Agenda

Workshop Purpose:

To review the state of science on the study of Healthcare organizations as applied to cancer care delivery

Workshop Objectives:

  1. Review the current state of the science of healthcare organizations
  2. Discuss measures of organizational structure and organizational behavior from a multilevel perspective
  3. Review of multilevel interventions in healthcare
  4. Discuss implementation strategies applicable to multilevel research
  5. Discuss common problems in organizational science, measures, conducting, and evaluating multilevel healthcare delivery interventions
Time/Room Location Lecture Title and Objective Speaker
8:30–9:00 a.m. NCI Security Check-In and Registration  
9:00–9:10 a.m.
Room: SG110
Welcome and opening remarks Robert Croyle, Ph.D.
National Cancer Institute
9:10–9:20 a.m.
Room: SG110
Workshop charge to speakers and participants, and logistics Erica S. Breslau, Ph.D. and
Paul Doria Rose, Ph.D.
National Cancer Institute
9:20–9:30 a.m.
Room: SG110
Introduction: Landscape of healthcare systems in the U.S. Jose Escarce, M.D., Ph.D.
University of California, Los Angeles and The Rand Corporation
9:30–10:00 a.m.
Room: SG110
Lecture 1:
Overview and evolution of organizational theory in healthcare. What has been learned over the past 20 years
Objective:
Introduce organizational theory as a Way to understand Why organizations behave as they do
 
Sylvia Hysong, Ph.D.
Veterans Administration
10:00–10:05 a.m. Q&A Discussion with speakers and attendees  
10:05–10:25 a.m.
Room: SG110
Lecture 2:
Implementation of organizational interventions
Objective:
Understand the principles and components of organizational change interventions, difficulties encountered and solutions
Greg Aarons, Ph.D.
University of California, San Diego
10:25–10:30 a.m. Q&A Discussion with speakers and attendees  
10:30–10:45 a.m. Morning Break  
10:45–11:05 a.m.
Room: SG110
Lecture 3:
Measuring organizational factors
Objective:
Review organization/system-level measures that reflect variation in healthcare organization characteristics and predict health outcomes
Jose Escarce, M.D., Ph.D.
University of California, Los Angeles and The Rand Corporation
11:05–11:15 a.m. Q&A Discussion with speakers and attendees  
11:15–11:35 a.m.
SG110
Lecture 4:
Challenges in evaluating organizational interventions
Objective:
Understand the fundamental features that determine how and why interventions bring desired changes or fail
Brian Mittman, Ph.D.
Kaiser Permanente
11:35–11:45 a.m. Q&A Discussion with speakers and attendees  
11:45 a.m.–12:30 p.m. LUNCH (On your own in the NCI Cafeteria)  
12:30–12:55 p.m.
Room: SG110
Panel 1:
Topic:
Practical examples of connecting organizational research to healthcare delivery
Objective:
Highlight practical, real-world examples of studies that demonstrate organizations’ impact on healthcare delivery
Sallie Weaver, Ph.D.
National Cancer Institute
12:55–1:05 p.m.
Room: SG110
Topic:
The PROSPR-2 experience of developing organizational measures
Objective:
Identify challenges to developing organizational measures across different healthcare systems
Elisabeth Beaber, Ph.D.
Fred Hutchinson
Cancer Research Center

 
Jasmin Tiro, Ph.D.
The University of Texas Southwestern Medical Center
1:05–1:15 p.m.
SG110
Topic:
Care coordination and tension between primary care and specialty groups
Objective:
Understand the importance of an organizational perspective to resolve differences between two groups of providers
Jennifer Haas, M.D.
Harvard Medical School
1:15–1:30 p.m.
Room: SG110
Topic:
Practical application of interventions designed to influence organizational leadership
Objective:
Understand the importance of an organizational perspective to resolve differences between two groups of providers
Jill Marsteller, Ph.D.
Johns Hopkins University
1:30–1:40 p.m. Q&A Discussion with speakers and attendees  
1:40–3:15 p.m. Concurrent Small Breakout Groups with Experts
Objective:
An opportunity for attendees to discuss, share, and learn from real-world experience and network
 
Room: SG110 Group 1:
Organizational theory
Sylvia Hysong, Ph.D.
Veterans Administration
 
Sallie Weaver, Ph.D.
National Cancer Institute
Room: SG 7E032/034 Group 2:
Organizational frameworks and intervention design
Greg Aarons, Ph.D.
University of California,
San Diego

 
Jasmin Tiro, Ph.D.
The University of Texas Southwestern Medical Center
Room: SG 2E908 Group 3:
Organizational measures in healthcare
Jose Escarce, M.D., Ph.D.
University of California, Los Angeles and The Rand Corporation
 
Bryan Weiner, Ph.D.
University of Washington
Room: SG 2W032/034 Group 4:
Evaluating healthcare organizations
Brian Mittman, Ph.D.
Kaiser Permanente
 
Jill Marsteller, Ph.D.
Johns Hopkins Bloomberg School of Public Health
3:15–3:30 p.m. Afternoon Break  
3:30–4:00 p.m.
Room: SG110
Panel 2:
Topic: Individual group reports
Objective:
Summarize discussions within the breakout groups including issues raised and suggestions for solutions
Notetaker reports from:
Group 1:
Organizational theory
Group 2:
Organizational frameworks
Group 3:
Organizational measures
Group 4:
Evaluating organizations
4:00–4:30 p.m.
Room: SG110
Panel 3:
Topic: Expert reflections of the day
Objective:
Summarize the key messages, challenges, gaps, needs, and suggestions for NCI to address them in the future
Greg Aarons, Ph.D.
Jose Escarce, M.D., Ph.D.
Sylvia Hysong, Ph.D.
Jill Marsteller, Ph.D.
Brian Mittman, Ph.D.
Bryan Weiner, Ph.D.
4:30–5:00 p.m.
Room: SG110
Wrap-up:
What NCI can do in the future to support organizational science in healthcare
Erica S. Breslau, Ph.D. and
Paul Doria Rose, Ph.D.
National Cancer Institute
5:00 p.m. Adjournment