AOC: Health Information Technology as an Agent of Change for Improving Health Care Delivery Processes
AOC:健康信息技术作为改善医疗保健提供流程的变革推动者
基本信息
- 批准号:0826842
- 负责人:
- 金额:$ 75万
- 依托单位:
- 依托单位国家:美国
- 项目类别:Standard Grant
- 财政年份:2008
- 资助国家:美国
- 起止时间:2008-10-01 至 2013-09-30
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
Health care delivery in the U.S. is experiencing severe and worsening problems. Costs are higher than in other countries and continue to increase, yet the overall quality of care delivered is not improving. Increasing demand for health care as baby boomers become elderly is further straining the care delivery system. Thus, dramatic changes are needed in health care delivery in the U.S. over the next decade. One proposed solution is computer systems designed for health care, called health information technology (HIT). These HIT systems, particularly electronic health records (EHR) that store patients? medical history and their interactions with physicians, promise significant improve¬ments in quality, effectiveness and productivity of care delivery. Yet simply installing HIT without significantly changing existing work processes is unlikely to produce needed results. What is needed is an in-depth under¬standing of how HIT and process design techniques should be conceptualized and applied in health care. This project develops theories that can transform health care delivery processes in the U.S., through a deep understanding of the changes needed to make effective use of HIT and process design techniques. The questions we address are: What capabilities does an EHR provide and which are used by health care organizations? Which characteristics of the health care context, including characteristics of countries, the physician and nursing professions, and health care organizations, enable and inhibit the ability of health care organizations to take advantage of what EHR systems provide? What are the dynamics of change by which EHR capabilities affect care delivery processes? How and why do new EHR systems improve or reduce the quality and productivity of health care delivery processes? How do health care organizations and individuals working in them need to change to make the most effective use of new EHR systems? Answers to these questions will provide the knowledge needed to transform health care delivery processes in the U.S.This team will conduct multiple case studies of EHR implementation in health care organizations to understand the dynamics of change as the EHR implementation alters health care delivery processes. The case studies will be carried out at our partner organizations, Fallon Clinic, UMass Memorial Health Care, Canada?s single payer system in British Columbia, and two of Israel?s four Health Fund systems. These four settings provide different health care contexts, enabling us to observe and learn from their differences. Improving the quality of health care delivered in the U.S. as well as reducing its cost has become a critically important societal goal. The health care system is reaching a breaking point, and needs to be changed. Simplistic solutions, however, will not work. Solutions require an interdisciplinary approach and the holistic, in-depth understanding of the variety of forces influencing change that will be studied in this project. The work produced will provide a foundation for a larger community of researchers transforming HIT and process design ideas to solve health care delivery problems.
美国的医疗保健服务正在经历严重且日益恶化的问题。费用高于其他国家,而且还在继续增加,但提供的医疗服务的整体质量并没有改善。随着婴儿潮一代步入老年,对医疗保健的需求不断增加,这进一步加剧了护理提供系统的压力。因此,在接下来的十年里,美国的医疗保健服务需要做出巨大的改变。一种建议的解决方案是为医疗保健设计的计算机系统,称为健康信息技术(HIT)。这些命中系统,特别是存储患者的电子健康记录(EHR)?病史和他们与医生的互动,保证了医疗服务的质量、有效性和生产力的显著改善。然而,简单地安装HIT而不对现有工作流程进行重大改变不太可能产生所需的结果。我们需要的是深入了解HIT和流程设计技术应该如何概念化并应用于医疗保健。这个项目通过深入了解有效利用HIT和流程设计技术所需的变化,开发出可以改变美国医疗保健提供流程的理论。我们解决的问题是:EHR提供哪些功能,医疗保健组织使用哪些功能?卫生保健背景的哪些特征,包括国家、医生和护理专业以及卫生保健组织的特点,使卫生保健组织能够或抑制卫生保健组织利用电子健康记录系统所提供的优势?电子病历能力影响护理提供过程的变化动力是什么?新的电子病历系统如何以及为什么改进或降低医疗保健提供过程的质量和生产力?卫生保健组织和在其中工作的个人需要如何改变,以最有效地利用新的电子健康记录系统?对这些问题的回答将提供改变美国医疗保健提供流程所需的知识。该团队将对医疗保健组织中的电子健康记录实施进行多个案例研究,以了解随着电子健康记录实施改变医疗保健提供流程的动态变化。案例研究将在我们的合作伙伴组织进行,法伦诊所,华盛顿大学马萨诸塞州纪念医疗保健,加拿大?不列颠哥伦比亚省的S单一支付者系统,以及以色列的两个?S四健康基金系统。这四种环境提供了不同的医疗保健环境,使我们能够观察和学习它们的差异。提高美国医疗保健的质量,同时降低其成本,已经成为一个至关重要的社会目标。医疗保健系统正在达到一个临界点,需要进行改革。然而,简单化的解决方案是行不通的。解决方案需要跨学科的方法,以及对影响变化的各种力量的全面、深入的理解,这将在本项目中进行研究。所产生的工作将为更多的研究人员转变HIT和流程设计思想以解决医疗保健提供问题提供基础。
项目成果
期刊论文数量(0)
专著数量(0)
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Diane Strong其他文献
User Experience-driven Innovation in Smart and Connected Worlds
智能互联世界中用户体验驱动的创新
- DOI:
- 发表时间:
2019 - 期刊:
- 影响因子:0
- 作者:
Soussan Djamasbi;Diane Strong - 通讯作者:
Diane Strong
Diane Strong的其他文献
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{{ truncateString('Diane Strong', 18)}}的其他基金
SHB: Medium: Self-Care Management: Patient-Centered Diabetic Wound Care Using Smart Phones
SHB:中:自我护理管理:使用智能手机以患者为中心的糖尿病伤口护理
- 批准号:
1065298 - 财政年份:2011
- 资助金额:
$ 75万 - 项目类别:
Standard Grant
CCLI-EMD: Integrating Enterprise Decision-Making Modules into Undergraduate Industrial Engineering and Management Curricula
CCLI-EMD:将企业决策模块纳入本科工业工程和管理课程
- 批准号:
0442394 - 财政年份:2005
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$ 75万 - 项目类别:
Standard Grant
The Relationship of Enterprise Resource Planning (ERP) Implementation to Organizational Changes in Control, Task Structure, and Workarounds
企业资源规划 (ERP) 实施与组织控制、任务结构和解决方法变更的关系
- 批准号:
0114954 - 财政年份:2001
- 资助金额:
$ 75万 - 项目类别:
Standard Grant
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