Operations Partnerships to Improve the Quality and Affordability of Care

91 HMORN 2014 – Selected Abstracts Health plan administrators and clinicians have pre-existing ideas of research that necessitate ongoing education and dialogue to address concerns. Using a framework of change native to the health system promotes navigation of potentially disruptive change. Given rapid changes within health systems, the research team must be aware of competing contextual factors. Finally, a true health system/research partnership when staffing the intervention facilitates sustainability of intervention related services. Conclusions: A pragmatic trial approach, although better suited for embedded research in the healthcare system, presents challenges not typically encountered in standard explanatory/ efficacy trials. Lessons learned by this team that accommodate both healthcare operations and research can promote embedded research in other health settings.