Advancing Quality and Outcomes Measurement in Rheumatology

项目总结 随着电子健康记录(EHR)的广泛使用，医疗保健在过去十年中迅速发生了变化 以及创建旨在提高护理质量的以电子病历为基础的国家数据网络。《美国人》 风湿病学院的RISE注册表是一个联邦合格的临床数据注册表，收集EHR数据 从全国近1000名风湿病专家的实践中，集中并持续地分析这些数据 通过基于Web的仪表板将质量指标的绩效反馈给实践。在这份K24提案中， 申请人建议利用临床信息学中的新方法来提高质量的准确性 测量，同时还开发和测试与风湿病相关的基于EHR的新质量测量方法 疾病。拟议的研究将利用她强大的研究组合，包括来自国家 关节炎、肌肉骨骼和皮肤病研究所以及保健研究和机构 质量，她在实现基于电子健康记录的质量措施的国家认可方面的成功记录， RISE数据库中来自140多万患者的现有数据，以及出色的机构环境 在加州大学旧金山分校。它还将支持她在临床领域的持续职业发展 与基于EHR的临床研究相关的信息学方法。对于这个五年的K24奖项提案，她计划 要增加在现场指导初级调查人员或在质量和结果测量方面所花费的时间 风湿病学，目标是帮助学员成功地启动患者的学术研究生涯- 以研究为导向。与全面的指导计划相一致，该提案概述了两个具体目标， 包括使用自然语言处理来提高基于EHR的质量测量的准确性 提出、开发和验证新的、原型的电子临床质量措施，以监控和 解决风湿病患者护理方面的重大缺口。这项工作将优先考虑结果 测量和使用电子测量标准，包括质量数据模型和健康质量测量 用于开发、指定和测试措施的格式。通过这项研究和指导制定的措施 该计划将在全国范围内传播，以改善风湿病的护理 患有风湿病的人。

PROJECT SUMMARY Healthcare has changed rapidly in the last decade with the widespread use of electronic health records (EHRs) and the creation of national EHR-based data networks that aim to improve the quality of care. The American College of Rheumatology's RISE registry is a federally Qualified Clinical Data Registry that collects EHR data from the practices of almost 1000 rheumatologists nationally, analyzes these data centrally, and continuously feeds back performance on quality measures to practices via a web-based dashboard. In this K24 proposal, the applicant proposes to utilize novel methods in clinical informatics to increase the accuracy of quality measurement, while also developing and testing new EHR-based quality measures relevant to rheumatic diseases. The proposed research will leverage her strong research portfolio, including grants from the National Institute of Arthritis and Musculoskeletal and Skin Diseases and the Agency for Healthcare Research and Quality, her successful track record of achieving national endorsement for EHR-based quality measures, existing data from over 1.4 million patients in the RISE database, and the outstanding institutional environment at the University of California, San Francisco. It will also support her ongoing career development in clinical informatics methods relevant to EHR-based clinical research. For this five year K24 award proposal, she plans to increase the time spent mentoring junior investigators in the field or quality and outcomes measurement in rheumatology, with the goal of helping trainees successfully launch academic research careers in patient- oriented research. Aligned with a comprehensive mentoring plan, the proposal outlines two specific aims, including using natural language processing to increase the accuracy of EHR-based quality measurement in RISE, and developing and validating new, prototype electronic clinical quality measures to monitor and address high impact gaps in care for patients with rheumatic disease. The work will prioritize outcome measures and use eMeasurement standards, including the Quality Data Model and Health Quality Measures Format to develop, specify and test measures. Measures developed through this research and mentoring program will be candidates for nationwide dissemination across rheumatology practices to improve care for individuals with rheumatic disease.