Clinical Research Network: JHCRN Infrastructure and Lessons Learned

ABSTRACT Clinical research studies are becoming increasingly complex resulting in compounded work burden and longer study cycle times, each fueling runaway costs. The impact of protocol complexity often results in inadequate recruitment and insufficient sample sizes, which challenges validity and ge...

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Main Authors: Rahul Kashyap, Gayane Yenokyan, Robert Joyner, Melissa Gerstenhaber, Mary Alderfer, Erika Siegrist, Joan Moore, Channing J. Paller, Hanan Aboumatar, James J. Potter, Stanley Watkins Jr, John E. Niederhuber, Daniel E. Ford, Adrian Dobs
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Clinical and Translational Science
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Online Access:https://doi.org/10.1111/cts.70123
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author Rahul Kashyap
Gayane Yenokyan
Robert Joyner
Melissa Gerstenhaber
Mary Alderfer
Erika Siegrist
Joan Moore
Channing J. Paller
Hanan Aboumatar
James J. Potter
Stanley Watkins Jr
John E. Niederhuber
Daniel E. Ford
Adrian Dobs
author_facet Rahul Kashyap
Gayane Yenokyan
Robert Joyner
Melissa Gerstenhaber
Mary Alderfer
Erika Siegrist
Joan Moore
Channing J. Paller
Hanan Aboumatar
James J. Potter
Stanley Watkins Jr
John E. Niederhuber
Daniel E. Ford
Adrian Dobs
author_sort Rahul Kashyap
collection DOAJ
description ABSTRACT Clinical research studies are becoming increasingly complex resulting in compounded work burden and longer study cycle times, each fueling runaway costs. The impact of protocol complexity often results in inadequate recruitment and insufficient sample sizes, which challenges validity and generalizability. Understanding the need to provide an alternative model to engage researchers and sponsors and bringing clinical research opportunities to the broader community, clinical research networks (CRN) have been proposed and initiated in the United States and other parts of the world. We report on the Johns Hopkins Clinical Research Network (JHCRN), established in 2009 as a multi‐disease research collaboration between the academic medical centers and community hospitals/health systems. We have discussed vision, governance, infrastructure, participating hospitals' characteristics, and lessons learned in creating this partnership. Designed to leverage organized patient communities, community‐based investigators, and academic researchers, the JHCRN provides expedited research across nine health systems in the mid‐Atlantic region. With one IRB of record, a centralized contracting office, and a pool of dedicated network coordinators, it facilitates research partnerships to expand research collaborations among the differing sizes and types of hospitals/health systems in a region. As of August 2024, total 81 studies‐clinical trials, cohort studies, and comparative effectiveness research have been conducted, with funding from the NIH, private foundations, and industry. The JHCRN experience has enhanced understanding of the complexity of participating sites and associated ambulatory practices. In conclusion, the CRN, as an academic–community partnership, provides an infrastructure for multiple disease studies, shared risk, and increased investigator and volunteer engagement.
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spelling doaj-art-3d9ac103facc4466a119199380e1ca512025-01-24T08:17:46ZengWileyClinical and Translational Science1752-80541752-80622025-01-01181n/an/a10.1111/cts.70123Clinical Research Network: JHCRN Infrastructure and Lessons LearnedRahul Kashyap0Gayane Yenokyan1Robert Joyner2Melissa Gerstenhaber3Mary Alderfer4Erika Siegrist5Joan Moore6Channing J. Paller7Hanan Aboumatar8James J. Potter9Stanley Watkins Jr10John E. Niederhuber11Daniel E. Ford12Adrian Dobs13Johns Hopkins Clinical Research Network Baltimore Maryland USAJohns Hopkins Clinical Research Network Baltimore Maryland USAJohns Hopkins Clinical Research Network Baltimore Maryland USAJohns Hopkins Clinical Research Network Baltimore Maryland USAJohns Hopkins Clinical Research Network Baltimore Maryland USAJohns Hopkins Clinical Research Network Baltimore Maryland USAJohns Hopkins Clinical Research Network Baltimore Maryland USAJohns Hopkins Clinical Research Network Baltimore Maryland USAJohns Hopkins Clinical Research Network Baltimore Maryland USAJohns Hopkins Clinical Research Network Baltimore Maryland USAJohns Hopkins Clinical Research Network Baltimore Maryland USAJohns Hopkins Clinical Research Network Baltimore Maryland USAJohns Hopkins Clinical Research Network Baltimore Maryland USAJohns Hopkins Clinical Research Network Baltimore Maryland USAABSTRACT Clinical research studies are becoming increasingly complex resulting in compounded work burden and longer study cycle times, each fueling runaway costs. The impact of protocol complexity often results in inadequate recruitment and insufficient sample sizes, which challenges validity and generalizability. Understanding the need to provide an alternative model to engage researchers and sponsors and bringing clinical research opportunities to the broader community, clinical research networks (CRN) have been proposed and initiated in the United States and other parts of the world. We report on the Johns Hopkins Clinical Research Network (JHCRN), established in 2009 as a multi‐disease research collaboration between the academic medical centers and community hospitals/health systems. We have discussed vision, governance, infrastructure, participating hospitals' characteristics, and lessons learned in creating this partnership. Designed to leverage organized patient communities, community‐based investigators, and academic researchers, the JHCRN provides expedited research across nine health systems in the mid‐Atlantic region. With one IRB of record, a centralized contracting office, and a pool of dedicated network coordinators, it facilitates research partnerships to expand research collaborations among the differing sizes and types of hospitals/health systems in a region. As of August 2024, total 81 studies‐clinical trials, cohort studies, and comparative effectiveness research have been conducted, with funding from the NIH, private foundations, and industry. The JHCRN experience has enhanced understanding of the complexity of participating sites and associated ambulatory practices. In conclusion, the CRN, as an academic–community partnership, provides an infrastructure for multiple disease studies, shared risk, and increased investigator and volunteer engagement.https://doi.org/10.1111/cts.70123clinical research networkcollaborationinfrastructureinvestigators
spellingShingle Rahul Kashyap
Gayane Yenokyan
Robert Joyner
Melissa Gerstenhaber
Mary Alderfer
Erika Siegrist
Joan Moore
Channing J. Paller
Hanan Aboumatar
James J. Potter
Stanley Watkins Jr
John E. Niederhuber
Daniel E. Ford
Adrian Dobs
Clinical Research Network: JHCRN Infrastructure and Lessons Learned
Clinical and Translational Science
clinical research network
collaboration
infrastructure
investigators
title Clinical Research Network: JHCRN Infrastructure and Lessons Learned
title_full Clinical Research Network: JHCRN Infrastructure and Lessons Learned
title_fullStr Clinical Research Network: JHCRN Infrastructure and Lessons Learned
title_full_unstemmed Clinical Research Network: JHCRN Infrastructure and Lessons Learned
title_short Clinical Research Network: JHCRN Infrastructure and Lessons Learned
title_sort clinical research network jhcrn infrastructure and lessons learned
topic clinical research network
collaboration
infrastructure
investigators
url https://doi.org/10.1111/cts.70123
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