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

卫生组织转型中心(CHIT)致力于对卫生保健面临的组织、集成、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经成为美国最重要的国内问题之一。由于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项目应对这些复杂的挑战，并确定和利用创新机会，以改善医疗保健的提供。华盛顿大学中教中心(CHOT-UW)通过增加现有中教中心人才库中不存在的领域的研究专业知识，以及增加中山大学在西部，特别是太平洋西北部地区的存在，扩大了现有的中教中心网络。这种扩张很重要。虽然医疗保健问题是全国性的，但地理、文化、州法律和健康方面的细微差别影响了医疗保健的提供。有很多东西可以学习和分享，特别是在一个卫生系统的性质和提供者之间的联盟正在因应经济压力和最近的立法而发生变化的行业环境中。太平洋西北地区的卫生保健组织有着悠久的合作历史和相互学习的意愿，这与NSF产业/大学合作研究中心(I/UCRC)计划背后的总体哲学是一致的。拟议的CHOT-UW网站的目的是使用跨学科的方法来增强CHOT在(1)卫生经济和融资方面的能力(包括支付改革、保险福利、成本透明度、垂直一体化和成本效益、替代支付激励模式和综合支付系统模式)；(2)健康系统工程(包括决策建模、模拟建模、持续流程改进、丰田精益、调度和资源分配)；(3)健康系统的组织和集成(包括医生集成、责任护理组织和医疗之家设计、以及集成交付系统)；(4)和健康技术的采用和传播(包括远程健康、健康信息交换和消费者健康信息学)。这些领域被CHOT-UW网站的潜在行业合作伙伴确定为其组织成功的关键，因为他们正在努力应对医疗保健服务提供的机会、成本和质量方面的广泛变化。威斯康星大学的每个现场研究区域都有在卫生系统内进行应用研究方面经验丰富的专家。总的来说，专家团队不仅在主题专门知识方面，而且在研究方法方面也提供了喘息的机会。强大的研究生和本科生将支持教师在这方面的努力。潜在的研究人员和学生中有显著的少数族裔和性别多样性，他们将积极参与新的威斯康星大学的CHOT网站。这一新活动将极大地加强威斯康星大学硕士和博士水平的教育、研究以及与实践社区的联系。

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.