Measurement Science QUERI Program

测量科学 QUERI 计划

• 批准号: 10179489
• 负责人: Rebecca Tyler Brown
• 金额: --
• 依托单位: VETERANS AFFAIRS MED CTR SAN FRANCISCO
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-10-01 至 2020-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10179489
• 关键词: Appointment; Architecture; Area; Award; Budgets; Businesses; California; Cardiac rehabilitation; Cardiology; Clinical Sciences; Cognitive Therapy; Collaborations; Colonoscopy; Computerized Medical Record; Computerized Patient Records; Custom; Data; Development; Doctor of Philosophy; Educational Curriculum; Ensure; Evidence based practice; Feedback; Future; Gastroenterology; Geriatrics; Goals; Health; Health Personnel; Health Professional; Health Services Accessibility; Healthcare; Healthcare Systems; Home environment; Improve Access; Individual; Informatics; Information Systems; Information Technology; Infrastructure; Institutes; Intelligence; Learning; Letters; Link; Long-Term Care; Measurement; Measures; Mental Health Services; Mission; Modernization; Motivation; Office Management; Outcome; Pain management; Patient Care; Performance; Process; Provider; Quality of Care; Recommendation; Recording of previous events; Science; Service delivery model; Site; Sleeplessness; Speed; Standardization; System; Technology; Telephone; Training; Training Programs; Translational Research; Translations; Universities; Validation; Veterans; Wait Time; Work; base; care systems; data modeling; data standards; dissemination research; evidence base; experience; functional status; graphical user interface; health administration; health care quality; implementation science; implementation strategy; improved; individual patient; population health; primary care services; programs; research to practice; skills; success; theories; tool; tumor

 DESCRIPTION (provided by applicant): This is a proposal to establish a "Measurement Science QUERI Program" with the following Impact Goal: "To Integrate Measurement Science into Healthcare for Veterans." This goal supports strategic priorities at all levels of the Department of Veterans Affairs and directly aligs with Strategy 3 of the Veterans Health Administration (VHA)'s Blueprint for Excellence: "Leverage information technologies, analytics, and models of health care delivery to optimize individual and population health outcomes." Measurement Science (defined as the theory, practice and application of suitable metrics) is at the core of VHA's Learning Healthcare System and a critical component at every stage of the quality improvement and implementation process. Using system- wide data to promote performance measurement, improvement efforts, and electronic tools such as reminders and decision support depends entirely on the uniformity of those metrics, the efficiency with which they can be obtained, and the accuracy with which they have been measured. Whenever a healthcare decision is made, be it for an individual patient encounter or in the Office of the Undersecretary for Health, we must ensure that this decision is based on valid and reliable data that are linked with all relevant information. Without meaningful metrics, quality improvement and implementation of evidence-based therapies cannot be accomplished. The Measurement Science QUERI Program will work with VHA operational partners to: (Aim 1) promote standardization of VHA data through use of a Common Data Model; (Aim 2) conduct two high-priority quality improvement and three implementation science projects; and (Aim 3) speed dissemination of research into practice through training programs for healthcare providers. The five projects in Aim 2 will: (1) improve quality assessment of colonoscopy; (2) expand integrated pain management programs; (3) evaluate implementation strategies for home-based cardiac rehabilitation; (4) expand use of telephone cognitive-behavioral therapy for insomnia; and (5) improve measurement of functional status. These projects are united by a need to identify and clearly define standardized metrics that will facilitate tracking of future benefits (or harms). The Measurement Science QUERI will also include a unique training component (Aim 3) that will accelerate the dissemination of evidence-based therapies into practice by integrating an implementation science curriculum into training programs and involving health professional trainees in quality improvement projects. This will not only increase motivation to engage in continuous quality improvement but will accelerate the implementation of evidence-based practices by providing trainees with the skills to become future leaders in these areas. The Measurement Science QUERI Program is broadly supported by partners in the Office of Informatics and Analytics (see letters from Jonathan Nebeker MD MS, Stephan Fihn MD MPH, and John Quinn), the VA Informatics and Computing Infrastructure (see VINCI letter from Scott Duvall PhD and Michael Matheny MD MS MPH), Patient Care Services (see letters from Jason Dominitz MD and John Rumsfeld MD PhD), Geriatrics and Extended Care (see letter from Kenneth Shay DDS MS), Mental Health Services (see letters from Andrew Pomerantz MD and others), and Academic Affiliations (see letter from Stuart Gilman MD MPH) as well as VISN 21 (see letter from Mary Anne Johnson MD) and the University of California Clinical and Translational Sciences Institute (see CTSI letter from Jennifer Grandis MD and Deborah Grady MD MPH). The purpose of this work is to demonstrate how QUERI can assist operational partners promote more rapid translation of evidence-based therapies into practice.

 描述(由申请人提供)： 这是一项建立“测量科学QUERI计划”的建议，其影响目标如下：“将测量科学融入退伍军人医疗保健。”这一目标支持退伍军人事务部各级的战略优先事项，并与退伍军人健康管理局(退伍军人健康管理局)S卓越蓝图的战略3直接一致：“利用信息技术、分析和医疗保健提供的模式来优化个人和人群的健康成果。”测量科学(定义为合适指标的理论、实践和应用)是VHA学习医疗体系的核心，也是质量改进和实施过程的每个阶段的关键组成部分。使用全系统数据来促进业绩衡量、改进工作以及提醒和决策支持等电子工具，完全取决于这些指标的一致性、获取这些指标的效率以及衡量这些指标的准确性。无论是针对个别病人就诊还是在卫生部副部长办公室做出医疗决定，我们都必须确保这一决定是基于与所有相关信息相联系的有效和可靠的数据。如果没有有意义的衡量标准，质量改进和循证治疗的实施就无法完成。测量科学QUERI计划将与VHA的业务合作伙伴合作，以：(目标1)通过使用通用数据模型促进VHA数据的标准化；(目标2)实施两个高度优先的质量改进和三个实施科学项目；以及(目标3)通过医疗保健提供者的培训计划，加快研究成果的传播。目标2中的五个项目将：(1)改进结肠镜检查的质量评估；(2)扩大综合疼痛管理计划；(3)评估家庭心脏康复的实施策略；(4)扩大失眠的电话认知行为疗法的使用；以及(5)改进对功能状态的测量。这些项目的共同之处在于，需要确定和明确定义标准化指标，以便于跟踪未来的好处(或危害)。测量科学QUERI还将包括一个独特的培训部分(目标3)，通过将实施科学课程整合到培训计划中并让卫生专业受训人员参与质量改进项目，加速循证疗法的传播到实践中。这不仅将增加参与持续质量改进的动力，而且将通过向受训人员提供成为这些领域未来领导者的技能，加速实施基于证据的做法。测量科学QUERI计划得到以下合作伙伴的广泛支持：信息学和分析办公室(见Jonathan Nebeker MD MS、Stephan Fihn MD Mph和John Quinn的信)、退伍军人信息学和计算基础设施(见Scott Duvall博士和Michael Matheny MD Mh的Vinci信)、患者护理服务(见Jason Dominitz MD和John Rumsfeld MD博士的信)、老年病学和延长护理(见Kenneth Shay DDS MS的信)、精神健康服务(见Andrew Pmerantz MD和其他人的信)、以及VISN 21(见Mary Anne Johnson医学博士的来信)和加州大学临床与翻译科学研究所(见Jennifer Grandis MD和Deborah Grady医学硕士的CTSI信件)。这项工作的目的是展示QUERI如何帮助业务合作伙伴更快地将循证疗法转化为实践。

项目成果

Nirvana: A Qualitative Study of Posttraumatic Growth in Adolescents and Young Adults with Inflammatory Bowel Disease.

• DOI: 10.3390/children9060879
• 发表时间: 2022-06-13
• 期刊: CHILDREN-BASEL
• 影响因子: 2.4
• 作者: Wu, Qiwei;Zhu, Pingting;Liu, Xinyi;Ji, Qiaoying;Qian, Meiyan
• 通讯作者: Qian, Meiyan

Trajectory analysis of the work and life experience of healthcare workers during the COVID-19 pandemic: a longitudinal qualitative study.

• DOI: 10.1186/s12912-023-01520-5
• 发表时间: 2023-09-27
• 期刊: BMC NURSING
• 影响因子: 3.2
• 作者: Zhu, Pingting;Qian, Meiyan;Lee, Amanda;Hayter, Mark;Wang, Wen;Shi, Guanghui;Wu, Qiwei;Ji, Qiaoying;Gu, Xinyue;Zhang, Hui;Ding, Yinwen
• 通讯作者: Ding, Yinwen

Severe Loneliness and Isolation in Nursing Students during COVID-19 Lockdown: A Phenomenological Study.

• DOI: 10.3390/healthcare12010019
• 发表时间: 2023-12-21
• 期刊: HEALTHCARE
• 影响因子: 2.8
• 作者: Zhu, Pingting;Wang, Wen;Qian, Meiyan;Shi, Guanghui;Zhang, Qianqian;Xu, Ting;Xu, Huiwen;Zhang, Hui;Gu, Xinyue;Ding, Yinwen;Lee, Amanda;Hayter, Mark
• 通讯作者: Hayter, Mark

Leveraging Telehealth to improve access to care: a qualitative evaluation of Veterans' experience with the VA TeleSleep program.

• DOI: 10.1186/s12913-021-06080-5
• 发表时间: 2021-01-21
• 期刊: BMC health services research
• 影响因子: 2.8
• 作者: Nicosia FM;Kaul B;Totten AM;Silvestrini MC;Williams K;Whooley MA;Sarmiento KF
• 通讯作者: Sarmiento KF

Relationship between Anxiety, Depression and Learning Burnout of Nursing Undergraduates after the COVID-19 Epidemic: The Mediating Role of Academic Self-Efficacy.

• DOI: 10.3390/ijerph20054194
• 发表时间: 2023-02-26
• 期刊: INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH
• 作者: Zhu, Pingting;Xu, Ting;Xu, Huiwen;Ji, Qiaoying;Wang, Wen;Qian, Meiyan;Shi, Guanghui
• 通讯作者: Shi, Guanghui