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）： 这是建立“测量科学QuERI计划”的建议，其影响力是：“将测量科学整合到退伍军人的医疗保健中。”该目标支持退伍军人事务部的各个层面的战略重点，并通过退伍军人卫生管理局（VHA）的战略3的效果直接筹款：“利用信息技术，分析和医疗保健交付模型，以优化个人和人口健康胜任。”测量科学（定义为合适指标的理论，实践和应用）是VHA学习医疗系统的核心，并且是质量改进和实施过程的每个阶段的关键组成部分。使用系统范围的数据来促进性能测量，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统一性，可以获得它们的效率以及测量的准确性。每当做出医疗保健决定时，无论是针对个人患者的遇到还是在秘书副部长的办公室中，我们都必须确保该决定基于与所有相关信息相关的有效可靠数据。没有有意义的指标，无法完成循证疗法的质量改进和实施。测量科学QuERI计划将与VHA操作合作伙伴合作：（目标1）通过使用通用数据模型来促进VHA数据的标准化； （AIM 2）进行两个高优先质量的改进和三个实施科学项目； （目标3）通过为医疗保健提供者培训计划将研究速度传播到实践中。 AIM 2中的五个项目将：（1）结肠镜检查的改进质量评估； （2）扩大综合疼痛管理计划； （3）基于家庭心脏康复的评估实施策略； （4）扩大电话认知行为疗法用于失眠； （5）功能状态的改进测量。这些项目的团结，需要识别和明确定义的标准化指标，这将有助于跟踪未来的福利（或危害）。测量科学问题还将包括一个独特的培训组成部分（AIM 3），该组件将通过将实施科学课程整合到培训计划中，并使卫生专业学员参与质量改进项目，从而加速将循证疗法传播到实践中。这不仅将增加参与持续质量改进的动力，而且还将通过为受训者提供成为这些领域未来领导者的技能来加速循证实践的实施。测量科学QUERI计划得到了信息学和分析办公室的合作伙伴的广泛支持（请参阅Jonathan Nebeker MD MS，Stephan Fihn MD MD MPH和John Quinn），VA信息学和计算基础设施的VA信息学和计算基础设施（请参阅Scott Duvall Phd and Michael Med Carey MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD MSD M. MSD M. MSD M. MSD M.D）约翰·拉姆斯菲尔德（John Rumsfeld）医学博士学位），老年医学和扩展护理（请参阅肯尼斯·谢伊（Kenneth Shay）DDS MS的信），心理健康服务（请参阅安德鲁·波美兰茨（Andrew Pomerantz）的信函）以及学术隶属关系（请参阅斯图尔特·吉尔曼（Stuart Gilman）MD MD的来信），以及玛丽·安妮·约翰逊（Mary Anne Johnson MD）的信件（请参阅玛丽·安妮（Mary Anne Johnson MD）的来信， Jennifer Grandis MD和Deborah Grady MD MPH）。这项工作的目的是证明Queri如何协助运营伙伴可以促进对循证疗法进行更快地转化为实践。

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

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

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

Experience of verbal violence among Chinese nursing students in clinical practice: a qualitative study.

• DOI: 10.1186/s12909-023-04741-z
• 发表时间: 2023-10-16
• 期刊: BMC MEDICAL EDUCATION
• 影响因子: 3.6
• 作者: Qian, Meiyan;Zhu, Pingting;Wu, Qiwei;Wang, Wen;Shi, Guanghui;Ding, Yinwen;Zhang, Hui;Gu, Xinyue;Xu, Ting;Zhang, Qianqian
• 通讯作者: Zhang, Qianqian

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