AGENDA

Thursday June 11th, 2009 (Room F)

SETTING THE STAGE: INTRODUCTION, BACKGROUND, and CONTEXT (8:00-10:00 a.m.)
Moderators:  Ira Ockene and Laura Svetkey, workshop chairs

• Welcome and Introductions – Michael Lauer (DPPS Director) & Rob Fulwood (DARD Acting Director); Laura Svetkey & Ira Ockene (workshop chairs) (10 min)
• Purpose and NHLBI context of the workshop – Denise Simons-Morton (5 min)
• Clinical implementation in a broader context – Ira Ockene (15 min)
• Efficacy to effectiveness to implementation – Laura Svetkey (10 min)
• From evidence to practice: Developing guidelines – Ned Calonge(20 min)
• From evidence to practice: NHLBI guidelines update process – Sid Smith (15 min)
• NHLBI guidelines Implementation Work Group – Thomas Pearson (15 min)
• Approaches and findings from clinical implementation research – David Goff (20 min)
• General Discussion (10 min)

• Introduction (5 min) – Martha Hill
• Overview on adherence research (15 min) – Lisa Cooper
• Interventions to improve medication adherence by patients – (30 min) – Gbenga Ogedegbe and Jacqueline Dunbar-Jacob
• Interventions to improve lifestyle adherence by patients – evidence, issues, and preliminary recommendations (30 min) – Jamy Ard and David Hyman
• Full group discussion (40 min) – Martha Hill, moderator

LUNCH (12:15-1:00 p.m.)
Please bring your lunch back from the Cafeteria to continue our meeting.

• Introduction (5 min) – Laura Petersen
• Conceptual and Theoretical Approaches to Implementation (15 min) – Paul Estabrooks
• Education and training for clinician adoption and implementation of evidence-based care – evidence and preliminary recommendations (25 min) – Charles Eaton and Jonathan Tobin
• Systems approaches for clinician adoption and implementation of evidence-based care – evidence and preliminary recommendations (25 min) – Judith Walsh and Laura Petersen
• Issues to consider: Observations and Questions from a Decade of Implementation Research in Primary Care Practice  (15 min) – Steven Ornstein
• Full group discussion (35 min) – Laura Petersen, moderator

• Introduction (5 min) – George Rust
• Team approaches in clinical care setting (e.g. case management systems and physician-pharmacist approaches) – evidence, issues, and preliminary recommendations (25 min) – Kathy Berra and Barry Carter
• Teams connecting clinic and community settings (community health workers) – evidence, issues, and preliminary recommendations (25 min) – Hector Balcazar and Penny Feldman
• Technology approaches linking clinic to home and community (e.g., health IT, telemedicine) evidence, issues, and preliminary recommendations (25 min) – Joseph Finkelstein, Beverly Green, and Hayden Bosworth
• Full group discussion (40 min) – George Rust, moderator

Friday June 12th, 2009 (Room D)

Expert Panel: Issues, Approaches, and Lessons Learned (9:00-11:00 a.m.)
(25 min talks, 10 min discussion for each)

• Methodological issues in clinical implementation research – Brian Mittman
• Practical and feasibility issues relevant to implementation of guidelines in practice – Raymond Gibbons
• Physician-patient communication – Howard Leventhal
• General discussion (15 min)

LUNCH (11:00 a.m.-12:30 p.m.)
Please bring your lunch back from the cafeteria to continue our meeting.

• Recommendations for strategies/approaches for practice
• Recommendations for research: specific research questions and general research approaches