MEDICAL TECHNOLOGY AND PRACTICE PATTERNS INSTITUTE INC
5272 RIVER RD NO 665, BETHESDA, MD 20816 www.mtppi.org

Total Revenue
$889,949
Total Expenses
$1,310,800
Net Assets
$4,110,789

Organizations Filed Purposes: FOUNDED IN 1986, MTPPI IS A RESEARCH ORGANIZATION SPECIALIZING IN HEALTH SERVICE RESEARCH, EDUCATION AND HEALTH POLICY ANALYSIS OF NEW AND EMERGING TECHNOLOGIES.

PCORI D&I ENHANCE IS A DISSEMINATION AND IMPLEMENTATION RESEARCH PROJECT (D&I). IT BUILDS ON THE INVESTIGATORS' EARLIER PILOT PROJECT. THE RESEARCHERS ARE AIMING TO DISSEMINATE AND IMPLEMENT KNOWLEDGE, APPLICATION, AND USE OF TWO NEW ANALYTIC TECHNIQUES, INVERSE PROBABILITY WEIGHTING (IPW) AND THE PARAMETRIC G-FORMULA METHODS. AT ITS FOUNDATION, THESE PROPOSED METHODS PROVIDE A SOUND APPROACH TO EVALUATE HOW TO TREAT A PATIENT OVER TIME, TAKING INTO ACCOUNT BOTH TREATMENT HISTORY AND CLINICAL RESPONSE TO THOSE TREATMENTS. THE TEAM HAS IDENTIFIED FOUR SITES NATIONWIDE CHILDREN'S HOSPITAL/THE OHIO STATE UNIVERSITY, UNIVERSITY OF UTAH SCHOOL OF MEDICINE, UCONN HEALTH, AND UNIVERSITY OF FLORIDAWITH A TOTAL OF 11 ONGOING OR RECENTLY FUNDED PROJECTS THAT HAVE CHOSEN TO PARTNER WITH THIS PROJECT TO USE THESE NEW ANALYTIC TECHNIQUES IN THE FOLLOWING AREAS: PEDIATRIC TRIAGE OF MAJOR TRAUMA, PAIN RELIEF MEDICATION USE, SPINAL CORD AND TRAUMATIC BRAIN INJURY, COMMUNITY-ONSET PNEUMONIA, RHEUMATOID ARTHRITIS PROGRESSION, AND HEALTH DISPARITIES IN MATERNAL AND CHILD HEALTH.

BARRIERS TO ARTERIOVENOUS FISTULA IN BLACK HEMODIALYSIS PATIENTS, UAB - CURRENTLY, OVER 400,000 U.S. END-STAGE RENAL DISEASE (ESRD) PATIENTS RECEIVE HEMODIALYSIS (HD) TO SUSTAIN LIFE AND BLACKS REPRESENT A DISPROPORTIONATE NUMBER OF ESRD PATIENTS. TO SUCCESSFULLY AND EFFICIENTLY DIALYZE, ESRD PATIENTS MUST HAVE A RELIABLE CONDUIT TO THE VASCULATURE (VASCULAR ACCESS), EITHER AN ARTERIOVENOUS FISTULA (AVF) OR ARTERIOVENOUS GRAFT (AVG). THE CURRENT NATIONAL CONSENSUS VASCULAR ACCESS GUIDELINES (KDOQI AND FISTULA FIRST INITIATIVE) AND RECENTLY MANDATED QUALITY IMPROVEMENT STRATEGIES STRONGLY RECOMMEND PREFERENTIAL PLACEMENT OF AVFS. UNFORTUNATELY, 80% OF ESRD PATIENTS INITIATE HD WITH A CENTRAL VEIN CATHETER (CVC), THE WORST POSSIBLE VASCULAR ACCESS IN TERMS OF PATIENT MORTALITY AND ADVERSE OUTCOMES. SUCH PATIENTS THE FOCUS OF THIS PROJECTREQUIRE TIMELY VASCULAR ACCESS PLANNING AND SURGERY ONCE THEY HAVE INITIATED HD. RACIAL DISPARITIES IN THE FREQUENCY OF AVF USE BETWEEN BLACKS AND WHITES BEGIN AT HD INITIATION AND INCREASE OVER TIME. THIS PROJECT WILL INVESTIGATE THE REASONS FOR THE LOWER AVF USE AMONG BLACKS THAT CAN INFORM A MEANINGFUL FUTURE MULTI-LEVEL INTERVENTION.

PCORI BETTER CARE - THE UNITED STATES IS DIVIDED INTO 18 ESRD NETWORKS TO MONITOR QUALITY OF CARE AND IMPLEMENT EVIDENCE-BASED DIALYSIS PRACTICE. THE PROJECT TEAM IS PARTNERING WITH THE MID-ATLANTIC NETWORK 5 WHICH COVERS MARYLAND, VIRGINIA, AND WEST VIRGINIA TO DISSEMINATE FINDINGS FROM FOUR PCORI DIALYSIS STUDIES BY LEVERAGING EXISTING NETWORK DISSEMINATION INFRASTRUCTURE. THE PROJECT TEAM WILL DISSEMINATE FINDINGS FROM FOUR LARGE PCORI-FUNDED DIALYSIS STUDIES INTO ESRD NETWORK 5 FACILITIES AND CREATE NATIONAL SCALABILITY POTENTIAL.

Executives Listed on Filing

Total Salary includes financial earnings, benefits, and all related organization earnings listed on tax filing

NameTitleHours Per WeekTotal Salary
Dennis CotterDIRECTOR, PRESIDENT40$316,026
Mae Thamer-NallRESEARCH DIRECTOR40$195,387
Yi ZhangSENIOR RESEARCH ASSOCIATE40$151,959
Nicholas Hamilton-CotterDIRECTOR - DEV & STRATEGIC ALLIANCES40$150,000
Tom KeonDIRECTOR, TREAUSRER2$0
Stephen P HeyseDIRECTOR2$0

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