Real-time Optimal Care Plans for Nursing Home QI

拟议研究的目的是设计，支持和促进变化，根据国家压疮长期护理研究（NPULS）和其他已发表来源的证据，可能导致医疗质量的记录改善，并确保这些改善成为医疗保健提供者和临床医生持续实践的一部分。该项目将扩大最初于1996年为国家残疾人和残疾人服务局建立的伙伴关系，以实施长期护理方面的最佳做法。 我们研究的主要目的是： 1）建立伙伴关系，促进合作，在长期护理设施中实施质量改进战略， 2)将循证最佳实践纳入日常工作流程，使用技术自动收集数据，管理和跟踪信息，并支持临床决策和护理计划。 3)加强教育战略，纳入持续专业培训和组织变革的原则。 4)促进临床流程重新设计。 我们必须重新设计流程，而不仅仅是改进现有流程。我们打算设计，测试和评估自动化流程，以传输基于证据的信息，并为养老院实践中的提供者提供决策支持。信息技术工具将使方案驱动的护理实现自动化：患者评估、每日文档流程表、根据患者需求进行特定干预的警报或提示、跟踪特定的 根据最佳实践提供干预措施，并以各种格式总结记录的临床信息，以前需要图表和摘要。该项目的具体目标是：1）发展致力于将临床实践改进研究结果融入日常实践的伙伴关系; 2）确认优先改进 领域和可衡量的目标; 3）收集咨询委员会和工作组的意见，以扩大NPULS的成果; 4）为每个参与地点制定实施战略、实施材料和工具以及详细的实施计划; 5）促进实施和维持过程;以及8）评估结果并制定计划 以持续扩大参与网站。

The objectives of the proposed study are to design, support and facilitate change that, according to evidence from the National Pressure Ulcer Long-Term Care Study (NPULS) and other published sources, is likely to lead to documented improvements in health care quality and ensure that these improvements become part of the ongoing practice of health care providers and clinicians. This project will broaden the partnerships originally established in 1996 for the NPULS to .Implement best practices in long term care. Key aims of our study are: 1 ) build partnerships to promote cooperation in Implementing quality improvement strategies In long term care facilities, 2) incorporate evidence-based best practices into everyday workflow using technology to automate data collIection, manage and track information, and support ciinicat decision-making and care planning. 3) enhance education strategies to include principles of CPt and organizational change. 4) facilitate clinical process redesign. We must redesign the process rather than just improve existlng processes. We intend to design, test, and evaluate automated processes to transmit evidence-based information and provide decision support for providers in nursing home practice. The information technology tools will enable automation of protocol-driven care: patient assessment, daily documentation flow sheets, alerts or prompts for specific interventions based on patient needs, tracking specific interventions delivered based on best practice, and summarizing documented clinical information in a variety of formats previously requiring a chart pull and abstraction. The specific objectives of this project are to: 1) Develop partnerships committed to integrating Clinical Practice Improvement study results into daily practice; 2) confirm priority improvement areas and measurable objectives; 3) Gather input from Advisory Board and Working Group to augment results of NPULS; 4) Develop implementation strategy, materials and tools for implementation, and detailed implementation plans for each participating site; 5) Facilitate implementation and sustain process; and 8) Evaluate results and develop plans for on-going initiative to expand participating sites.