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Translating Evidence Into Practice: System-Centered Implementation Strategies
EPI 247 Spring 2009 (1.5 units)



OBJECTIVES

This course surveys a range of translational tools at the heath care system level that can be used to promote the adoption of evidence-based medicine by providers and delivery systems. Strategies for change are presented in the broader context of sociological theories of organizational behavior and policy implementation. The focus of this course is on translational tools that can be used by stakeholders outside health care organizations – including purchasers, payers and government regulators – to promote the adoption of clinical innovations within organizations. Such tools range from contract-based payment incentives, to performance monitoring, education and technical assistance programs, to changes in existing government licensing laws and quasi-governmental regulations used by credentialing agencies. The course is team-taught by an organizational sociologist and physician-policy researcher from UCSF’s Philip R. Lee Institute for Health Policy Studies, augmented by faculty guest speakers who do translational research on specific topics relevant to the course.

At the end of the course, students will be able to:
1. Better understand the nature and scope of system-level tools for promoting the widespread adoption of new clinical and public health interventions;
2. Consider how each tool can be applied to address barriers to translation in the student's substantive field of expertise;
3. Develop grantsmanship skills, including how to develop new proposal ideas, how to "pitch" proposals to potential funders and write a fundable letter of intent; and
4. Complete a fundable brief proposal for a pilot study that applies a selected translational tool to the student's area of expertise.

PREREQUISITES

Designing Clinical Research (Epi 202). Exceptions to this prerequisite may be made with the consent of the Course Director, space permitting.

FACULTY

Course Director:

Laura Schmidt, PhD, MSW, MPH
Phone: 415-476-0440
email: laura.schmidt@ucsf.edu

Co-Director:

James G. Kahn, MD, MPH
email: jgkahn@ucsf.edu


FORMAT

Lectures: Tuesdays: 3:30 to 5:00 PM, March 31 through June 2.

GRADING

Grades will be based on total points achieved on homework.

ENROLLMENT

This course is open to a limited number of individuals outside of the ATCR and Master's programs. Preference is given to UCSF-affiliated personnel. We regret that auditing is not permitted. To apply for this course please fill out and submit the application below. Cost and submission information are in the application.

Application (Word doc, 20KB)