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

卫生组织转型中心（CHOT）致力于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，因为医疗服务的管理和转型已经成为美国最重要的国内问题之一。医疗支出约占国内生产总值的18%，人们越来越关注与医疗服务组织和支付有关的一系列医疗保健问题。CHOT项目应对这些复杂的挑战，并确定和利用创新机会，以改善保健服务的提供。华盛顿大学CHOT站点（CHOT -UW）通过在现有CHOT人才库中目前没有代表的领域增加研究专业知识，以及增加CHOT在西部，特别是太平洋西北地区的存在，扩展了目前CHOT站点网络。这种扩张很重要。尽管医疗保健问题是全国性的，但地理、文化、州法律和健康问题的细微差别会影响医疗保健的提供。有很多东西需要学习和分享，特别是在一个行业环境中，卫生系统的性质和提供者之间的联盟正在因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和相互学习的意愿，这与美国国家科学基金会工业/大学合作研究中心（I/UCRC）项目背后的总体理念是一致的。拟议的CHOT- uw网站的目的是使用跨学科的方法来提高CHOT在以下方面的能力：(1)卫生经济学和融资（包括支付改革，保险福利，成本透明度，垂直整合和成本效益，替代支付激励模型和综合支付系统模型）；(2)卫生系统工程（包括决策建模、仿真建模、持续流程改进、丰田精益、调度和资源分配）；(3)卫生系统的组织和整合（包括医生整合、负责任的医疗组织和医疗之家设计以及综合交付系统）；(4)卫生技术的采用和传播（包括远程医疗、卫生信息交换和消费者健康信息学）。CHOT- UW网站的潜在行业合作伙伴认为，这些领域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。CHOT- UW的每个现场研究领域都配备了在卫生系统内进行应用研究方面具有丰富经验的UW专家。总的来说，专家团队不仅在主题专业知识方面提供了呼吸，而且在研究方法方面也提供了呼吸。强大的研究生和本科生将支持教师的这一努力。在UW CHOT的新网站中，潜在的研究教师和学生中有明显的少数民族和性别多样性。这项新活动将极大地加强华盛顿大学的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.