The OCHIN community information network: bringing together community health centers, information technology, and data to support a patient-centered medical village.

The OCHIN community information network: bringing together community health centers, information technology, and data to support a patient-centered medical village.
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DOI:
10.3122/jabfm.2013.03.120234
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发表时间:
2013-05
期刊:
Journal of the American Board of Family Medicine : JABFM
影响因子:
--
通讯作者:
Sears A
Sears A
中科院分区:
其他
文献类型:
--
作者:
Devoe JE;Sears A

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创建综合、全面的护理实践需要获得数据和信息学专业知识。信息技术资源并不容易提供给个别业务。共享信息技术资源和学习的一种模式是“以病人为中心的医疗村”。我们将OCHIN社区卫生信息网络描述为这种模式的一个例子,社区实践共同形成一个组织,利用共享的IT专业知识,资源和数据,为成员提供充分利用支持改善护理的新技术的方法。这种协作通过监测全网络数据促进了“问题棚”的确定,使人们能够分享关于最佳做法的学习,并为基于实践的研究提供了“社区实验室”。作为解决方案社区的一个例子,OCHIN利用卫生IT和数据共享创新来加强公共卫生领导者、社区卫生中心临床医生、信息学专家和政策制定者之间的伙伴关系。OCHIN社区合作伙伴从共享的IT资源中受益(例如,链接的电子健康记录(EHR),集中的数据仓库,信息学和改进专业知识)。这个以病人为中心的医疗村提供了集体机制,以建立社区定制的IT解决方案,“邻居”共享数据和改进策略,以及基础设施,以支持跨社区的EHR创新,使用实验方法。
Creating integrated, comprehensive care practices requires access to data and informatics expertise. Information technology (IT) resources are not readily available to individual practices. One model of shared IT resources and learning is a “patient-centered medical village.” We describe the OCHIN Community Health Information Network as an example of this model where community practices have come together collectively to form an organization which leverages shared IT expertise, resources, and data, providing members with the means to fully capitalize on new technologies that support improved care. This collaborative facilitates the identification of “problem-sheds” through surveillance of network-wide data, enables shared learning regarding best practices, and provides a “community laboratory” for practice-based research. As an example of a Community of Solution, OCHIN utilizes health IT and data-sharing innovations to enhance partnerships between public health leaders, community health center clinicians, informatics experts, and policy makers. OCHIN community partners benefit from the shared IT resource (e.g. a linked electronic health record (EHR), centralized data warehouse, informatics and improvement expertise). This patient-centered medical village provides the collective mechanism to build community tailored IT solutions, “neighbors” to share data and improvement strategies, and infrastructure to support EHR-based innovations across communities, using experimental approaches.
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