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Health Extension Rural Office: Translating Reserch Into Localities (HERO TRalLS)

Award Number: R24HS022033
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 04/01/2013
PERIOD OF PERFORMANCE END DATE: 02/28/2017

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Health Extension Rural Office: Translating Reserch Into Localities (HERO TRalLS) - DESCRIPTION (provided by the applicant): Traditional methods for translating EB information into clinical practice have not worked well, especially in underserved, multiethnic (vulnerable) communities. There is a scarcity of studies on effective dissemination methods in rural, frontier and impoverished areas. The concept of using health extension agents, patterned after the 100-year experience of the Agricultural Extension Service, which transformed farming in this country, has been suggested as a model for translating evidence-based information into primary care, but few studies of this model have been conducted. The long term goal of this proposal is for Health Extension Rural Office: Translating Research into Localities (HERO TRalLs) to build an efficient, sustainable infrastructure that can adapt deliver and evaluate methodology for translating evidence-based information into rural primary care practices serving rural, underserved, multiethnic populations. Three specific aims will be addressed: 1) To establish a sustainable HERO TRalLs infrastructure to rapidly develop and conduct dissemination interventions predicated on existing evidence-based tools, 2) To conduct a mixed-method, comparative effectiveness (CE) trial of two interventions for disseminating an evidence-based toolkit for treating chronic non-cancer pain (CNCP), in two rural Federally Qualified Health Center (FQHC) primary care practice systems in New Mexico, 3) To adapt and produce two dissemination manuals: a) health extension agent policies and procedures and b) an evidence-based CNCP treatment toolkit. A sustainable infrastructure will be molded by leveraging existing strengths and expanding the missions of three academic organizations: 1) the Health Extension Rural Offices (HEROs) based on the Agricultural Extension Service concept, 2) a state-wide practice-based research network, the Research Involving Outpatient Settings Network (RIOS Net), and 3) a community-oriented Clinical and Translational Science Center (CTSC). A Community Stakeholder Advisory Board will build research capacity with representatives from public health, a Medicaid managed care organization, a parent FQHC association, a Quality Improvement Organization, the Board of Pharmacy, and a community coalition. We will test the health exchange, practice detailing intervention in a CE trial using an adapted state-of-the-art EB toolkit for treating of CNCP.


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: 2016 ( Subtotal = $0 )
2016	2015	UNIVERSITY OF NEW MEXICO (THE)	1 UNIVERSITY OF NEW MEXICO	ALBUQUERQUE	NM	87131	BERNALILLO	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	2/10/2016	EXTENSION WITH OR WITHOUT FUNDS	$0
														Subtotal = $0

Issue Date FY: 2015 ( Subtotal = $291,241 )
2015	2015	UNIVERSITY OF NEW MEXICO (THE)	1 UNIVERSITY OF NEW MEXICO	ALBUQUERQUE	NM	87131	BERNALILLO	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	2/26/2015	EXTENSION WITH OR WITHOUT FUNDS	$291,241
														Subtotal = $291,241

Issue Date FY: 2014 ( Subtotal = $274,351 )
2014	2014	UNIVERSITY OF NEW MEXICO (THE)	1 UNIVERSITY OF NEW MEXICO	ALBUQUERQUE	NM	87131	BERNALILLO	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	2/24/2014	NON-COMPETING CONTINUATION	$274,351
														Subtotal = $274,351

Issue Date FY: 2013 ( Subtotal = $291,693 )
2013	2013	UNIVERSITY OF NEW MEXICO (THE)	1 UNIVERSITY OF NEW MEXICO	ALBUQUERQUE	NM	87131	BERNALILLO	USA	Research on Healthcare Costs, Quality and Outcomes	001	1	4/2/2013	NEW	$0
2013	2013	UNIVERSITY OF NEW MEXICO (THE)	1 UNIVERSITY OF NEW MEXICO	ALBUQUERQUE	NM	87131	BERNALILLO	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	3/29/2013	NEW	$291,693
														Subtotal = $291,693

Grand Total All Awards = $857,285

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Health Extension Rural Office: Translating Reserch Into Localities (HERO TRalLS)

Award Number: R24HS022033

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

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

PERIOD OF PERFORMANCE START DATE: 04/01/2013

PERIOD OF PERFORMANCE END DATE: 02/28/2017

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