Cardiovascular Care Disparities: Safety-Net HIT Strategy

心血管护理差异：安全网 HIT 策略

• 批准号: 6890688
• 负责人: T B FERGUSON
• 金额: $ 19.45万
• 依托单位: LSU HEALTH SCIENCES CENTER
• 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/6890688
• 关键词: automated health care system; automated medical record system; behavioral /social science research tag; cardiovascular disorder; cardiovascular disorder prevention; chronic disease /disorder; clinical research; computer assisted patient care; computer system design /evaluation; data management; health care cost /financing; health care quality; health care service availability; health care service evaluation; health care service planning; health care service utilization; health disparity; health services research tag; medically underserved population; patient care management; patient oriented research; patient safety /medical error

DESCRIPTION (provided by the applicant): The delivery of healthcare to the indigent, minority, and disadvantaged populations represents at once Louisiana's greatest burden and its greatest opportunity. The 70-year-old Charity safety-net system, now administratively run as the LSU Health Sciences Center (LSUHSC) Health Care Services Division (HCSD), encompasses an eight-hospital, 360-clinic network that cares for almost 850,000 patients. Despite delivering some of the highest quality care in Louisiana, the only financial option for the HCSD is to improve efficiencies of care. Incorporation of health information technology (HIT) to address errors, quality, and value is critical; importantly, system-wide administrative, financial, laboratory, and telemedicine HIT infrastructure already exists on which to build a clinical data system. We are focusing on cardiovascular disease (CVD) care in this THQIT application. Using the existing clinical partnership between LSUHSC, the HCSD, and the Tulane School of Medicine embodied in the Charity system, we are bringing together the Tulane Department of Health Systems Management (financial outcomes and effectiveness of care), a leading CVD software company (system architecture; clinical and financial data concatenation; ARMUS Corporation), the Louisiana Office of Public Health (LA Healthy People 2010 initiative), and outside expert CVD consultants (longitudinal CVD database design;) for this THQIT Partnership. We will plan the design and implementation of a longitudinal CVD information system (LCIS) platform to address disparities in CVD viewed as a lifelong disease process. We will be able to scientifically validate the impact of this HIT effort on quality improvement, medical and financial effectiveness, and increased value. We can create this LCIS in a setting where all the stakeholders have aligned financial incentives. Moreover, the population's extent of disease will magnify the program's impact on health services and clinical research. Finally, endorsement of this HIT effort by this planning grant will leverage LCIS implementation funding, a step that is critical for the HCSD's survival.

描述（由申请人提供）：将医疗保健提供给贫困，少数群体和处境不利的人口，立即代表了路易斯安那州最大的负担和最大的机会。 现年70年历史的慈善安全网系统现在在行政上是LSU健康科学中心（LSUHSC）卫生保健服务部（HCSD），涵盖了一个八个医院的360个临床网络，可照顾近85万名患者。 尽管在路易斯安那州提供了一些最高质量的护理，但HCSD的唯一财务选择是提高护理效率。 纳入健康信息技术（HIT）以解决错误，质量和价值至关重要；重要的是，系统范围内的行政，金融，实验室和远程医疗HIT基础设施已经存在于建立临床数据系统的上方。 在此THQIT应用中，我们专注于心血管疾病（CVD）护理。 利用LSUHSC，HCSD和慈善体系中体现的Tulane医学学院之间的现有临床伙伴关系，我们将Tulane卫生系统管理部（财务成果和护理的财务成果和有效性）汇集在一起​​，领先的CVD软件公司（一家CVD软件公司（系统架构架构和财务数据置换型）；该THQIT合作伙伴关系的顾问（纵向CVD数据库设计;）。 我们将计划和实施纵向CVD信息系统（LCIS）平台的设计和实施，以解决被视为终身疾病过程的CVD差异。 我们将能够科学地验证这种努力对质量提高，医疗和财务有效性以及增加价值的影响。 我们可以在所有利益相关者都对财务激励措施保持一致的环境中创建此LCI。 此外，人口的疾病程度将扩大该计划对卫生服务和临床研究的影响。 最后，这项计划赠款对这项努力的认可将利用LCIS实施资金，这对于HCSD的生存至关重要。