Meetings & Events

2020 Implementation Science Retreat

The first CARRA Implementation Science retreat was held in February, 2020.


The newly formed Implementation Science (ImpSci) Workgroup was launched at the 2019 CARRA Annual Scientific Meeting. Our goal is to facilitate implementation of CARRA research findings and to advance the CARRA Consensus Treatment Plan (CTP) program.

The first CARRA Implementation Science Retreat was held on February 24th-25th 2020, following the popular CARRA Registry Retreat in Dallas, Texas.  The purpose of the retreat was to bring together stakeholders across the pediatric rheumatology community to introduce participants to the discipline of Implementation Science and to learn about ongoing projects in the community.

We were privileged to learn from the following experts in the field:

  • Dr. Emily Becker- Haimes, an implementation scientist and clinical psychologist dedicated to improving quality of youth mental health services, provided an excellent summary of basics and an introduction to Implementation Science.
  • Dr. Gareth Perry, a PhD scientist from Institute for Health Improvement (IHI), who focuses on Implementation Science Experimental Designs and measurement, provided a foundation in Implementation Science theory, frameworks, and study design.
  • Dr. James Dearing, who studies the diffusion of innovations, including the adoption and implementation of new evidence- based practices, programs, technologies and policies introduced us to implementation measurement principles and measures of key constructs such as fidelity, adaptation, acceptability, feasibility, penetration, and sustainability.
  • Dr. Maria Fernandez, who has extensive experience in research translation and dissemination and implementation (D&I) research, discussed the concepts of organizational context, culture, and readiness to change, and their influence on implementation feasibility and success.  
  • Dr. Esi Morgan, who chairs Pediatric Rheumatology Care and Outcomes Improvement Network (PR-COIN), presented on the similarities and differences between Quality Improvement, Clinical research and Implementation Science and how they can work together.

The speakers’ presentations were recorded and are available on the CARRA Wiki here.

We also heard ”Works in Progress” presentations from five pediatric rheumatology teams who are developing projects in the area of Implementation Science and QI.

After learning the basics from our experts, attendees participated in the following breakout sessions aimed at developing initiates that will be continued in the coming months:

  • CARRA Implementation Science Roadmap breakout groups worked on developing approaches for determining priority areas for focus, guidelines for determining readiness to implement, approaches for connecting science emerging from the CARRA workgroups to the implementation initiatives, and collaboration with other organizations including PR-COIN.
  • Implementation of CARRA Consensus Treatment Plans (CTPs) breakout groups discussed how to develop improved methods for assessing the use of CARRA CTPs and to efficiently iterate on them as new data emerges, treatment options fall out of favor, and new drugs come to market.
  • Transition from Pediatric to Adult Care continued to discuss how to build on preliminary experience from the recently funded CARRA pilot project and develop an implementation plan for scaling up to more sites.
  • Screening for Mental Health Symptoms in pediatric rheumatology started the conversation on to develop an implementation plan for screening for mental health symptoms and connecting patients to necessary resources.

Participants reported that they enhanced their knowledge about Implementation Science and are enthusiastic about continuing their participation.  For those interested in getting involved with the Implementation Science Workgroup, please contact Cagri Toruner at [email protected].


Cagri Yildirim Toruner, MD
[email protected]


        Emily von Scheven, MD, MAS
        [email protected]