Table 1.
CTSA Site | Target | Best Practice | Effect |
---|---|---|---|
University of Washington | Overall assessment of research hospital | Introduce “Toyota” management | • Reduced mean IRB approval from 44 to 13 days • Reduced concurrent protocol processing from 370 to 69 studies under review. • Increased research visits to 9% of total visits • Decreased “problem score” from 58 to 35 |
Harvard University | Study approval time | Streamline processing, eliminate useless steps, parallel processing, electronic workflow; 524 protocols reviewed electronic scheduling | Study Approval Time reduced by 56% |
CTSA Consortium van Dalfsen | Time to first participant Enrolled in multisite national study | Compare best and worst nationally: Key success factors were • Shared leadership (PI/manager) • Clear, shared process for research • Regular, effective communication • Business‐like approach (financial systems and practices) • Hiring the right people |
Best quartile–activated studies soonest, enrolled 16–40% of participants Worst quartile–activated studies latest, enrolled 0–15% of participants. |
University of Michigan | Increase research participation | Research volunteer registry based on preliminary study of perceptions (investigators and participants) • Teach participants about research • Increase awareness of studies • Increased access to registration • Electronic management |
• Increased participants in system by 39% (6,500 → 9,300) • Volunteer registry 10,700 participants (increased 224%) |
CTSA Consortium Drezner, Cobb | IRB approval time | 2009 Study of IRB processing (33 sites, 425 protocols) vs. 2011 Study (43 sites, 1,401 protocols). | Reduced median approval time from 64 days to 54 days |