Improving performance can occur using multiple methods from simple committee meetings to investigator-initiated research. The CHSOR is engaged with many individuals through committee work and processes that translates into improvement. Some of the efforts are listed on the next page. Staff participate in improvement work share by sharing clinical knowledge, management knowledge, research expertise, database expertise, data management knowledge and process improvement knowledge. Engagement in quality improvement often leads to investigator initiated research or quality improvement research for the betterment of patient care.
PATIENT CENTERED CARE
The initiation, development and dissemination of research is a central function within the CHSOR. Research is evidence-based in that the studies involve the use of patient data to understand how the structure, process and outcomes of care are being provided and how those can improve. At times the research takes the form of trying different interventions with the intent of improving patient care locally and nationally.
Investigators of all disciplines use the research and biostatistical expertise of staff in the CHSOR in the conduct of their studies. Staff works with the investigator from the beginning of his/her study until its completion, which is dissemination of the knowledge through a peer-reviewed publication. The CHSOR maintains an active research database. At any time, we can identify the investigator, subject of his/her research and the stage of development. When a study is closed, at the time of publication, a copy of the published article is maintained in the Center.
Finally, research involves education of residents and others with regard to the research process, research methods and application of statistics. A curriculum has been developed for use in the education of residents.
PUBLIC HEALTH PRACTICE AND RESEARCH
The mission of the CHSOR includes improving the health of people as they live and work in their communities. Thus public health improvement is a critical area that translates into a core area within the Center. Several initiatives are outlined on the next page. Each has its own history and story, but all efforts are focused on improving health care through the public health system.