Multilevel Facilitators and Barriers to Implementing the SERCN Research Agenda
| Organizational Level | Barriers | Facilitators |
|---|---|---|
| Research network | Lack of data uniformity | Robust knowledge base |
| Competing priorities and time | Track record of successful collaboration | |
| Need for effective communication platform | Good leadership | |
| Challenges for IRB processes | Credibility and resources | |
| PCA | Can only serve as a connector between network and FQHCs | Dedicated staff with experience and commitment to the network |
| If projects are not sustainable, then difficult to recruit FQHCs | Strong history of collaboration regionally | |
| Strong relationships with FQHCs | ||
| Successful at engaging consumers | ||
| Effective communication strategies | ||
| Strong policy and advocacy platform | ||
| FQHC | Limited staffing to support research | Strong public health infrastructure |
| Data infrastructure is limited | Community based organizations | |
| Competing priorities | Strong ties to community | |
| High turnover and burnout rate of staff/providers | Population diversity | |
| Provider | Change fatigue Provider retention and turnover Provider burnout Providers are under resourced | FQHC's leadership in the arena of quality of care measurement, pay for performance |
| Data-rich environment | ||
| Electronic health record systems and population management tools | ||
| Platform for direct patient engagement | ||
| FQHCs are advocates in the community | ||
| Existing integrated care models | ||
| Patient and community level | Mistrust/fear of research | Diversity of services |
| Transportation needs | Cultural diversity | |
| Need adequate compensation Lack of time and resources to participate | Medical knowledge and front-line experience can inform research questions and interpretation |
FQHC, federally qualified health center; IRB, institutional review board; PCA, primary care association; SERCN, southeast regional clinicians network.