ÿþ<html> <head> <title> Physicians Resource/Research Network (OKPRN)</title> <meta http-equiv=Content-Type content="text/html; charset=iso-8859-1"> <style type="text/css"> a:hover {background: #ffff88} .buttonscontainer {width: 150px;} .buttons a {color: #FFFFFF; background-color: #3b6491; padding: 6px; padding-left: 4px; display: block; border-left: 10px solid #666666; font: 14px Arial, sans-serif; font-weight: bold; text-decoration: none; text-align: left; margin-top: 3px;} .buttons a:hover {background-color: #3b6491; border-left: 12px solid #ffee00; text-decoration: none; color: #0000ff;} </style> <script type="text/jscript"> <!-- //detect browser: browserName = navigator.appName; browserVer = parseInt(navigator.appVersion); if (browserName == "Netscape" && browserVer >= 3) browserVer = "1"; else if (browserName == "Microsoft Internet Explorer" && browserVer == 4) browserVer = "1"; else browserVer = "2"; //preload images: if (browserVer == 1) { a1 = new Image(15,15); a1.src = "l_bullet.gif"; 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color: #330099"><em> </em><strong><span style="font-size: 12pt; font-family: MS Sans Serif">'Best PBRN' Nomination By IECRN</span></strong></span></span></span></td> </tr> <tr style="font-size: 12pt"> <td rowspan="1" colspan="3" style="border-top-width: thin; border-left-width: thin; border-left-color: darkgray; border-bottom-width: thin; border-bottom-color: darkgray; width: 89px; border-top-color: darkgray; height: 12px; text-align: left; border-right-width: thin; border-right-color: darkgray" valign="top"> </td> </tr> <tr style="font-size: 12pt"> <td valign="top" rowspan="6" style="width: 107px; text-align: left; border-top-width: thin; border-left-width: thin; border-left-color: darkgray; border-bottom-width: thin; border-bottom-color: darkgray; border-top-color: darkgray; height: 27px; border-right-width: thin; border-right-color: darkgray;"> <div class="buttonscontainer" style="text-decoration: none"><div class="buttons" style="text-align: center"> <a href="http://www.okprn.org/aboutus.html"><img width=12 height=12 src="arrow_outline.gif" border=0 alt="" style="font-style: normal"><span><span style="font-family: Arial"><span style="color: #ffff33">&nbsp;<span style="font-size: 10pt; font-family: Verdana;"><em style="font-style: normal">About Us</em></span></span></span></span></a><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em> </em></span> <a href="http://www.okprn.org/contactus.html"><img width=12 height=12 src="arrow_outline.gif" border=0 alt="" style="color: #ffff33; font-style: normal; font-size: 10pt; font-family: Verdana;"><span><span><span><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em style="font-style: normal"> Contact Us</em></span></span></span></span></a><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em> </em> </span> <a href="http://www.okprn.org/registration.html"><img width=12 height=12 src="arrow_outline.gif" border=0 alt="" style="font-style: normal; color: #ffff33; font-size: 10pt; font-family: Verdana;"><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em style="font-style: normal">&nbsp;Membership</em></span></a><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em> </em> </span> <a href="http://www.okprn.org/resources.html"><img width=12 height=12 src="arrow_outline.gif" border=0 alt="" style="font-style: normal; color: #ffff33; font-size: 10pt; font-family: Verdana;"><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em style="font-style: normal"> Resources</em></span></a><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em> </em></span> <a href="http://www.okprn.org/research.html"><img width=12 height=12 src="arrow_outline.gif" border=0 alt="" style="font-style: normal; color: #ffff33; font-size: 10pt; font-family: Verdana;"><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em style="font-style: normal"> Research</em></span></a><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em> </em></span> <a href="http://www.okprn.org/news.html"><img width=12 height=12 src="arrow_outline.gif" border=0 alt="" style="font-style: normal; color: #ffff33; font-size: 10pt; font-family: Verdana;"><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em style="font-style: normal">&nbsp;News & Events</em></span></a><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em> </em> </span> <a href="http://www.okprn.org/iliweb/logon.asp"><img width=12 height=12 src="arrow_outline.gif" border=0 alt="" style="font-style: normal; color: #ffff33; font-size: 10pt; font-family: Verdana;"><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em style="font-style: normal">&nbsp;ILI Web Portal</em></span></a><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em> </em> </span> <a href="http://www.okprn.org/peas/logon.asp"><img width=12 height=12 src="arrow_outline.gif" border=0 alt="" style="font-style: normal; color: #ffff33; font-size: 10pt; font-family: Verdana;"><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em style="font-style: normal">&nbsp;PEA Reports</em></span></a><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em> </em> </span> <a href="http://www.okprn.org"><img width=12 height=12 src="arrow_outline.gif" border=0 alt="" style="font-style: normal; color: #ffff33; font-size: 10pt; font-family: Verdana;"><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em style="font-style: normal">&nbsp;OKPRN Home</em></span></a><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em> </em> </span> <a href="http://www.okprn.org/memberlogin.html"><img width=12 height=12 src="arrow_outline.gif" border=0 alt="" style="font-style: normal; color: #ffff33; font-size: 10pt; font-family: Verdana;"><span style="color: #ffff33; font-size: 10pt; font-family: Verdana;"><em style="font-style: normal">&nbsp;<span style="color: orange">Log In</span></em></span></a> </td> <td rowspan="6" style="border-top-width: thin; border-left-width: thin; border-left-color: darkgray; border-bottom-width: thin; border-bottom-color: darkgray; width: 15px; border-top-color: darkgray; height: 27px; text-align: left; border-right-width: thin; border-right-color: darkgray" valign="top"> </td> <td rowspan="6" style="border-top-width: thin; border-left-width: thin; border-left-color: darkgray; border-bottom-width: thin; border-bottom-color: darkgray; width: 550px; border-top-color: darkgray; height: 27px; text-align: left; border-right-width: thin; border-right-color: darkgray" valign="top"> <o:p></o:p> <span><span style="font-family: Verdana"><span style="color: #0000cd"><span style="font-size: 10pt"> The <a href="https://www.clinicalresearchnetworks.org/" target="_blank" style="color: #0000cd">IECRN (Inventory &amp; Evaluation of Clinical Research Networks)</a> project, a component of the NIH Roadmap, has recently announced that three primary care research networks have been selected as "best practices" for their demonstrated success in operating efficiently, expanding their research scope, translating findings into clinical practice, training clinical researchers, and using technology to achieve network goals. <br /> <br /> Those networks are:<br /> &nbsp; <br /> <strong><em>Pediatric Research in Office Settings</em></strong><span style="font-size: 12pt; color: #000000; font-family: Times New Roman"> <br /> </span>(PROS - directors Eric Slora and Mort Wasserman)<strong><em> <br /> <br /> Oklahoma Physicians Research/Resource Network</em></strong> <br /> (OKPRN - director Jim Mold)<strong><em> <br /> <br /> Indiana University Research Network</em></strong> <br /> (ResNet - director Bill Tierney)&nbsp; <br /> <br /> The networks will now participate in an in-depth assessment of how their PBRN has been able to achieve successes in critical areas of clinical research.&nbsp; The results of this assessment will be published in 2006.&nbsp; </span></span><span style="font-size: 10pt; color: #0000cd"> Congratulations to all three networks!<br /> <br /> </span></span></span><span style="font-size: 10pt; font-family: Verdana"> <br /> <strong><span style="color: #0000cd">OKPRN Nomination Document:&nbsp;</span></strong> <br /> <br /> </span><span> <span style="color: #0000cd;"><span style="color: #0000cc;"><span><span style="color: #0000cd;"> <span><span style="font-family: Verdana"><span style="font-size: 10pt;"> Network: Oklahoma Physicians Resource/Research Network (OKPRN)<br /> Primary Focus Area: Primary Care<br /> Key Contact:&nbsp; James Mold, MD, PhD, Director<br /> </span> <br /> </span> </span></span></span></span></span></span> <span style="color: #0000cd;"><span style="color: #0000cc;"> <span style="font-size: 10pt"><span style="color: #0000cd;"><span style="font-family: Verdana"> Oklahoma University Health Sciences Center&nbsp;<br /> 900 Northeast 10th Street Oklahoma City, OK 73104&nbsp;<br /> (405) 271-2370, james-mold@ouhsc.edu.</span><span><span style="font-family: Verdana">&nbsp;<br /> <br /> Nominator: David Lanier, MD, AHRQ&nbsp;<br /> (301) 427-1567, dlanier@ahrq.gov. <br /> <br /> The Oklahoma Physicians Resource/Research Network (OKPRN) is a state-wide primary care practice-based research network (PBRN) established in 1994. Comprised of 235 family medicine physicians, nurse practitioners, and physician assistants, OKPRN is currently involved in 11 funded projects and 2 unfunded studies as well as the numerous secondary analyses of previously collected data (e.g. from a cohort of elderly patients). Since 1994, network research has generated 33 peer-reviewed publications with 2 manuscripts in press and 2 awaiting review. OKPRN is remarkable for its unique network design and progressive thinking. The network has created a collaborative model of supplying valuable resources to its clinician members in the form of Practice Enhancement Assistants (PEAS). PEAS not only assist member practices with OKPRN s research projects, but also support these practices individual quality improvement and information technology needs. The PEAS program is such an interesting model of conducting primary care practice-based research with a focus on quality improvement that the OKPRN director has been invited to conduct information and training sessions on PEAS at multiple PBRN venues, including the AHRQ PBRN annual meetings. <br /> <br /> OKPRN is also remarkable for its internal interactivity, research focus, efficiency, and information technology capabilities. OKPRN maintains its high level of internal interactivity through active sharing of research ideas and findings and discovering/establishing best practices. Specific methods of communication have included a website (www.okprn.org), an actively engaged listserver, a newsletter, two meetings per year, PEAS working within groups of practices and meeting with each other weekly, and periodic visits to member practices by the network director. OKPRN s Project Development Advisory Committee includes full-time practitioners and academicians as well as representatives from the State Department of Health, the State s Quality Improvement Organization, and the State Medicaid Office. A majority of these Committee members are also full-time practitioners. In addition to this committee and these communication forums, OKPRN disseminates all its publications prior to final drafts to all members and practices that participated in the project (for review and comment). OKPRN also produces summaries of all study findings in spiral bound booklets that are distributed to all members, and study results are displayed on posters in teaching settings. Practitioners are encouraged and financially supported to present study findings and exemplary practices at network and national/international meetings. <br /> <br /> OKPRN has expanded its research scope by focusing on translational research, successfully bridging the gap between research and quality improvement. In addition to studying clinicians and their practices, OKPRN has established and followed a cohort of elderly patients and has studied certain common symptoms (e.g. night sweats and spider bites) in consecutive patients seen in their practices. OKPRN has also pioneered a new research method called  best practices research that involves identification of exemplars who provide characterization and dissemination of their methods. This method has been used to study some processes of care such managing laboratory test results and prescription refills. In addition, on several occasions OKPRN has used qualitative methods and mixed methods research. By including representatives from the State Department of Health, the Medicaid Office, and the State Quality Improvement Organization on their advisory committee, OKPRN has been able to obtain contracts from those three organizations to support its practice-based research. OKRPN has also received some ongoing support from the Oklahoma Academy of Family Physicians. Grant funding has come primarily from AHRQ, NCI, RWJF, a local foundation, a state agency (the Oklahoma Center for the Advancement of Science and Technology), and the AAFP Foundation. <br /> <br /> OKPRN s unique design, statewide network coverage, and the number of employees working for the network have forced OKPRN to be creative in developing an efficient organizational scheme. One way OKPRN has done this is by becoming a non-profit 501(c)6 corporation (as of 2003), a unique approach among PBRNs. Because non-profit corporations require a board of directors, OKPRN designed this board so that it would contain network member and community representative volunteers. Although in need of an executive administrative assistant, the network has economized by utilizing two faculty members and two staff members in the Department of Family and Preventive Medicine to conduct most of this work to date. At this point, their time is largely paid for from grants and contracts. Grants and contracts generally come through the University with subcontracts to the network for certain administrative tasks involved in meeting planning, CME applications, and administrational tasks related to maintaining the network. To simplify recruitment and allow the practice enhancement assistants (generally MPH-level folks who have received HSP training) to assist the practice members, OKPRN established Business Associate Agreements with its practices that provide access to patients personal clinical data to recruit patients and abstract medical data. <br /> <br /> Since its inception, OKPRN has emphasized development of information technology to connect with its practices. The first ten member practices were given MacIntosh computers and training (1994). Although very few of OKPRN s members have electronic medical records (EMRs), all of the active members use OKPRN PDAs. Those who do have EMRs report daily on the number of influenza-like illness cases and total patients seen each day. This information comes directly to the network and to the State Department of Health as part of an ongoing influenza surveillance system. OKPRN has also developed a diabetes registry and a preventive services registry and reminder system that are currently used by 20-30 network clinicians. Other OKPRN applications have been developed for managing laboratory test results, prescription refills, home care and nursing home patients, and practices schedules. The network is currently participating in the NIH-funded ePCRN Project to facilitate capturing data from billing and laboratory systems and allow on-sight data entry for clinical trials. For the past 4 years OKPRN has supported a full-time programmer and currently contracts with a private software engineer. <br /> <br /> In conclusion, OKPRN s unique organization and progressive thinking make it a strong candidate for a "best practice" in the IECRN program.<br /> </span> </span></span></span></span> <o:p></o:p> </span> <tr> </tr> <tr> </tr> <tr> </tr> <tr> </tr> <tr> </tr> <tr> <td colspan="3" rowspan="1" style="border-top-width: thin; background-position: center center; border-left-width: thin; border-left-color: darkgray; border-bottom-width: thin; border-bottom-color: darkgray; border-top-color: yellow; background-repeat: repeat; height: 13px; background-color: transparent; text-align: center; border-right-width: thin; border-right-color: darkgray" valign="bottom"> </td> </tr> <tr> <td colspan="3" rowspan="1" style="background-position: center center; border-top: yellow thin groove; border-left-width: thin; border-left-color: darkgray; background-image: url(OKPRNlogo_bkgr.jpg); border-bottom-width: thin; border-bottom-color: darkgray; background-repeat: repeat; height: 30px; background-color: transparent; text-align: center; border-right-width: thin; border-right-color: darkgray" valign="bottom"> <span style="font-size: 10pt; color: #696969; font-family: Tahoma; border-top-style: groove; border-top-color: #ffff00;">(c) 2008 OKPRN Health IT Solutions. All rights reserved.&nbsp;</span></td> </tr> </table> &nbsp; </body> </html>