Planning Grant (Site Addition): Center for Health Organization Transformation

卫生组织转型中心（CHOT）旨在对卫生保健面临的组织，整合，管理，支付，技术和系统工程挑战进行前沿研究。这是一项重要的工作，因为卫生服务的管理和转型已成为美国最重要的国内问题之一。随着卫生支出约占国内生产总值的18%，人们越来越关注与卫生保健服务的组织和支付有关的一系列卫生保健问题。CHOT项目解决这些复杂的挑战，并确定和利用创新机会，以改善医疗保健的提供。华盛顿大学CHOT网站（CHOT-UW）通过增加现有CHOT人才库中目前没有代表的领域的研究专业知识以及增加CHOT在西部，特别是太平洋西北地区的存在，扩展了当前的CHOT网站网络。这种扩张是重要的。虽然卫生保健问题是全国性的，但在地理、文化、州法律和健康问题上存在细微差别，影响着医疗服务的提供。有很多东西需要学习和分享，特别是在一个行业环境中，卫生系统的性质和供应商之间的联盟随着经济压力和最近的立法而发生变化。太平洋西北地区的卫生保健组织有着悠久的合作历史，并愿意相互学习，这与NSF的工业/大学合作研究中心（I/UCRC）计划背后的整体理念相一致。拟议的CHOT-UW网站的目的是使用跨学科的方法来提高CHOT在（1）卫生经济学和融资方面的能力（包括支付改革、保险福利、成本透明度、纵向一体化和成本效益、替代支付激励模式和综合支付系统模式）;（2）卫生系统工程（包括决策建模、仿真建模、持续过程改进、丰田精益、调度和资源分配）;（3）卫生系统的组织和一体化（包括医生一体化、负责任的护理组织和医疗家庭设计以及综合提供系统），（4）卫生技术的采用和传播（包括远程保健、卫生信息交流和消费者卫生信息学）。这些领域被CHOT-UW网站的潜在行业合作伙伴确定为对其组织的成功至关重要，因为他们正在努力应对医疗保健服务的获取、成本和质量方面的广泛变化。每个CHOT-UW的现场研究领域都有UW的专家，他们在卫生系统内进行应用研究方面拥有丰富的经验。总的来说，专家团队不仅在主题专业知识方面，而且在研究方法方面提供了气息。强大的研究生和本科生将支持教师在这方面的努力。有显着的少数民族和性别多样性之间的潜在研究教师和学生，将积极参与新的UW CHOT网站。这项新活动将大大提高华盛顿大学的硕士和博士水平的教育，研究，并联系到实践能力。

The Center for Health Organization Transformation (CHOT) seeks to conduct leading-edge research on the organization, integration,management, payment, technology, and systems engineering challenges confronting health care. This is important work as the management and transformation of health services has become one of the foremost domestic issues in the U.S. With health spending representingroughly 18 percent of the Gross Domestic Product, there are growing concerns about a range of health care issues related to the organization and payment for health care services. CHOT projects address these complex challenges as well as identify and exploit opportunities for innovation to improve the delivery of health care. The University of Washington CHOT site (CHOT -UW) expands the current CHOT site network by adding research expertise in areas not currently represented in the existing CHOT talent pool as well as increasing CHOT's presence in the west, particularly the Pacific Northwest. This expansion is important. Although, health care issues are national, there are nuances in geography, culture, state laws, and health concerns that affect the delivery of care. There is much to learn and share, particularly in an industry environment where the nature of health systems and alliances among providers are changing in response to economic pressures and recent legislation. Health care organizations in the Pacific Northwest have a long history of collaboration and willingness to learn from each other that falls right in line with the overall philosophy behind NSF's Industry/University Cooperative Research Center (I/UCRC) program.The purpose of the proposed CHOT-UW site is to use an interdisciplinary approach to enhance CHOT's capabilities in (1) health economics and financing (including payment reform, insurance benefits, cost transparency, vertical integration, and cost effectiveness, alternative payment incentive models, and integrated payment system models); (2) health systems engineering (including decision modeling, simulation modeling, continuous process improvement, Toyota LEAN, scheduling, and resource allocation); (3) organization and integration of health systems (including physician integration, accountable care organization and medical home design, and integrated delivery systems), (4) and health technology adoption and diffusion (including telehealth, health information exchange and consumer health informatics). These areas were identified by the CHOT- UW's site's potential industry partners as crucial to the success of their organizations as they grapple with extensive changes in the access, cost, and quality of health care delivery. Each of the CHOT- UW's site research areas is populated with UW experts with extensive experience in doing applied research within health systems. Collectively, the team of experts provide breath not only in terms of subject matter expertise, but also in research methodologies. Strong graduate and undergraduate will support the faculty in this endeavor.There is significant minority and gender diversity among the potential research faculty and students that will be active participants in the new UW CHOT site. This new activity will greatly enhance UW's masters and doctoral level education, research, and links to the practicecommunity.