1. Increasing Value Through Community-Based Research
Michael Kelly MD, PhD
Chief Research Officer

2. Strengths at Akron Children’s Hospital
Serves a Large, Diverse Geographic Area
Community Integration – ACHPs, Schools, Community Health Workers, Health Agencies
Single EHR
Alignment of Clinical and Research Operations in Population Health
Leverage Expertise at Several Surrounding Academic Centers
Process of Program Building Providing Unique Flexibility in Focus and Direction

3. Rebecca D. Considine Research Institute: Organization
Population and Health Services Research
Brain, Mitochondrial and Muscle Health
Vision Science
Centers
Care Coordination
Home and Community
Based Care
Behavioral/Environmental/Social risk factors
Cancer
Skeletal diseases
Palliative care
Heart Disease
Asthma
Obesity
Neurodevelopmental diseases of childhood
Epilepsy
Autism
Traumatic brain injury (TBI)/concussion
Primary mitochondrial disease
Muscular dystrophies
The developing ocular motor system - strabismus and nystagmus
The developing visual brain – amblyopia
Pediatric Glaucoma and Cataracts
Retinopathy of Prematurity
Craniofacial and Other Genetic Disorders
Focus
Areas

4. Population and Health Services Research
Healthy
Populations
Population and Health Services Research
Preventative
Health
Complex Medical
Populations
Risks
Social
Economic
Behavioral
Medical
Environmental
Cancer
Rare Diseases
Palliative Care
Asthma
Diabetes
Heart Disease
Outcomes
Medical
Social
Behavioral
Economic
ACHPs
Schools
Community Agencies
Models of Care Delivery
Risk Reduction Research
ACH
HUBs
Payer models
Care Coordination
Home and Community Based Care
What are the significantly individually addressable risk factors?
Determine the relative weight of impact of individual risk facors as compared to other risk factors.
What is the combined weight of when those factors occur in groupings
Major outcomes (dependent variables) the risk factor exerts its impact upon
medical – ED use, hospitalizations
economic – cost of care
social- school performance, employment
behavioral health – parenting
Mental health – depression, anxiety
Does the outcome and cost of care change when risk factors are identified and addressed?
Identify Individual Modifiable Risks
Relative
Weight of Impact
Groupings of Risk Factors and Relative Impact

5. Research Objectives
Determine modifiable risks of health for ACH populations
Help ID populations at high risk for poor health outcomes
Provide evidence for interventional research to improve health outcomes and lower costs of care
Determine relative risks for childhood health, inclusive of many pediatric institutions
Determine relative risks of health spanning health systems and care models, including adult and pediatric subjects