IMPROVEMENTS & INNOVATIONS IN END OF LIFE CARE

改进

• 批准号: 6401056
• 负责人: DORCAS JOANNE LYNN
• 金额: $ 3.2万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-01-01 至 2001-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6401056
• 关键词: age difference; behavioral /social science research tag; chronic disease /disorder; disabling disease; extended care facility; health care cost /financing; health care facility; health care quality; health care service; health care service evaluation; health services research tag; meeting /conference /symposium; quality of life; racial /ethnic difference; terminal patient care; travel

The RAND/Institute for Health Improvement Initiative to Improve Quality at the End of Life will host a National Congress on Qualitative Improvement in End of Life Care on February 11-13,2001 in Atlanta, Georgia. Americans are now likely to live for months of years with the diseases that will eventually kill them, such as advanced heart and lung disease, stroke, dementia, and many cancers. Many of these individuals are disabled during this period and tend to experience episodes of serious complications, with death occurring at an unpredictable time somewhere along the way. Our present acute care-centered delivery and payment systems are not designed to meet the unique needs of these individuals in a coordinated-or compassionate manner. Despite these challenges improvements in the care delivered to this population are being made in a number of settings. However, word of these improvements has mostly been spread anecdotally and has been disseminated through non- traditional vehicles, rather than in the mainstream medial and public health literature. This lack of an intellectual "home" for the field has prevented the wider adoption of quality improvement techniques. The RAND/IHI Initiative, along with other committed organizations, is working to surmount these barriers. The three-fold purpose of the National Congress is to: 1) Widely disseminate information about what we and others have learned about best practices and research findings related to quality improvement in end of life care and create a series of opportunities for new insights and learning, even at the conference; 2) Use the dynamic of the conference to provide the basis for collaboration and information sharing related to clinical care within and between participating provider organizations, ensuring rapid dissemination of insights learned in the participants' work after the conference; and 3) Formally launch the new RAND/Institute for Healthcare Improvement Initiative to Improve Quality at the End of Life, which is dedicated to supporting the innovation and evaluation practice that is essential to creating a care system that people coming to the end of life can depend on. The intended short-term outcome of the conference will be to increase participants' knowledge about proven best practices and research findings that they can apply to making rapid, measurable improvements in the care that they deliver to patients who are at or near the end of life. In addition, we hope to help participants shift from mere curiosity about quality improvement to a real motivation, readiness, and confidence that they can return to their practice sites ready to become engaged in the process themselves. The Congress will include a combination of activities to meet the needs of participants with varying learning styles, including large-groups lecture style learning (plenary sessions), small group teaching (breakout sessions), one-one discussion and information support (storyboards), and small group interaction (lunch discussion tables).

兰德/健康改善研究所提高临终关怀质量倡议将于2001年2月11日至13日在佐治亚州亚特兰大主办一次全国临终关怀质量改进大会。美国人现在可能会在疾病中生活几个月，这些疾病最终会杀死他们，比如晚期心肺疾病、中风、痴呆症和许多癌症。这些人中的许多人在此期间残疾，往往会经历严重并发症的发作，死亡发生在沿途某个不可预测的时间。我们目前以急性护理为中心的交付和支付系统并不是为了以协调或同情的方式满足这些人的独特需求而设计的。尽管存在这些挑战，但在许多情况下，向这一人群提供的护理正在得到改善。然而，这些改善的消息大多是通过轶事传播的，并通过非传统工具传播，而不是在主流医学和公共卫生文献中传播。这一领域缺乏智力上的“家”，阻碍了质量改进技术的广泛采用。兰德/IHI倡议与其他承诺的组织一道，正在努力克服这些障碍。全国会议的三个目的是：1)广泛传播我们和其他人在临终关怀质量改进方面所学到的最佳做法和研究结果的信息，并创造一系列机会，以获得新的见解和学习，即使在会议上也是如此；2)利用会议的活力，为参与提供者组织内部和之间与临床护理有关的合作和信息共享提供基础，确保在会议结束后迅速传播从参与者工作中学到的见解；以及3)正式启动新的兰德/医疗保健改进研究所倡议，以提高生命末期的质量，该倡议致力于支持创新和评估实践，这对于创建一个人们在生命末期可以依赖的护理系统至关重要。会议预期的短期成果将是增加与会者对已证实的最佳做法和研究结果的了解，他们可以应用这些最佳做法和研究结果，在他们为生命即将结束或即将结束的患者提供的护理方面取得快速、可衡量的改善。此外，我们希望帮助参与者从单纯的对质量改进的好奇心转变为真正的动力、准备和信心，即他们可以回到练习现场，准备好自己参与到这个过程中来。大会将包括一系列活动，以满足不同学习风格的与会者的需要，包括大小组讲座形式的学习(全体会议)、小组教学(分组会议)、一对一讨论和信息支持(故事板)和小组互动(午餐讨论桌)。