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Trauma Institutional Priorities and Teams for Outcome Efficacy (TIPTOE)

Award Number: R01GM111324
ORGANIZATION: NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 03/05/2015
PERIOD OF PERFORMANCE END DATE: 05/31/2026

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Trauma Institutional Priorities and Teams for Outcome Efficacy (TIPTOE) - PROJECT SUMMARY/ABSTRACT In the United States, trauma is the leading cause of death for individuals under the age of 45 and was responsible for $671 billion in economic damage in 2013. Despite growing standardization of clinical trauma care, at Level I and Level II trauma centers, there remains significant variability in patient outcomes across trauma centers on both levels. To resolve this issue, two knowledge gaps will be addressed: a) which organizational features impact patient outcomes and b) which organizational features are indicative of institutional commitment. Our global hypothesis is that variability of organizational features in Level I and Level II trauma centers is a significant factor in the variability of patient outcomes across those trauma centers. We will also collect data on which organizational features are indicative of institutional commitment from the perspective of trauma experts. In Aim 1 we will collect data about the organizational characteristics and patient outcomes at 230 Level I and Level 2 trauma centers. These centers will also provide us with their Trauma Quality Improvement Program data, which includes patient outcomes. To support our global hypothesis, we will use these data to test whether organizational features of the trauma centers show an impact on patient outcomes, specifically patient mortality, length of stay, and risk-adjusted major complications. In Aim 2 we will use the data about organizational characteristics to assess which organizational features of trauma centers are indicative of institutional commitment using Latent Class analysis. This will allow us to represent the dependencies between organizational features and institutional commitment and add this information to the TIPTOE database. We will use these data to create automatic inferences on patterns of institutional commitment to represent, group and analyze factors indicative of institutional commitment using data collected in the present project. This provides an additional source of knowledge guiding trauma center planning and decision-making. In Aim 3 we will extend the Ontology of Organizational Structures of Trauma Centers and Trauma Systems (OOSTT) to include institutional commitment and patient outcomes. We will set up the TIPTOE Knowledge Base and create the Knowledge Path tool for users to explore, analyze, and visualize TIPTOE data. We will test the hypothesis that the TIPTOE Knowledge Path is perceived to make a positive impact on knowledge discovery and decision making in the user community. This project will initialize a novel resource of patient outcome information for the trauma care community. The purpose of this project is the next evolution of trauma center quality improvement allowing change based on scientific evidence of which components of trauma centers affect patient outcomes.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2025 ( Subtotal = $454,259 )
2025	2025	UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES	4301 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	Biomedical Research and Research Training	000	10	5/26/2025	NON-COMPETING CONTINUATION	$454,259
														Subtotal = $454,259

Issue Date FY: 2024 ( Subtotal = $442,903 )
2024	2024	UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES	4301 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	Biomedical Research and Research Training	000	9	5/28/2024	NON-COMPETING CONTINUATION	$442,903
														Subtotal = $442,903

Issue Date FY: 2023 ( Subtotal = $440,792 )
2023	2023	UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES	4301 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	Biomedical Research and Research Training	000	8	7/3/2023	NON-COMPETING CONTINUATION	$440,792
														Subtotal = $440,792

Issue Date FY: 2022 ( Subtotal = $484,539 )
2022	2022	UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES	4301 W MARKHAM ST	LITTLE ROCK	AR	72205	PULASKI	USA	Biomedical Research and Research Training	001	7	8/17/2022	COMPETING CONTINUATION	$15,696
2022	2022	UNIVERSITY OF ARKANSAS SYSTEM	4301 W MARKHAM ST SLOT 812 BIO-MED BLDG 1 STE 102	LITTLE ROCK	AR	72205	PULASKI	USA	Biomedical Research and Research Training	000	7	8/10/2022	COMPETING CONTINUATION	$468,843
														Subtotal = $484,539

Issue Date FY: 2021 ( Subtotal = -$15,696 )
2021	2019	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Biomedical Research and Research Training	000	6	7/2/2021	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	-$15,696
														Subtotal = -$15,696

Issue Date FY: 2020 ( Subtotal = $4,265 )
2020	2019	UNIVERSITY OF ARKANSAS SYSTEM	4301 W MARKHAM ST SLOT 812 BIO-MED BLDG 1 STE 102	LITTLE ROCK	AR	72205	PULASKI	USA	Biomedical Research and Research Training	000	5	11/28/2019	NON-COMPETING CONTINUATION	-$137,327
2020	2019	UNIVERSITY OF ARKANSAS SYSTEM	4301 W MARKHAM ST SLOT 812 BIO-MED BLDG 1 STE 102	LITTLE ROCK	AR	72205	PULASKI	USA	Biomedical Research and Research Training	002	5	9/6/2020	NON-COMPETING CONTINUATION	-$8,912
2020	2019	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Biomedical Research and Research Training	003	6	9/6/2020	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$8,912
2020	2019	UNIVERSITY OF FLORIDA	1523 UNION RD RM 207	GAINESVILLE	FL	32611	ALACHUA	USA	Biomedical Research and Research Training	001	6	11/29/2019	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$141,592
														Subtotal = $4,265

Issue Date FY: 2019 ( Subtotal = $253,856 )
2019	2019	UNIVERSITY OF ARKANSAS SYSTEM	4301 W MARKHAM ST SLOT 812 BIO-MED BLDG 1 STE 102	LITTLE ROCK	AR	72205	PULASKI	USA	Biomedical Research and Research Training	000	5	2/18/2019	NON-COMPETING CONTINUATION	$253,856
														Subtotal = $253,856

Issue Date FY: 2018 ( Subtotal = $253,856 )
2018	2018	UNIVERSITY OF ARKANSAS SYSTEM	4301 W MARKHAM ST SLOT 812 BIO-MED BLDG 1 STE 102	LITTLE ROCK	AR	72205	PULASKI	USA	Biomedical Research and Research Training	000	4	2/15/2018	NON-COMPETING CONTINUATION	$228,470
2018	2018	UNIVERSITY OF ARKANSAS SYSTEM	4301 W MARKHAM ST SLOT 812 BIO-MED BLDG 1 STE 102	LITTLE ROCK	AR	72205	PULASKI	USA	Biomedical Research and Research Training	001	4	5/16/2018	NON-COMPETING CONTINUATION	$25,386
														Subtotal = $253,856

Issue Date FY: 2017 ( Subtotal = $253,856 )
2017	2017	UNIVERSITY OF ARKANSAS SYSTEM	4301 W MARKHAM ST SLOT 812 BIO-MED BLDG 1 STE 102	LITTLE ROCK	AR	72205	PULASKI	USA	Biomedical Research and Research Training	000	3	2/3/2017	NON-COMPETING CONTINUATION	$228,470
2017	2017	UNIVERSITY OF ARKANSAS SYSTEM	4301 W MARKHAM ST SLOT 812 BIO-MED BLDG 1 STE 102	LITTLE ROCK	AR	72205	PULASKI	USA	Biomedical Research and Research Training	001	3	8/2/2017	NON-COMPETING CONTINUATION	$25,386
														Subtotal = $253,856

Issue Date FY: 2016 ( Subtotal = $257,217 )
2016	2016	UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES	4301 W MARKHAM ST, M S 545	LITTLE ROCK	AR	72205	PULASKI	USA	Biomedical Research and Research Training	000	2	2/24/2016	NON-COMPETING CONTINUATION	$257,217
														Subtotal = $257,217

Issue Date FY: 2015 ( Subtotal = $270,727 )
2015	2015	UNIVERSITY OF ARKANSAS FOR MEDICAL SCIENCES	4301 W MARKHAM ST, M S 545	LITTLE ROCK	AR	72205	PULASKI	USA	Biomedical Research and Research Training	000	1	3/3/2015	NEW	$270,727
														Subtotal = $270,727

Grand Total All Awards = $3,100,574

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Trauma Institutional Priorities and Teams for Outcome Efficacy (TIPTOE)

Award Number: R01GM111324

ORGANIZATION: NATIONAL INSTITUTE OF GENERAL MEDICAL SCIENCES

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 03/05/2015

PERIOD OF PERFORMANCE END DATE: 05/31/2026

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