. A 42-year member of APTA, Brennan has served as Vice-President of the Orthopaedic Section, and also as Program Chair and Vice-President of the Research Section. He serves the Orthopaedic Section as a member of the Clinical Practice Guideline Implementation Advisory Panel. He served the APTA as a member of the National Advisory Task Force for Development of a National Outcomes Registry. Currently he serves on the Scientific Advisory Committees for the Physical Therapy Outcomes Registry and the PT Foundation. He has been honored with the Rose Excellence in Research Award in 2007,2017, and 2019. Peter Coyle, PT, PhD is a CoHSTAR postdoctoral fellow and is currently working in the Department of Physical Therapy, at the University of Pittsburgh. He is involved in the On the Move team, assisting with the study, implementation, and instructor training. Janet Freburger, PT, PhD is a professor in the Department of Physical Therapy. She has more than 20 years of experience as a health services researcher with expertise in pragmatic and observational study designs that capitalize on existing data (i.e., administrative health care claims, electronic health record, registries, and other population-based data). Much of Freburger’s research has focused on improving understanding of access to, appropriate use of, and effectiveness of rehabilitation care. Freburger currently serves on the Scientific Advisory Panel for the American Physical Therapy Association’s Physical Therapy Outcomes Registry and is a past member of the Editorial Board for Physical Therapy. She has been a principal investigator or coinvestigator on grants/contracts funded by the National Institutes of Health, the Agency for Healthcare Research and Quality, the Patient-Centered Outcomes Research Institute, the Centers for Disease Control, Medicare Payment Advisory Council, the Department of Health and Human Services, the Foundation for Physical Therapy, the American College of Physicians, and the American Physical Therapy Association. Julie Fritz, PT, PhD, FAPTA is a Distinguished Professor in the Department of Physical Therapy & Athletic Training, Adjunct Professor in the Department of Orthopedics and the Associate Dean for Research in the College of Health at the University of Utah. Alan M. Jette, PT, PhD focuses his research on evaluation of rehabilitation outcomes, functional measurement, and the prevention and treatment of disability. He served as Dean of Boston University’s Sargent College of Health and Rehabilitation Sciences from 1996-2004 and was Professor of Health Policy & Management at the Boston University School of Public Health from 2005-2017. He currently serves as Professor of Rehabilitation Sciences at the MGH Institute of Health Professions. In 2013, Dr. Jette was elected to the National Academy of Medicine, formerly the Institute of Medicine. He is Editor-in-Chief of the journal PHYSICAL THERAPY. Amy Kilbourne, PhD, MPH is the Director of the Quality Enhancement Research Initiative (QUERI) for the Veterans Affairs and Professor of Psychiatry at the University of Michigan. Dr. Kilbourne is a national expert in implementation science, partnered-oriented research, and translation of clinical quality improvement intervention findings into actionable policy and practice. She has been widely recognized for her research in multisite implementation intervention trials, development and application of large outcomes databases to improve person-centered care, and integrated physical and mental health care strategies. Addie Middleton, PT, PhD is an Assistant Professor in the Division of Physical Therapy at the Medical University of South Carolina. Middleton is also a CoHSTAR Faculty Fellow. Jennifer Moore, PT, DHSc, NCS is the founder of The Institute for Knowledge Translation and an advisor to the South Eastern Norway Center for Knowledge Translation in Rehabilitation. Her current work and research is focused on the implementation of evidence-based practices within hospital systems and across networks of hospitals in the United States and in Norway. Previously, Dr. Moore was the Clinical Practice Leader of Neurologic Physical Therapy at the Rehabilitation Institute of Chicago where she conducted implementation projects throughout all levels of care. She also created the Rehabilitation Measures Database (www.rehabmeasures.org), which is a free, online repository of summaries of psychometric properties and clinical utility of over 400 assessments used in rehabilitation. Dr. Moore is an author of the APTA sponsored Clinical Practice Guideline on a core set of outcome measures for neurologic physical therapy, and was the Guest Editor for the Journal of Neurologic Physical Therapy Special Issue on Knowledge Translation. Justin D. Moore, PT, DPT, is chief executive officer of the American Physical Therapy Association (APTA), the national membership organization representing and promoting the profession of physical therapy in the United States. APTA exists to further the physical therapy profession’s role in the prevention, diagnosis, and treatment of movement dysfunctions and the enhancement of the health and functional abilities of the public. Prior to being named CEO, Moore was APTA’s executive vice president of public affairs. Before that, he served in several government affairs positions, including work as the association’s lead lobbyist on Capitol Hill. Moore, a licensed physical therapist, received his doctor of physical therapy degree (DPT) from Simmons College in Boston, Massachusetts, his master of physical therapy degree from University of Iowa, and his bachelor of science degree in dietetics from Iowa State University. Amy M. Pastva, PT, MA, PhD, is an Assistant Professor in the Physical Therapy Division of the Department of Orthopaedic Surgery, Duke University School of Medicine. She holds secondary appointments in the Departments of Medicine, Population Health Sciences, and Cell Biology. In addition to her faculty appointments, she is a Senior Fellow in the Duke Center for the Study of Aging and Human Development, a Duke Pepper Older American Independence Center (OAIC) Scholar, and a member of the Center’s Physical Measures Core. She serves on the Steering Committee of the Duke Health Cardiovascular and Pulmonary Physical Therapy Residency Program and of the Duke Chancellor’s Translating Duke Health Initiative in Cardiovascular Health. She also serves on the American Physical Therapy Association’s ICU Rehabilitation Clinical Guideline Development Group and on the Cardiovascular and Pulmonary Section’s Research Committee. With expertise in physical rehabilitation, exercise physiology, and cellular and molecular physiology, she investigates bodily processes at the functional level, organ physiological level, and cellular and molecular level; this skill set is vital to leading or collaborating on projects that involve physical activity and exercise interventions, especially for medically complex and/or older adults, and for translating relationships among biophysiological data and functional performance outcomes. To that end, Dr. Pastva has a broad research portfolio utilizing physical activity-based interventions. Currently, she is the Duke site PI on the two of the largest to-date international multisite ICU rehabilitation trials: eStimCycle and CYCLE RCT, which investigate early rehabilitation interventions for patients with critical illness. She is also a Co-I on two landmark trials: the PCORI-funded COMPASS, a large pragmatic trial of comprehensive post-acute stroke services across the state of North Carolina, and the NIA-funded REHAB-HF, a multisite trial of physical rehabilitation in older adults with acute heart failure. In these trials she oversees invention fidelity and assesses social and functional determinants of health that influence patient recovery and intervention participation. In her educational role, Dr. Pastva also instructs in the management of patients with disorders of the cardiovascular and pulmonary systems and is interested in the use of simulation and team-based learning principles in physical therapy and interprofessional curricula. Byron Powell, PhD is an Assistant Professor in the Department of Health Policy and Management at the Gillings School of Global Public Health and a Fellow at the Cecil G. Sheps Center for Health Services Research and the Frank Porter Graham Child Development Institute. Linda Resnik, PT, PhD, FAPTA is Professor of Health Services, Policy and Practice at Brown University School of Public Health, Director of CoHSTAR, and a Research Career Scientist at the Providence VA Medical Center (PVAMC). At the PVAMC, she is a member of the Center for Neurorestoration and Neurotechnology (CfNN) where she leads the focus area on restoring limb mobility. Her research interests include: evaluation of rehabilitation service delivery and treatment effectiveness, design and evaluation of prosthetic technologies and rehabilitation strategies for upper limb amputation, and development and evaluation of rehabilitation outcome measures. Dr. Resnik is experienced in mixed methods research; conducting both qualitative and quantitative studies. She has led multiple, multi-site studies that implemented standardized data collection and intervention. Joel Stevans, PhD, DC is an Implementation Scientist at the University of Pittsburgh Health Policy Institute. He also holds an appointment in the Department of Physical Therapy within the School of Health and Rehabilitation Sciences. Julie Tilson PT, DPT, MS, NCS is associate professor of clinical physical therapy at the University of Southern California (USC) Division of Biokinesiology and Physical Therapy. She specializes in understanding the most effective methods for translating rehabilitation research into clinical practice. Dr. Tilson teaches Evidence Based Practice in USC’s Doctor of Physical Therapy program and to clinicians nationally and internationally. Her curricula emphasize active learning and the integration of scientific research, clinical expertise and patient perspectives into clinical decision making. Dr. Tilson is co-author Evidence Based Physical Therapy, 2nd ed. (FA Davis, 2019) and has authored more than 30 peer-reviewed publications. She is Director of the USC hybrid DPT program and is President of the Section on Research of the American Physical Therapy Association. Her clinical area of specialty is vestibular rehabilitation and she is a board-certified specialist in Neurologic Physical Therapy. Daniel Kenta White, PT, ScD, MSc is an Assistant Professor in the Department of Physical Therapy, University of Delaware. Dr. White is also the Academy of Orthopaedic Physical Therapy Research Committee Chair. Speakers
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CoHSTAR’s 2019 Implementation Science Institute will include platform presentations and a poster session. Individuals with accepted abstracts will receive complimentary registration. If you register prior to acceptance, your registration fee will be refunded. Platform Presentation Schedule 4:30 – 5:15 Implementation Science Pioneers Platform Presentations Duke University Clinical Research Institute Cincinnati Children’s Medical Center Providence VA Medical Center In conjunction with the 2019 Implementation Science Research Institute CoHSTAR will sponsor our 4th Health Services Research Intensive Workshop. CoHSTAR invites physical therapists engaged in health services research to submit an application to participate in our 4th annual Health Services Research Intensive Workshop. The Workshop will be held on May 2, 2019 from 12-5 in Providence Rhode Island. Accepted participants will attend the Intensive Workshop free-of-charge and are expected to register for and attend CoHSTAR’s Implementation Science Research Institute (May 1-2). Workshop participants will work in small groups with CoHSTAR faculty to discuss and critique draft research proposals. Participants will also have opportunities for one-on-one consultation with CoHSTAR faculty to discuss strategies to advance their research agenda. “The workshop was very effective and invaluable for my professional growth.” HSR WORKSHOP PARTICIPANTS HAVE BEEN ACCEPTED – CONGRATULATIONS! CoHSTAR and AOPT are combining forces to offer an Implementation Science Workshop on May 2, 2019 immediately following the CoHSTAR’s Implementation Science Institute (12-5 pm). Accepted Workshop participants will: AOPT WORKSHOP PARTICIPANTS HAVE BEEN ACCEPTED – CONGRATULATIONS!View Poster Presentations
4:30-4:40
Challenges to implementing guideline concordant care for low back pain: update from a pragmatic trial in the Veteran’s Health Administration System
Trevor Lentz, PT, PhD, MPH
4:40-4:50
Improved Compliance with Completion of Patient Reported Outcome Measures in a Hospital Based Orthopaedic/Sports Physical Therapy Clinic.
Mark Paterno, PT, PhD, MBA
4:50-5:00
Implementation Strategies for Proactive Physical Therapy for People with Early Parkinson’s Disease
Miriam Rafferty, DPT Northwestern Medical
5:00-5:10
Formative Evaluation of the Implementation of a Quality Improvement Framework in Nursing Homes.
Whitney Mills, PhD
5:10-5:15
Summary
Linda Resnik, PT, PhD
Intensive Workshop participant Implementation Science Workshop (AOPT members only*)
Hotel Providence The Hotel Providence is a AAA Four Diamond luxury boutique hotel located in the heart of Providence. The Hotel Providence is a 15-minute walk from the Providence Amtrak train station and a 15-minute drive from the T.F. Green Airport. We have a negotiated room block rate of $149/night. NOTE: The reservation process now uses a promotion code. Go to the hotel website www.hotelprovidence.com, click “reservations” in the upper right corner, enter dates of stay and use the promo code COHSTAR to receive the room block rate. Make your reservations now! There is limited space and the room block ends on March 22, 2019.Hotel Room Reservations