Abstract
Background/Aims The HMO Research Network (HMORN) is a virtual organization with formalized structures and processes to both facilitate new and support existing research collaborations. As both the size and success of the HMORN and the breadth of research associated with it have grown in recent years, governance and operations have become more complex. Recent activities of a supplemental award to plan for an HMO Collaboratory Coordinating Center can inform overall HMORN governance and operational strategies. This poster summarizes HMORN growth and complexity over time, mapping significant infrastructure and governance milestones over the same period. In addition, key facilitators and barriers to effective Coordinating Center governance are presented and related to ongoing work by the HMORN Governing Board to improve executive functioning. Finally, a gap analysis of three HMORN operational processes is briefly summarized.
Methods Existing documentation relating to HMORN projects and milestones were compiled to construct a timeline illustrating HMORN growth and critical features of overall HMORN infrastructure development over time. Additional content was drawn from two Collaboratory deliverables relating to coordinating center governance and administrative needs, and from ongoing work of the HMORN Governing Board and Asset Stewardship Committee.
Results Ten HMORN projects involving 10 or more member sites are underway. Several milestones, including creation of the VDW, the Coordinated Clinical Studies Network, and the Mini Sentinel Network stand as pivotal events in the HMORN’s evolution. More near-term changes include creation of an executive committee to the HMORN Governing Board. The Collaboratory team found facilitators of good network governance strategies that can inform this work. Administrative gaps include the need to better promote the HMORN, vet new partnerships and opportunities, orient new partners, manage knowledge and data, and successfully communicate and embed operational strategies for research.
Discussion The size and number of HMORN-based research networks has increased. While newer projects have benefited from prior knowledge and experience, increased trust, and tools designed to streamline project operations, the need for more nimble governance and stronger HMORN-wide coordinating functions is clear. These findings will inform the next evolutionary phase of the HMORN.
