amuse-bouche: the palate for change clinical research services in 2011
TRANSCRIPT
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Clinical and TranslationalScience Institute / CTSIat the University of California, San Francisco
Amuse-bouche: The Palate for ChangeClinical Research Services in 2011
CTSI Annual RetreatJuly 28, 2011
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Clinical Research Services
• Cost Recovery Initiative– Lynda Jacobsen
• Participant Recruitment Core Services– Nariman Nasser
• Clinical Coordinator Core Services– Danusia Filipowski, MD
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COST RECOVERY INITIATIVE
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Cost Recovery Goals
• To continue providing high quality core services to support clinical research at UCSF and beyond
• To work with investigators to expand services to meet their emerging needs
• To understand the cost of providing services
• To optimize use of facilities and resources
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Why Cost Recovery Now?
• We face cumulative pressures– increasing costs– fiscal constraints– anticipated decreases in NIH funding support
• To introduce a “shared investment” approach to leveraging all available funding sources to support needed services
• To ensure prudent resource management
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Cost Recovery Principles
• Established by Cost Recovery Task Force to guide development of cost recovery policies
• “Grandfathers” current studies under agreements in place at the time the original budget was developed
• Proposes a minimum contribution of 40% of CRS cost for new, revised and competing grant applications
• Commitment to working with investigators to address funding constraints
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Next Steps
• Communicate principles to campus investigators and key stakeholders
• Continue costing new and renewal proposals using estimated rates
• Develop and publish formal recharge rates for every core service
• Refine internal procedures to ensure timely responses to investigator inquiries
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PARTICIPANT RECRUITMENT CORE SERVICES
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SUPPORT INCREASE IMPROVE
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INCREASE
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CLINICAL COORDINATOR CORE SERVICES
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• A new CTSI service inspired by investigator’s needs and requests
• Piloted by Drs. Wara, Puck and Milojevic for 1 year in 2010• 1 coordinator• ~ 4 studies
• CRC-Core was created in August 2010 as an official CTSI service
• In 10 months we have grown to a staff of 5, with 1 position pending
• Coordinator support is 80% recharge from PI’s, 20% CTSI
Our Origins:
Clinical Research Coordinator Core
Image: iStockphoto/Mark Evans
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Clinical Research Coordinator Core
Our Development:
1. Coordinator Services: Full study support
a. All UCSF PI’sb. All departments and all specialtiesc. All locations where UCSF PI’s conduct researchd. Everything else … within reason
2. Education initiative:
a. Curriculumb. Certification program
3. “Switchboard” of coordinator services
Image from: http://www.beappreciative.com
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Clinical Research Coordinator Core
Image from: http://www.dailymail.co.uk
Our In-duck-tion:
• 45 requests for service
• 32 studies supported
• 5 early career investigators
• Current sites:• Parnassus: 12M, 6M, ER, ICU, Inpatient and outpatient
• Mount Zion: 6West
• SFGH: Inpatient and outpatient CRS unit (4C/5B)
• Satellite sites: RAI dialysis centers on Haight & Cesar Chavez
• SFVA: Pending accreditation and access.
• Current specialties:• 1/3 Pediatric, 2/3 Adult
• IM, OB/Gyn, Surgery
• Immune/BMT, Rheum, Hep, ID, Neuro, Heme/Onc, Nephro, Cardio, Environmental Health, GU, Early Phase Caner Center, etc.