Holomua Project-Improving Patient Hand-Offs in Hawaii

Holomua 项目 - 改善夏威夷的患者交接

• 批准号: 6890548
• 负责人: CHRISTINE N.M. SAKUDA
• 金额: $ 19.55万
• 依托单位: HAWAII PRIMARY CARE ASSOCIATION
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2005-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6890548
• 关键词: Hawaii; automated medical record system; behavioral /social science research tag; clinical research; community health services; computer assisted patient care; computer human interaction; computer network; computer program /software; computer system design /evaluation; computer system hardware; cooperative study; data management; health care quality; health care service availability; health care service organization; health care service planning; health care service utilization; health disparity; health services research tag; medically underserved population; patient care management; patient oriented research

DESCRIPTION (provided by the applicant): The potential for serious medical error and poorer outcomes for vulnerable populations, particularly ethnic/minorities and immigrants is significant. Community Health Center's (CHCs) are more likely to serve ethnic minorities who suffer from significant health disparities than other healthcare delivery sites. In Hawaii, many of the patients who receive services from CHCs are immigrants with low-English proficiency with chronic (often multiple) illnesses. As a result, these patients will frequently require some healthcare provided at the tertiary care level.The urgent need for these health care providers and organizations to have access to complete clinical and diagnostic information on a patient, regardless of where the information was created and where it resides, becomes more imperative. However, data sharing between systems (such as CHCs and tertiary care) is fragmented and inconsistent. The Holomua Project provides an opportunity for this discontinuity in care to be addressed in a comprehensive manner. The Holomua Project represents a community-driven effort to bring CHCs and tertiary care providers together to develop innovative approaches to share data across systems. The Holomua Partners consist of the Hawaii Primary Care Association, the Kalihi-Palama Health Center, Kokua-Kalihi-Valley Health Center, Hawaii Pacific Health (representing 3 hospitals), and Queens Medical Center. These partners, along with nationally distinguished consultants and several supporting community, public health and research institutions, have been provided with a unique opportunity to develop plans for integration from the "ground up" as the 3 largest hospital providers in the State prepare to migrate to the EPIC software system, allowing the systems to build in design features conducive to data sharing for continuity of care, in a proactive manner. Through the use of a Steering Committee, Advisory Committee, and several domain specific work groups, the Holomua Project will create an agreed upon implementation plan that should lead to successful systems integration in the following year.

描述（由申请人提供）：严重医疗错误和弱势群体（尤其是族裔/少数民族和移民）的潜力很大。与其他医疗保健现场相比，社区健康中心（CHC）更有可能为遭受重大健康差异的少数民族服务。在夏威夷，从CHC接受服务的许多患者都是具有慢性（通常多种）疾病的低英语熟练程度的移民。结果，这些患者经常需要在三级护理水平上提供一些医疗保健。这些医疗保健提供者和组织的迫切需要，无论在何处创建了何处及其居住的地方，都必须访问有关患者的完整临床和诊断信息。但是，系统之间的数据共享（例如CHC和三级护理）是分散且不一致的。 Holomua项目为这种不连续性提供了一个机会，以全面的方式解决。 Holomua项目代表了以社区为导向的努力，旨在将CHC和三级护理提供商聚集在一起，以开发创新的方法来共享跨系统的数据。 Holomua Partners由夏威夷初级保健协会，Kalihi-Palama健康中心，Kokua-Kalihi-Valley健康中心，夏威夷太平洋卫生中心（代表3家医院）和皇后区医疗中心组成。这些合作伙伴以及全国杰出的顾问以及几个支持社区，公共卫生和研究机构都有一个独特的机会，可以从“扎根”中制定整合计划，因为该州的3个最大的医院提供商准备迁移到史诗般的软件系统中，从而使系统能够以有效的数据共享为有助于的数据共享，从而以一种积极的方式来建立。通过使用指导委员会，咨询委员会和几个特定领域的工作组，Holomua项目将制定一项商定的实施计划，该计划应在次年成功成功进行系统集成。