Health Services Research (HSR) Agenda

The following 24 research questions were submitted by the HSR Ad Hoc Committee (HSR-AHC), which comprised 8 total members (2 representatives for each affiliate: AANA, AANA Foundation, COA, and NBCRNA). Each member was asked to identify 2-3 research questions that addressed one of the following HSR domains:
  1. Policy: replicating studies (similar to 2010 HSR studies) that support nurse anesthesia practice and policy;
  2. Education: exploring the value of credentialing and life-long learning in advancing patient safety through enhancing provider quality; or 
  3. Practice: examining critical initiatives to secure the future of quality anesthesia care provided by CRNAs in tomorrow’s health care environment.
Each HSR-AHC member was also asked to consider the following criteria in mind when formulating HSR questions:
  • Is the question scientifically well-posed (i.e., is it stated in a hypothetical form that leads to a research design and analysis with scientific credibility)?
  • Does the research question require data that is accessible or attainable at a reasonable cost or effort?
  • Is the research question posed in a way that can explain variability, different outcomes under different conditions?
  • Are the units of analysis (observation) clearly identified?
  • Does the research extend our understanding of the phenomena being investigated; does it elaborate, extend, or fill in gaps in our present knowledge?
Please view or download our "2016 HSR Agenda Development and Methodology" presentation, to learn more about how the 2016 HSR Agenda was developed and about the prioritization of HSR projects for the 2016 calendar year.
 

 2016 Health Services Research Agenda

 
Note: The 24 research questions/topics were proposed by the HSR-AHC members and have not been altered in any way. You can print a copy of the agenda by downloading the PDF version of this table.
 
Domain
Research Question
Education
What are the effects of emotional intelligence testing and education on minority SRNA attrition in graduate nurse anesthesia programs prior to matriculation and during the didactic and clinical phase of the program?
Education
What are the effects of a structured and ongoing CRNA preceptor faculty development program on SRNA attrition in graduate nurse anesthesia programs?
Education
What antecedent knowledge and skills do students of nurse anesthesia require to practice independently in a small rural hospital setting?
Education/Policy
What is the personal and societal rate of return to educating various health care providers (can include multiple types of ARNPs, PAs, AAs, MDs, etc)?  
Education/Practice
What are the most common procedures being performed throughout the United States in various types of facilities, by various types of providers
Education/Practice
Does the recent non-surgical pain management specialty in nursing anesthesia increase access to underserved populations?
Policy
What is the projected vacancy rate of CRNAs in hospitals and surgery centers?
Policy
What are the workforce needs for anesthesia providers in the U.S. healthcare system in the next 10 years? 
Policy
Does legislative adoption of the Advanced Practice Registered Nurse (APRN) consensus model result in an increased scope of practice for APRNs?
Policy
Has patient access to care (surgical, obstetrical, endoscopy, dental services, and pain management) improved in states that have opted out of physician supervision?
Policy
What is the most efficient and cost-effective model of various patient, provider, and payer mixes?
Policy
How do legislators and other key decision makers perceive the influence of CRNAs (or APRNs)?  What can be done in the policy arena to be more effectual/influential?
Policy
What impact would the triple aim framework (access, quality, and affordability) have on CRNA-provided chronic pain management services in rural hospitals?
Policy/Practice
Outcomes in a Medical Direction Model versus a Medical Supervision Model of Anesthesia Delivery: a quality and cost analysis.
Policy/Practice
What are hospital administrators (CEOs, CFOs, CMOs, CNOs) perceptions of CRNA anesthesia services in their institutional settings? (Variations by type of hospital, location by state, location by rural versus city)
Policy/Practice
Can the application of Geographic Information Systems (GIS) demonstrate both an economic as well as access expansion and savings by allowing all anesthesia providers to practice at full scope of practice?
Policy/Practice
How will the VA adoption of full scope of practice potentially affect access and economic burden in the VA health care system for primary care services (including anesthesia)?
Practice
What are the outcomes of trauma patients cared for in exclusively CRNA-staffed American College of Surgeons Level I trauma centers compared with Level I trauma centers using other anesthesia staffing models?
Practice
What are the outcomes of patients cared for in exclusively CRNA-staffed Veterans Affairs (VA) health care facilities compared with VA facilities using other anesthesia staffing models?
Practice
What are the morbidity and mortality rates for the 50 or 100 most common surgical procedures performed in the United States? 
Practice
Does implementation of a Pre-anesthesia Evaluation Clinic reduce costs and improve patient satisfaction?
Practice
Do outcomes in the military model of independent CRNA practice support the expanded use of this model in the non-military anesthesia care setting?
Practice
What are the value-added services hospital administrators and stakeholders value most from an anesthesia practice group?
Practice
What dimensions of anesthesia practice are going to be critical in determining a CRNA’s readiness for rural anesthesia practice? What are the dimensions of rural anesthesia practice?