title: The Indiana University Center for Healthcare Innovation and Implementation Science: Bridging healthcare research and delivery to build a learning healthcare system.
abstract: In the United States, it is estimated that 75,000 deaths every year could be averted if the healthcare system implemented high quality care more effectively and efficiently. Patient harm in the hospital occurs as a consequence of inadequate procedures, medications and other therapies, nosocomial infections, diagnostic evaluations and patient falls. Implementation science, a new emerging field in healthcare, is the development and study of methods and tools aimed at enhancing the implementation of new discoveries and evidence into daily healthcare delivery. The Indiana University Center for Healthcare Innovation and Implementation Science (IU-CHIIS) was launched in September 2013 with the mission to use implementation science and innovation to produce great-quality, patient-centered and cost-efficient healthcare delivery solutions for the United States of America. Within the first 24 months of its initiation, the IU-CHIIS successfully scaled up an evidence-based collaborative care model for people with dementia and/or depression, successfully expanded the Accountable Care Unit model positively impacting the efficiency and quality of care, created the first Certificate in Innovation and Implementation Science in the US and secured funding from National Institutes of Health to investigate innovations in dementia care. This article summarizes the establishment of the IU-CHIIS, its impact and outcomes and the lessons learned during the journey.
authors.affiliation: Indiana University School of Medicine, Indianapolis, Indiana; Indiana University Center for Healthcare Innovation and Implementation Science, Health Information and Translational Sciences, Indianapolis, IN. Electronic address: jazar@iu.edu.
authors.forename: Jose
authors.initials: J
authors.lastname: Azar
authors.affiliation: Indiana University School of Medicine, Indianapolis, Indiana; Indiana University Center for Healthcare Innovation and Implementation Science, Health Information and Translational Sciences, Indianapolis, IN.
authors.forename: Nadia
authors.initials: N
authors.lastname: Adams
authors.affiliation: Indiana University School of Medicine, Indianapolis, Indiana; Indiana University Center for Healthcare Innovation and Implementation Science, Health Information and Translational Sciences, Indianapolis, IN.
authors.forename: Malaz
authors.initials: M
authors.lastname: Boustani
mesh_terms: D003362:Cost-Benefit Analysis / Q000458:organization & administration; D003695:Delivery of Health Care / Q000458:organization & administration*; D004059:Diffusion of Innovation; D019317:Evidence-Based Medicine / Q000458:organization & administration; D006284:Health Plan Implementation / Q000458:organization & administration*; D006302:Health Services Research / Q000458:organization & administration*; D006801:Humans; D007196:Indiana; D018802:Patient-Centered Care / Q000458:organization & administration*; D058996:Quality Improvement / Q000458:organization & administration*; D012586:Science; D014495:Universities
keywords: Implementation science; Implementierungsforschung; Innovation im Gesundheitswesen; Komplexitätsforschung; Qualitätssicherung; complexity science; evidence-based medicine; evidenzbasierte Medizin; healthcare innovation; quality improvement