METROHEALTH INSTITUTE OF BURN ETHICS
MetroHealth’s Center for Biomedical Ethics, Comprehensive Burn Care Center and Case Western Reserve University Department of Bioethics have partnered to create the Institute of Burn Ethics.
- The Institute serves the international burn and biomedical ethics communities through a multidisciplinary team focusing on research, education, policy development and clinical practice.
- In 2016, members of the Institute team presented their work at national and international conferences.
- MetroHealth’s Burn Care Center provides care to more than 1,200 patients per year in its inpatient unit and outpatient clinic, treating patients with burns, scars and complex wounds.
- MetroHealth is one of two adult and pediatric burn centers in the state of Ohio verified by the American Burn Association and the American College of Surgeons Committee on Trauma.
Major research programs focus on improving health care quality and outcomes, reducing health inequalities, restoring neurological health, decreasing infant mortality, treating heart disease and arrhythmias, and developing novel tests and treatments for kidney diseases.
- In 2016, MetroHealth received 94 awards totaling approximately $14 million annually from the National Institutes of Health, the Veterans Administration and various foundations. In addition, 23 new industry-sponsored trials were initiated with expected revenue of $3 million.
- The MetroHealth Rehabilitation Institute is changing the practice of rehabilitation. Institute research focuses on functional electrical stimulation, which uses small, artificially generated electrical currents that are safe and effective to replace the action of nerves damaged by injury or disease. This past year this research group was awarded seven new grants, and one of the devices it developed to relieve chronic musculoskeletal pain was approved by the Federal Drug Administration for patient use. In addition, scientists in MetroHealth’s Department of Obstetrics and Gynecology were awarded a new grant to improve the outcome of pregnancies in overweight and diabetic woman through lifestyle changes.
- In 2016, more than 3,400 patients were involved in clinical research protocols. The “bench to bedside” approach to research, taking research from the laboratory to the clinical setting, directly benefits patients.
- By centralizing research at MetroHealth, physicians and other researchers have been able to initiate studies in a more efficient and cohesive manner. A tracking system that was developed in EPIC, the electronic medical record, allows for improved continuity of care for research participants. Often, patients who have exhausted other therapies gain access to new medications that may help.
- In 2016, 188 new studies were reviewed and approved, 30 clinical trials were opened, and there are 815 active studies.
- MetroHealth has executed Institutional Review Board (IRB) Authorization Agreements with Institutional Review Boards in the state of Ohio including: Cleveland Clinic, University Hospitals, Case Western Reserve University, The Ohio State University, Nationwide Children’s, University of Cincinnati and Cincinnati Children’s. These agreements allow for one IRB to rely on the review of another. MetroHealth staff developed the electronic Reliant Review HUB, which permits all participating institutions to do their reviews on a single electronic platform (hosted by MetroHealth). MetroHealth is one of four institutions chosen nationally to help determine how studies can be reviewed by a single IRB.
- MetroHealth is an institutional partner in the Cleveland Clinical and Translational Science collaborative and has a clinical research unit to care for both inpatients and outpatients participating in research studies.
- MetroHealth’s community partner for research is Case Western Reserve University
The MetroHealth Simulation (Sim) Center provides programs designed for health care professionals to refine critical decision-making, apply knowledge and practice important skills using sophisticated simulation techniques.
- By creating realistic scenarios and using all available tools, the Sim Center optimizes the learning experience for a multidisciplinary array of learners.
- In 2016, the Sim Center conducted more than 17,000 learner-hours of training. A variety of simulators are employed including adult, child, maternal and infant computerized simulators, an ultrasound simulator and a long list of procedure-specific task-trainers.
- Standardized patients/professionals are often incorporated to achieve high-value communication goals.
- The Sim Center diligently serves MetroHealth staff and trainees as well as numerous regional entities including hospitals, EMS agencies, fire departments and schools.
- The multifaceted Sim Center team also provides full support to program coordinators and faculty to develop and implement high-yield programs that achieve customized educational objectives.
TEACHING HOSPITAL AFFILIATED WITH CASE WESTERN RESERVE UNIVERSITY SCHOOL OF MEDICINE
During the 102-year affiliation with Case Western Reserve University School of Medicine (CWRU), MetroHealth has trained thousands of physicians, many of them renowned in their fields throughout Cleveland and the world.
- All of MetroHealth’s active physicians hold faculty appointments at CWRU School of Medicine.
- MetroHealth researchers work with CWRU in key areas of scientific discovery and biomedical technology.
- The Center for Health Care Research and Policy and the Center for Reducing Health Disparities focus research efforts on finding more cost-effective approaches to treatment and management of chronic diseases
- In the last year, MetroHealth trained:
- 1,100 medical students and nurse practitioner, physician assistant, anesthesia assistant, bioethic, podiatry and informatics students
- 400 residents/fellows rotating from other institutions
- 380 MetroHealth residents/fellows