SBIR Phase I: Reaching "unreachable" Medicaid Members and Building Bridges to Care

SBIR 第一阶段：接触“无法接触到的”医疗补助成员并搭建护理桥梁

• 批准号: 1914102
• 负责人: Aristotle Mannan
• 金额: $ 22.5万
• 依托单位: bosWell, Inc.
• 依托单位国家: 美国
• 项目类别: Standard Grant
• 财政年份: 2019
• 资助国家: 美国
• 起止时间: 2019-06-01 至 2020-05-31
• 项目状态: 已结题
• 来源: https://www.nsf.gov/awardsearch/showAward?AWD_ID=1914102&HistoricalAwards=false
• 关键词: SBIR; Phase; Reaching; unreachable; Medicaid

What are the broader impacts of the proposed activity? This SBIR Phase I project redefines how Medicaid recipients access health care. Over 75 million low-income Americans receive health care coverage through Medicaid, but socioeconomic barriers intrinsic to this population make it difficult to navigate the system. Many face challenges including housing insecurity, food poverty, substance abuse and lack of support that further inhibit the ability to obtain basic health care. Without earlier interventions, the most vulnerable individuals are prone to rely on hospital emergency departments for care - a vicious cycle that is costly to health care organizations and patients alike. Increasingly, community-based organizations (CBOs) such as food pantries, mobile health clinics, resource centers and shelters have emerged as survival touch points. As non-profits with limited resources, however, CBOs lack infrastructure for recordkeeping and reporting. The proposed technology addresses the data management needs of CBOs through a free and configurable web-based application that builds longitudinal profiles on the clients served. In turn, this application creates value for health care organizations by alerting care management teams when respective members visit a CBO and establishes a channel for earlier as well as preventive forms of engagement. The proposed technology extends the reach of health care organizations into the communities where Medicaid members reside. This entails equipping CBOs with a free client management application that improves organizational bandwidth and access to funding through streamlined data reporting. On the back-end, a matching engine ingests member enrollment files from health care organizations and queries the CBO database for unique linkages. When matches are found, care management teams at health care organizations receive notifications on the status and location of difficult to reach as well as vulnerable members. Subsequently, they can communicate bidirectionally with CBO staff that directly serve Medicaid members and have stronger relationships. CBO staff are provided with guidance on best practices to engage their clients and effectively serve as extensions of the care team. With at least 400,000 CBOs across the country, this approach has the potential to activate a vast network of existing infrastructure and dramatically improve care coordination for those on Medicaid. During this proposal period, an end-to-end solution will be implemented that links Medicaid members to their respective health care organizations and transforms CBOs into technology-enabled gateways to health care. Furthermore, the feasibility of the proposed technology will be evaluated for Phase II considerations.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.

拟议活动的广泛影响是什么？SBIR第一阶段项目重新定义了医疗补助受助人获得医疗保健的方式。超过7500万低收入美国人通过医疗补助获得医疗保险，但这一人群固有的社会经济障碍使其难以驾驭该系统。许多人面临住房无保障、粮食匮乏、滥用药物和缺乏支助等挑战，进一步限制了获得基本保健的能力。如果没有早期干预，最脆弱的个人往往依赖医院急诊室的护理-这是一个恶性循环，对卫生保健组织和病人都是昂贵的。食品储藏室、移动的诊所、资源中心和收容所等社区组织越来越多地成为生存接触点。然而，作为资源有限的非营利组织，社区组织缺乏记录和报告的基础设施。拟议的技术通过一个免费和可配置的基于网络的应用程序，建立纵向配置文件的客户服务，以满足社区组织的数据管理需求。反过来，该应用程序通过在各自的成员访问CBO时提醒护理管理团队并建立早期和预防性参与形式的渠道，为医疗保健组织创造价值。拟议中的技术将医疗保健组织的范围扩展到医疗补助成员居住的社区。这需要为社区组织配备免费的客户管理应用程序，通过简化的数据报告来提高组织带宽和资金获取能力。在后端，匹配引擎从医疗保健组织摄取成员登记文件，并查询CBO数据库以获得唯一链接。当找到匹配时，医疗保健组织的护理管理团队会收到关于难以联系到的成员以及弱势成员的状态和位置的通知。随后，他们可以与直接为医疗补助成员服务并拥有更强关系的CBO工作人员进行双向沟通。社区组织工作人员得到了最佳做法的指导，以使他们的客户参与进来，并有效地作为护理团队的延伸。全国至少有40万个社区组织，这种方法有可能激活一个庞大的现有基础设施网络，并大大改善医疗补助计划的护理协调。在本提案期间，将实施一个端到端解决方案，将医疗补助成员与各自的医疗保健组织联系起来，并将社区组织转变为医疗保健的技术网关。此外，建议的技术的可行性将评估第二阶段的考虑。这个奖项反映了NSF的法定使命，并已被认为是值得通过使用基金会的智力价值和更广泛的影响审查标准的评估支持。