1. Round Table: International Experiences in Research Governance Patricia Pitman June 10, 2008

2. PANELISTS  Carolyn Clancy, Director of Agency for Healthcare Research and Quality (AHRQ)  Sharon Arnold, Director of Robert Wood Johnson Foundation’s Health Care Financing and Organization Initiative (HCFO)  Susan Law, VP of Research and Evaluation and the Canadian Health Services Research Foundation (CHSRF)  Kieran Walshe, Research Director Dept of Health’s Institute for Health Research Service Delivery and Organization Research Program (SDO)

3. Institutional Differences Ownership Mission Budget Size Focus

4. POLICIES & APPROACHES Priority setting Funding modalities Knowledge transfer Impact assessment

5. AHRQ 1.Goal: Improve quality, safety, effectiveness and efficiency of health care for all Americans. 2.Focus: (full spectrum) Portfolios: Health IT; Care Management and Prevention; Patient Safety and Quality; Comparative Effectiveness Research; Value-Based Health Care; Emerging Issues and Innovations 3. Funding source: Congressional appropriations 4.Total Budget: $334.5 M, $KT 4-5M, $27.4 M for training researchers 5.Other HSR Funders: NIH, CDC, VA, foundations 6. Challenges: Balancing investments in business lines (research and data, synthesis and tools and dissemination and implementation) Best approaches to KT and dissemination / implementation.

6. 1. Goal: To fund policy relevant research in healthcare financing and organization 2. Focus: Changes in health care financing and organization that have implications for public policy. 3. Funding source: RWJF, which determines the amount. 4. Budget: Base of $3M, with additional funding for special solicitations. 5. Other HSR Funders: Federal government is primary funder (NIH, AHRQ, VA and CDC), but among foundations RWJF is largest. 6. Challenge :  Evaluating the policy relevance of proposals  Disseminating the research findings to policymakers who can use them. HCFO

7. 1.Goal: To promote evidence-informed decision-making in healthcare management and policy. 2.Focus: Research topics are theme-based following national consultation exercise every 3-4 years. Currently they are: quality and safety; healthy workplaces; change management; decision-making 3.Funding source: Endowment from federal government : $151.5M 4.Budget: Annual budget: $13-15M –research: $3M –training for researchers: $2M –KT: $1.8M –training for research use $3.4M –program and adm. support: $4.5M 5.Other HSR Funders: Institute of Health Services and Policy Research, = other institutes in Canadian Institutes of Health Research @ 5.2 m. ….or 4% of total health research. 6. Challenge: Evaluation of impact (demonstrating value-added for investment in HSPR – related to long-term sustainability) CHSRF

8. 1. G oals: – Commission research AND produce evidence – Build capacity amongst those who manage services to conduct research and to understand and use research literature 2. Focus: Healthcare service delivery and organization. 3. Funding source: part of the Department of Health. Budget set annually by negotiation with the DH Director General for Research. 4. Total budget: Commissioned research currently $16M per year, but will increase to $24M over the next two years. $5M will go to KT. 5. Other HSR Funders?: The Department of Health has a separate policy research program that spends around $60M. Some research is also commissioned by the Economic and Social Research Council, charitable research funders, and other bodies. 6. Challenge : KT: Build stronger links with and support from the NHS management community for our research, and to see much more effective processes for knowledge mobilization and utilization. SDO

9. 1.Approaches to Priority-Setting and Proposal Selection  How do you set research priorities?  What is the balance of stakeholder involvement?  How is relevance or potential system impact assessed at the proposal stage?

10. 2. Funding Modalities  What is the spectrum of funding mechanisms and project types you use for different objectives?  What are the trade-offs of different models?

11. 3. Knowledge Transfer  Budget allocated to KT?  Range of mechanisms and tools used?  Repercussions of increased attention to KT?  Role in influencing university culture?

12. 4. Impact Assessment  Are you accountable for demonstrating the impacts of your investments and, if so, to whom?  What is being measured and how?  Any changes in policy as a result of assessments?