The Children’s Outcomes Research (COR) Program was initially authorized and funded by the Children’s Hospital Research Institute (TCHRI) in 2001 with Stephen Berman, MD, as the first Director. Because of Dr. Berman’s long-term involvement in both local and national child health care policy issues and experiences during his presidency of the American Academy of Pediatrics, he clearly saw the need for better data to better direct health care practice and policy decisions. COR became the home for this initiative. In addition, COR filled an important institutional need at The Children’s Hospital to expand outcomes research and to provide consultation, mentorship and infrastructure for faculty members and trainees who wanted to conduct outcomes research.
Allison Kempe, MD, MPH was appointed Director in 2007. With over 20 years of health services and policy research experience, pediatrician Dr. Kempe was ideally positioned to continue COR’s mission and has greatly contributed to the growth of the program with an annual increase of outside funding of more than 45% since her appointment. In 2015, the Adult and Child Consortium for Outcomes Research and Delivery Science (ACCORDS) was created, which now encompasses both a Child Program (previously COR) as well as an Adult Program.
The mission of the ACCORDS Child Program is to contribute to an improvement in child health, both locally and nationally, by conducting state-of-the-art pediatric outcomes research that will impact clinical practice and child health policy.
To accomplish this mission, the goals of the program are:
- to develop a focused outcomes-based research agenda that builds on existing expertise and resources within The Children’s Hospital (TCH) and the Department of Pediatrics at the Colorado School of Medicine; and
- to catalyze, coordinate and facilitate high-quality outcomes research
To facilitate these goals, ACCORDS' Child program staff are involved in the education of fellows and faculty, consultation about methodological and analytical issues, and development of collaborative projects in the areas of outcomes research.
The Child Program's current major focus areas include: vaccine preventable diseases, comparative effectiveness and healthcare quality (including surgical outcomes), oral health, obesity prevention and nutrition, children with special needs, mental/ behavioral/ developmental health, asthma and pulmonary health, maternal and fetal health, and injury/violence. Much of the program's work is focused on under-served or vulnerable populations including children with special health care needs. The ACCORDS child program has also developed expertise in the following areas: surveying physicians nationwide about policy-related immunization topics; assessment of health care delivery to children; and measurement of patient-centered health outcomes. Consistent with the call of the current National Institutes of Health roadmap for interdisciplinary models of research, the program projects consistently rely on collaborations among clinicians, health services researchers, behavioral scientists and statisticians.