Center for Outcomes and Effectiveness Research and Education (COERE) (University-Wide Interdisciplinary Research Center)

Directors:  Catarina I. Kiefe, PhD, MD and Norman W. Weissman, PhD

Associate Director:  Jeroan J. Allison, MD, MS Epi

Established:  October 1998

 

Mission Statement

The mission of the UAB COERE is to build and maintain a successful program of research targeted at improving the quality and outcomes of health care.  This is accomplished by using interdisciplinary teams to test innovations that promote evidence-based practice, reduce inequities in care for under-served and minority populations, and improve quality of life and functional outcomes for patients; developing and testing innovative methods with application to important questions in the delivery of health care; training and mentoring students, fellows and faculty in these methods; and serving as a resource to UAB faculty, health care systems, related organizations, government, and philanthropy to further disseminate outcomes research knowledge and expertise.

Multidisciplinary Membership

Sponsored by the Schools of Business, Dentistry, Education, Engineering, Health Professions, Medicine, Nursing, Optometry, Public Health, and Social and Behavioral Sciences, the Center includes approximately 200 faculty from across the UAB campus. 

Scope

The scope of outcomes research is broad, requiring a multidisciplinary approach.  The COERE brings together clinical, biomedical, quantitative, behavioral, and social sciences researchers offering a range of expertise.

Center Research

The COERE offers integrated scientific expertise and experience in all areas of outcomes and effectiveness research, including: quality measurement and improvement, patient-based outcomes assessment, outcomes management and tracking, economic and decision analytic modeling, clinical data analysis, and analysis of large administrative datasets.  Center leadership applies this expertise to clinical and health services research through an active program of collaborative, investigator-initiated research and cooperative agreements.

Training and Education

Leadership of the COERE actively mentors pre and postdoctoral students, clinical fellows, junior faculty, and mid-career faculty in the methods and applications of outcomes and effectiveness research and in quality of care research.  The Center sponsors one, two, and three-year predoctoral and postdoctoral research training opportunities and was awarded a National Research Service Award Training Grant in Health Services Research from the Agency for Healthcare Research and Quality in July 2003.  The COERE also participates as a collaborator on other interdisciplinary training grants at UAB, the Birmingham VA Medical Center, and Morehouse School of Medicine to include access to outcomes and effectiveness research training expertise and mentoring.  In addition, the COERE offers sponsors and annual CE Institute on Assessing Outcomes in Health Care.  The Center also supports multiple forums for faculty and trainee enrichment through interdisciplinary seminars, discussion groups, and a journal club.

Support for UAB's Research Infrastructure

The COERE is organized around six research and training units designed to build UAB's outcomes research infrastructure and function as University-wide shared facilities.  They house faculty, staff, and postdoctoral research trainees that collaborate on research projects to address issues of design and analytic methodology.  Center leadership in these units provides mentoring and training opportunities in outcomes research and plays a crucial role in securing new extramural funding for UAB.

Economic Evaluation and Modeling Unit (EEMU) Maria Pisu, PhD, Director

Faculty with expertise in decision analysis, including cost-effectiveness, cost-benefit analysis, and other econometrically focused outcomes research methods, mentor and train COERE postdoctoral fellows, clinical fellows, and UAB faculty in the methods of economic and decision-analytic modeling.  The Unit also conducts periodic discussion groups for faculty to present their cost-effectiveness or decision-analytic models for peer-review discussion and feedback.

Statistical Design and Analysis Unit (SDAU) Sharina Person, PhD, Director

This Unit provides statistical design, analytic, and data management assistance to UAB researchers interested in outcomes research.  Members of the Unit specialize in utilizing large clinical and administrative data sets (e.g., Medicare or VA claims-based data files, HCFA’s Cooperative Cardiovascular Project), and quality measurement tools (e.g., ABCTM benchmarking methodology).

Health Outcomes Assessment Unit (HOAU) Joshua Klapow, PhD, Director

The HOAU houses expertise and a resource library of tools and scoring methods for patient-based outcomes measurement.  Unit faculty and postdoctoral trainees are available to consult with UAB faculty in choosing or developing appropriate instruments for outcomes assessment (e.g., health status, health-related quality of life, patient preferences) and their implementation for achieving desired research goals.  Instrument development is guided by COERE faculty with expertise in psychometrics and measurement theory applications in outcomes evaluation.

            Education and Training Unit (ETU) Pamela Autrey, PhD, RN, Director

This Unit provides enrichment activities for UAB faculty, postdoctoral fellows, and graduate students in the form of discussion groups, seminars, and a journal club focused on outcomes and health services research topics.  This Unit also coordinates half-day CME seminar courses through its annual “Institute on Outcomes in Health Care.”

Health Informatics Unit (HIU) Thomas Houston, MD, MPH, Director

This Unit focuses on the use and evaluation of information technology and its impact on health care processes, effectiveness, and outcomes.  Examples of expertise in the HIU include the design and evaluation of internet-based interventions aimed at improving the quality of health care.

Deep South Center for Education and Research on Therapeutics (CERTs) of Musculo-skeletal Disorders Kenneth Saag, MD, Director; Jeroan Allison, MD, MSEpi, Co-Director

The UAB CERTs is one of seven national centers funded under the Agency for Healthcare Research and Quality's CERTs program.  Its focus is on improving physicians' management of the complex drug regimens for patients with arthritis and osteoporosis.  The CERTs effectiveness research capabilities involve linkages between the COERE, the UAB Arthritis and Musculoskeletal Center, the Center for Metabolic Bone Disease, the Pittman General Clinical Research Center, the Department of Nutrition, and other centers.  Through core support from government and industry, the CERTs develop collaborative research projects aimed at improving the effectiveness and quality of care in the treatment and management of patients with musculoskeletal disorders.

Achievements

Since being designated as a University-Wide Interdisciplinary Research Center in 1998, COERE leadership has been directly responsible for obtaining over $200 million in extramural grant support for interdisciplinary research and training in health services and outcomes research at UAB.  Through its work in quality measurement and improvement, COERE has become a national resource to the health care industry.  An example of this is our work in developing and disseminating the Achievable Benchmarks of Care (ABC™), which is now promoted to Quality Improvement Organizations across the country as a part of the Center for Medicare and Medicaid Services’ current Scope of Work contracts. In the area of training, COERE has established an excellent track record in mentoring junior faculty in clinical health services and outcomes research through career development awards and through research grants to faculty leadership. COERE also provides training opportunities for pre and post doctoral fellows in clinical health services and outcomes research and in 2003 was awarded a  5-Year National Research Services Award Institutional Training Grant  (T32) from the Agency for Healthcare Research and Quality which has been competitively renewed through 2013.  Due to COERE leadership’s reputation in the field of clinical health services research, the editorial home of Medical Care was moved to UAB in the summer of 2006 with Catarina Kiefe and Jeroan Allison as the Co-Editors-in-Chief.

 

For additional information:

Web Site:  http://www.dopm.uab.edu/coere/index.html

Deputy Director:  C. Suzanne Baker, RN, MPH

Email:  coere@uab.edu

Phone:  205-934-6838

 

 

Approved by:  C. Suzanne Baker, RN, MPH, Deputy Director

Date:  April 29, 2008

 

 

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