Boston University School of Medicine Boston University School of Medicine Harvard Medical SchoolHarvard Medical School

VA Boston Healthcare SystemVA Boston Healthcare System

TERENCE M. KEANE, PH.D.TERENCE M. KEANE, PH.D.DAVID CENTER, M.D.DAVID CENTER, M.D.GARY GILBERT, M.D.GARY GILBERT, M.D.

Harvard & Boston UniversityHarvard & Boston UniversityVA Boston Healthcare SystemVA Boston Healthcare System

Rehabilitation Needs/PainRehabilitation Needs/Pain

OEF/OIF: Pain, TBI, PTSD OEF/OIF: Pain, TBI, PTSD OEF/OIF: Pain, TBI, PTSD OEF/OIF: Pain, TBI, PTSD

Photo by Lynsey Addario, Corbis© 2005 NY Times

Photo by Airman 1st Class Nathan Doza, USAF

VA Boston ResourcesVA Boston Resources

Structural Strengths:Structural Strengths: E-Medical RecordE-Medical Record Informatics Informatics National BiorepositoryNational Biorepository CSP Coordinating CenterCSP Coordinating Center Genomic MedicineGenomic Medicine Supportive ManagementSupportive Management Large Scale DatabasesLarge Scale Databases Harvard Catalyst, CIMIT Harvard Catalyst, CIMIT

participationparticipation

Centers of Excellence:Centers of Excellence: MAVERICMAVERIC National Center for PTSDNational Center for PTSD Women’s Health SciencesWomen’s Health Sciences

Addictions ResearchAddictions Research Rehabilitation ResearchRehabilitation Research Health Services ResearchHealth Services Research

Telehealth ResearchTelehealth Research Cognitive NeurosciencesCognitive Neurosciences Normative AgingNormative Aging

Obstacles to CollaborationsObstacles to Collaborations

Geographic Separation of VA & UniversitiesGeographic Separation of VA & Universities Data Sharing BarriersData Sharing Barriers Low visibility (partial email, Web isolation) Low visibility (partial email, Web isolation) Multiple Review ProcessesMultiple Review Processes Regulatory Burden (Appt., Credentials, Privileges)Regulatory Burden (Appt., Credentials, Privileges) HIPPA Requirements (Privacy Reviews)HIPPA Requirements (Privacy Reviews) Lack of Familiarity with Faculty, Resources, Goals\Lack of Familiarity with Faculty, Resources, Goals\ CompetitionCompetition Burden and sluggishness of VA HR, Contracting Burden and sluggishness of VA HR, Contracting

proceduresprocedures

Possible SolutionsPossible Solutions

Cross Service on CommitteesCross Service on Committees Common Educational Initiatives*Common Educational Initiatives* Updated Accessible WebsitesUpdated Accessible Websites Highlighting Advantages of VA Research* Highlighting Advantages of VA Research* Informational Updates*Informational Updates* Promoting Collaborative Projects*Promoting Collaborative Projects* VACO and Congressional recognition of VACO and Congressional recognition of

advantages to collaborative researchadvantages to collaborative research

Examples of SuccessesExamples of Successes

Alzheimer’s Disease Research Center-BUAlzheimer’s Disease Research Center-BU National Center for PTSD-BUNational Center for PTSD-BU Women’s Research-NIH Designation of CoE-BUWomen’s Research-NIH Designation of CoE-BU Goodglass Aphasia Research Center-BUGoodglass Aphasia Research Center-BU Multiple Myeloma P01.-HMS - ??Multiple Myeloma P01.-HMS - ?? CIDAR for Schizophrenia Research-HMSCIDAR for Schizophrenia Research-HMS Addictions Research: Alcohol, Drugs, Addictions Research: Alcohol, Drugs,

Smoking-BU/HMSSmoking-BU/HMS

New InitiativesNew InitiativesEducationEducation

Retreats scheduled for each VA Facility Retreats scheduled for each VA Facility (West Roxbury, Bedford, Brockton, JP and (West Roxbury, Bedford, Brockton, JP and BU)BU)

Introduction of the Important FacultyIntroduction of the Important Faculty Navigating the InfrastructureNavigating the Infrastructure Highlighting VA resourcesHighlighting VA resources Identifying Areas of Common InterestIdentifying Areas of Common Interest

FACULTY DEVELOPMENT AT BOSTON UNIVERSITY:

Challenges in Multi-Institutional Research Collaborations

November 1, 2010, Hospital TheaterEdith Nourse Rogers Memorial Veterans Hospital,

Bedford 8:00 am

Breakfast and Welcome, Gregory K. Binus, M.D., Chief of Staff

8:30 Retreat Purpose and Goals Karen H. Antman, M.D., Provost, BUMC and Dean, BUSM

9:00 Format of the Day [intro thumbnail of issues and panel]Ronald B. Corley, Ph.D., Associate Provost for Research, BUMC

9:15-10:4510:4510:5511:15

Panel Discussion on key issues that are facilitators of or barriers to research1.Collaborative Agreements Between BU and VA/Foundations [VA CRADAs, subawards, contracts, IPAs]Jane F. Kinsel, Ph.D., M.B.A., Director, OSP-MED; Reginald Griffin, CEO, Bedford VA Research Corporation, Inc.1.Financial Conflict of Interest [who must comply, what to do]Susan Frey, Esq., Assistant Provost for Research Compliance & Health Information Privacy, BU1.Does Off-Campus Research Need to be Compliant with BU IRB―Just-in-Time, Exempt, Expedited, Conditionally-ApprovedMary A. Banks, RN, BS, BSN, Director, Institutional Review Board, BU1.Avoiding Research Misconduct [responsible conduct of research]Susan Frey•Internal Interdisciplinary Research Collaborations [finding internal sources, pilot studies, making collaborations, with Handout]David Center, M.D., Associate Provost for Translational Clinical Research, BUDan R. Berlowitz, M.D., Director, CHQOERP. B. Cipolloni, M.D, Associate Chief of Staff for R&D, Bedford VAMark J. Prashker, M.D., Associate Dean for Institutional Development, BUSPHKatya Ravid, D.Sc., Ph.D., Director, Evans Center for Interdisciplinary Biomedical Research1.Collaborations Among Affiliates: What does it mean for Intellectual Property, Publications, Ownership of Data, Data Security?Diane L. Gardener, Esq., Associate General Counsel, BU; and VA counsel?BreakBoston University Research Overview [less burden, more product, what’s going on, streamlining, multi-PI collabs, who is a BU PI]Ara Tahmassian, Ph.D., Associate Vice President for Research Compliance, BUMulti-Institution Collaborations—The Way ForwardRonald B. Corley

Handout “Interdisciplinary Research Collaborations” [finding sources, pilots, collabs]

New InitiativesNew Initiatives

Common InterestsCommon Interests– Seminar Series and Collaborative Working Seminar Series and Collaborative Working

Assembling all the Interested Research Groups Assembling all the Interested Research Groups on Addition Serviceson Addition Services

Utilization of Unique VA ResourcesUtilization of Unique VA Resources– Electronic Record and Research on Dental Electronic Record and Research on Dental

OutcomesOutcomes

Photo by SrA Bradley A. LailIraq, USAF

QUESTIONS/IDEAS ?