Health System Modeling and Simulation: Coordinated Care Example

卫生系统建模和模拟：协调护理示例

• 批准号: 1235364
• 负责人: Bernard Zeigler
• 金额: $ 27.08万
• 依托单位: RTSync Corp
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-02-15 至 2014-01-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1235364&HistoricalAwards=false
• 关键词: Health; System; Modeling; Simulation; Coordinated

The research objective of this award is to develop a general modeling framework for national health care that will enable simulations to study specific approaches to improve care while reducing cost. For example, simulations will allow Accountable Care Organizations (ACOs) to study specific coordinated care systems to fill the gap between hospital and doctor aimed at reducing re-admissions and medication errors. ACOs will also be able to examine the tradeoff between quality and cost of such coordinated care. A range of simulation tools will be developed to support the design of coordination architectures and predict important quality metrics that are applicable to diverse populations. The modeling approach will integrate mathematical system and agent modeling concepts extended to include human behavioral limitations. The overall model will significantly extend an established coordinated care framework and will be validated against data obtained from a successful program for women with high risk pregnancies.The results of this research will show how to systematically model the behaviors of patients who require coordinated care interventions, thus rendering these behaviors amenable to health care system design and engineering. The systems-level simulation models will identify the various community partners and how they can be effectively coordinated using emerging health information networks and electronic medical records. Beyond impacting health care, the new methodology for system-level modeling and simulation will support constructing and testing alternative architectures for coordinating component systems prior to implementation in diverse societal sectors such as engineering, defense, and agriculture. The tool set employed to build the models will be widely distributed through the proposer?s software distribution services. The model library will be promulgated by a collaborating coordinated care institute to a wide network of organizations set up to provide such care.

该奖项的研究目标是为国家医疗保健开发一个通用的建模框架，使模拟能够研究在降低成本的同时改善医疗保健的具体方法。例如，模拟将允许责任医疗组织（ACO）研究特定的协调医疗系统，以填补医院和医生之间的差距，旨在减少再次入院和用药错误。ACO也将能够检查这种协调护理的质量和成本之间的权衡。 将开发一系列模拟工具，以支持协调架构的设计，并预测适用于不同人群的重要质量指标。建模方法将整合数学系统和代理建模概念，扩展到包括人类行为的限制。 整体模型将显着扩展一个既定的协调护理框架，并将验证从一个成功的计划，为妇女与高风险pregnancy.Results的研究结果将显示如何系统地模拟需要协调护理干预的患者的行为，从而使这些行为适合卫生保健系统的设计和工程。 系统一级的模拟模型将确定各种社区伙伴，以及如何利用新出现的保健信息网络和电子病历有效协调这些伙伴。除了影响医疗保健之外，系统级建模和仿真的新方法将支持构建和测试替代架构，以便在工程，国防和农业等不同社会部门实施之前协调组件系统。用于构建模型的工具集将通过提议者广泛分发？的软件分发服务。该示范图书馆将由一个合作的协调保健机构向为提供这种保健而建立的广泛的组织网络公布。