LA County Psychiatric Emergency Room Outcomes Study
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This document outlines a research project aimed at understanding the characteristics and outcomes of patients utilizing psychiatric emergency services (PES) across three Los Angeles County hospitals. It aims to identify demographic trends, discharge versus admission predictors, and long-term outcomes for high-acuity patients, with a focus on addressing disparities among underserved communities. The project involves collaboration between county departments and UCLA, highlighting the importance of stakeholder engagement and data-sharing to improve care quality and reduce costs.
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The document provides guidelines on writing a rebuttal letter in response to grant proposal critiques, emphasizing the importance of addressing major criticisms positively and succinctly. It advises contacting the program officer, closely reading reviewer comments, and presenting data to strengthen the proposal while remaining polite and professional. The document highlights that resubmissions are limited, and after the second rejection, grants may need to be submitted as new proposals.How to Write the Specific Aims Section - 2023
How to Write the Specific Aims Section - 2023UCLA CTSI
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The document is a guide on writing the 'specific aims' section of a grant application, emphasizing its importance and providing a structured approach. It outlines a suggested format that includes an attention-grabbing introduction, a logical proposed solution, enumerated aims, and a final summary that builds excitement. Key points include concise aim descriptions, clarity in hypotheses, and the necessity to reference significant impacts of the proposed research.How to Structure the Approach Section (Basic Science)
How to Structure the Approach Section (Basic Science)UCLA CTSI
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The document outlines a structured approach to evaluating a research project's strategy, methodology, and analyses, emphasizing the importance of rigor and addressing potential weaknesses. It highlights the need for compelling preliminary data, clear presentation of aims, and the consideration of biological variables. Additionally, it discusses the significance of anticipated results, potential pitfalls, and future directions for research impact.How to Craft the "Significance & "Innovation" [Filler] - 2023
How to Craft the "Significance & "Innovation" [Filler] - 2023UCLA CTSI
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The document outlines the criteria for reviewing biomedical research proposals, emphasizing the significance, innovation, rigor, and feasibility of the research. It details various aspects that reviewers consider, including the importance of the research, human and animal protections, and the expertise of the investigators. Additionally, it provides strategic points for writing compelling grant applications while highlighting the importance of clarity and avoiding jargon.How to Craft the "Significance & "Innovation" - 2023
How to Craft the "Significance & "Innovation" - 2023UCLA CTSI
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This document provides guidance on key sections of an NIH R01 grant application, including Significance, Innovation, and review criteria. It discusses that Significance refers to how the project will advance scientific knowledge or improve clinical practice if successful, not just the importance of the disease topic. Reviewers evaluate the rigor of prior research supporting the project and the applicant's plans to address weaknesses. Innovation can involve novel concepts, approaches, technologies, or new applications of existing methods. The simplified NIH review framework focuses on whether the proposed research should be conducted based on Significance and Approach.A Tactical Approach to Writing Your Grant Application (HSR) - 2023
A Tactical Approach to Writing Your Grant Application (HSR) - 2023UCLA CTSI
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This document outlines a tactical approach to writing a grant proposal, emphasizing the importance of selecting a relevant topic, assembling a strong team, and budgeting effectively. It provides a timeline detailing the steps to take during the proposal process while also highlighting the significance of clear communication and feasible project design. Additionally, it encourages writers to focus on the reviewers perspective, ensuring that the proposal is accessible and addresses specific criteria.A Tactical Approach to Writing Your Grant Application - 2023
A Tactical Approach to Writing Your Grant Application - 2023UCLA CTSI
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The document provides a comprehensive guide to preparing NIH R01 grant applications, highlighting essential topics such as preparation timelines, reviewer criteria, and tips for successful submissions. It stresses the importance of early preparation, understanding the grant process, and seeking feedback from mentors and peers. Additionally, it outlines the key sections of the R01 grant proposal and the review process, emphasizing the significance of a well-structured application.How to Write the Specific Aims Section of a Grant Application (Basic Scienc...
How to Write the Specific Aims Section of a Grant Application (Basic Scienc...UCLA CTSI
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The specific aims page is crucial for reviewer scoring and should convey excitement while telling a coherent story. It typically includes background information, specific aims in bullet points, and the importance of the knowledge to be gained, avoiding jargon and dense writing. It is recommended to ensure clarity, address the hypothesis, and seek feedback from individuals outside the field.How to Anticipate and Plan for an R Grant Application - 2023
How to Anticipate and Plan for an R Grant Application - 2023UCLA CTSI
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The document provides a comprehensive guide on preparing for an R grant application, emphasizing the importance of leveraging K award research, building relationships at the NIH, and identifying suitable funding opportunities. It outlines strategies for early-stage researchers, including the Next Generation Researchers Initiative, and details on how to transition effectively from K to R funding while maintaining a focus on time management and relationship building. Additionally, it discusses various NIH grant types and provides resources for successful application preparation.NIH Loan Repayment Program (LRP) Info Session - 9/26/23
NIH Loan Repayment Program (LRP) Info Session - 9/26/23UCLA CTSI
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The NIH Loan Repayment Program (LRP) provides federal grants to support the repayment of educational loans for researchers engaged in NIH mission-related work. Eligible applicants, such as U.S. citizens with a doctoral degree and qualifying educational debt, can receive up to $50,000 per year for two years in exchange for conducting approved research. The application process includes peer review, with an emphasis on the applicant's potential for a research career and the quality of their research environment.Writing the NIH K Award Research Plan
Writing the NIH K Award Research PlanUCLA CTSI
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The document provides guidelines for writing an NIH K Award research plan, emphasizing the importance of good science and a well-structured, innovative proposal. It outlines key components such as specific aims, significance, innovation, approach, and the necessity of preliminary data to support research feasibility. Essential writing strategies include clarity, organization, and addressing potential reviewer questions to demonstrate the project's importance and ensure a compelling justification.Considerations in Applying for a K99 Award: the NIH "Pathway to Independence"...
Considerations in Applying for a K99 Award: the NIH "Pathway to Independence"...UCLA CTSI
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The K99/R00 award supports postdoctoral researchers in transitioning to independent faculty positions, providing up to 5 years of funding for mentored and independent research phases. Eligibility includes being in postdoctoral training, having a terminal degree, and not holding a faculty position, with the R00 phase contingent on securing a faculty role in the U.S. Various NIH institutes are involved, and applicants are advised to focus on a strong training plan and track record of publications.Navigating the NIH K Award Process and Choosing Your Mentorship Team (2023)
Navigating the NIH K Award Process and Choosing Your Mentorship Team (2023)UCLA CTSI
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The document outlines the K award process, which provides career development funding for researchers in biomedical, behavioral, or clinical sciences to enhance their independence. It details various K awards tailored for different stages and specialties, eligibility requirements, application processes, and elements crucial for successful mentorship. Emphasis is placed on the importance of mentorship in career advancement and the financial support structure accompanying the K awards.K Awards Common Pitfalls and UCLA CTSI KL2 Resources (2023)
K Awards Common Pitfalls and UCLA CTSI KL2 Resources (2023)UCLA CTSI
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The document outlines common pitfalls and advice for K proposal submissions, emphasizing the importance of specific, hypothesis-driven research plans and educational objectives. It details resources available through UCLA's CTSI, including KL2 awards aimed at supporting junior faculty in interdisciplinary translation science, and various grant writing mentorship programs. Eligibility criteria and timelines for applications are provided alongside information on biosketch formatting and the K Scholars Society for awarded individuals.Writing the NIH K Award Candidate Information and Career Development Plan, ...
Writing the NIH K Award Candidate Information and Career Development Plan, ...UCLA CTSI
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This document outlines the key components and considerations for K award applications, emphasizing candidate statements, career development plans, and mentor involvement. It includes specific NIH evaluation criteria and offers guidance on creating a compelling narrative that showcases the candidate's background, research goals, and necessary training. Additionally, it highlights the importance of strong publication records and mentor relationships in successfully securing funding.How to Anticipate and Plan for an R Grant Application. (2022)
How to Anticipate and Plan for an R Grant Application. (2022)UCLA CTSI
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Carol Mangione provides strategies for early career researchers to successfully transition from a K award to an R01 grant. She emphasizes building relationships at NIH, identifying the best fitting funding opportunities, and making the most of preliminary K award research. Researchers should publish findings, present at conferences, and collaborate with senior scientists. When preparing an R01 application, researchers should clearly outline the proposed project based on significant preliminary findings and check that the research aims have not already been funded.Ad
LA County Psychiatric Emergency Room Outcomes Study
- 2. Understanding油uKlizaKon油and油outcomes油of油Psychiatric油Emergency油Service油 (PES)油paKents油may油help油establish油standards油of油care油across油the油three油 psychiatric油ER's油and油improve油clinical油producKvity,油quality油of油care油and油 overall油paKent油outcomes.油油油 There油is油limited油internal油LAC油DHS油data油and油liUle油published油data油on油the油 characterisKcs油of油paKents油who油use油psychiatric油emergency油services油 No油prospecKve油or油retrospecKve油studies油have油been油done油to油compare油 outcomes油of油paKents油who油were油discharged油from油PES油to油the油community油 versus油referred油for油acute油psychiatric油inpaKent油admission.油 The油limited油literature油on油paKents油using油psychiatric油emergency油services油 suggests油that油they油are油a油vulnerable,油high油risk油populaKon
- 3. What油are油the油demographics,油presenKng油complaints,油diagnoses,油 comorbidiKes,油source油of油referrals,油hold油status,油and油disposiKons油of油 paKents油uKlizing油the油PES油at油each油of油the油three油LAC油DHS油hospitals?油 What油are油the油predictors油associated油with油paKents油discharged油vs.油 admiUed油from油PES?油 What油are油the油longitudinal油outcomes油of油paKents油discharged油vs.油 admiUed油from油PES?
- 4. RetrospecKve油cohort油of油adult油paKents油admiUed油to油PES油involuntarily油at油 each油of油the油three油LAC油DHS油hospitals油from油2008油through油2010油 we油will油trace油longitudinal油uKlizaKon油and油clinical油outcomes油for油paKents油in油 the油cohort油from油2008油through油2012油 Our油esKmates油for油combined油number油of油unique油paKents油across油three油 years油is油N=48,693油 The油Enterprise油Linkages油Project油(ELP)油will油perform油a油data油match油to油 idenKfy油DHS油paKent油entries油in油four油databases油listed油below油and油create油a油 deidenK鍖ed油master油鍖le油for油analysis
- 5. Source Database油 Independent Variables油 Dependent Variables油 LAC DHS Affinity 油 Demographics油 Insurance status油 Presenting psychiatric diagnoses油 Presenting medical diagnoses 油 Referral source油 Psychiatric inpatient admission油 PES readmissions油 Medical admissions油 LA Sheriff Automated Jail Information System (AJIS)油 Booking information油 Arrest offense code油 Release date油 Housing location油 LA Dept. Mental Health IS 油 Outpatient mental health care visits油 PES revisits 油 Inpatient psychiatric admissions油 PMRT (field emergency) contacts油 Forensic (jail) mental health episodes油 CA Dept. Public Health California Death Statistical Master File油 Place where death occurred油 Cause of death code油 Manner of death油 Underlying cause of death油 Type of event油 Type of place of death油
- 6. There油will油be油substanKal油variaKon油across油the油three油LAC油DHS油PES油sites油in油 admission油and油discharge油rates油for油highacuity油PES油paKents.油 A油major油goal油of油the油analyses油is油to油determine油whether油outcomes油such油as油 readmissions,油deaths,油and油arrests油are油signi鍖cantly油higher油for油paKents油with油 high油acuity油that油are油discharged油than油those油who油are油admiUed,油and油 whether油this油leads油to油overall油poorer油outcomes油for油PES油sites油with油higher油 rates油of油discharge油rather油than油admission油of油high油acuity油paKents.油油
- 7. Discharge油of油high油acuity油paKents油is油expected油to油lead油to油poorer油outcomes.油油This油 may油depend油on油the油level油of油followup油available油or油other油characterisKcs油of油 paKents,油such油as油social油support油or油established油relaKonships油with油providers;油or油 of油systems,油such油as油availability油of油providers油for油rapid油outpaKent油followup.油 We油expect油racial油and油ethnic油dispariKes油in油discharge/admission油rates油and油 outcomes,油including油readmissions,油deaths油and油arrests,油with油underresourced油 communiKes油of油color油having油worse油outcomes油and油especially油when油having油 been油discharged油in油high油acuity油status油from油PES.油
- 8. Our油project油focuses油on油a油diverse,油understudied油populaKon,油and油expands油 invesKgaKon油into油an油understudied油area.油 Our油project油establishes油and油strengthens油collaboraKons油between油County油 Departments,油between油County油Hospitals油and油between油LAC油DHS油and油UCLA油 CTSI油with油the油goal油of油improving油systems油level油delivery油of油care油and油 research,油while油improving油community油services油and油reducing油costs.油 This油project油represents油the油鍖rst油collaboraKon油between油the油Dept.油of油 Psychiatry油at油Olive油ViewUCLA油and油the油UCLA油Center油for油Health油Services油 and油Society油and油the油Partnered油Research油Center油for油Quality油Care,油and油as油 such油will油help油iniKate油a油new油services油research油program油in油psychiatry油at油 DHS/Olive油View.油 Our油Stakeholder油Advisory油Board油will油inform油the油data油analysis油and油 development油of油manuscripts油and油our油Community油Forum油will油present油 鍖ndings油to油CTSI,油stakeholders油and油partners油and油obtain油their油feedback.
- 9. Activity (per month)油 1油 2油 3油 4油 5油 6油 7油 8油 9油 10油 11油 12油 Stakeholder input油 IRB review/approvals油 Data matching油 Dataset validation油 Dataset cleaning 油 Data analysis油 Community forum油 Manuscripts油 Preparation of R21油 Timeline:
- 10. Enterprise油Linkages油Project油consulKng油to油provide油data油matching油and油 linkage油across油County油departments油using油their油novel油methodology.油 Purchasing油vital油staKsKcs油data油(mortality油data)油from油the油State油of油 California,油Health油InformaKon油and油Strategic油Planning油Division.油 StaKsKcal油consulKng,油UCLA油Center油for油Health油Services油and油Society油by油 Senior油StaKsKcian油experienced油in油analyses油of油complex油longitudinal油data油 sets.油 ConsulKng油by油Dr.油Isabel油Lagomasino油who油will油provide油liaison油with油LAC +USC油PES油and油help油conceptualize油service油delivery油improvements油based油on油 regional油鍖ndings.油 Research油Assistant油support.油
- 11. We油have油obtained油IRB油from油the油Los油Angeles油County油Department油of油Public油 Health;油Our油UCLA油IRB油is油currently油under油review.油 In油preparaKon油for油this油project,油we油have油established油relaKonships油and油 made油verbal油agreements油for油data油transfer油with油Department油of油Mental油 Health,油the油Department油of油Public油Health,油the油LA油County油Sheri鍖,油and油the油 CEOs油O鍖ce.油 We油have油also油strengthened油our油alliances油and油capabiliKes油across油the油three油 psychiatric油emergency油rooms油at油LAC+USC,油HarborUCLA油and油Olive油View UCLA.油 Stakeholder油Advisory油Board油development油also油underway.油