CHP Heart Failure GAP (Guidelines Applied in Practice)

CHP 心力衰竭 GAP（实践应用指南）

• 批准号: 6948150
• 负责人: DONALD E CASEY
• 金额: $ 39.88万
• 依托单位: CATHOLIC HEALTHCARE PARTNERS
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-09-30 至 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6948150
• 关键词: clinical research; computer assisted patient care; cooperative study; critical care; health care quality; health service demonstration project; health services research tag; heart failure; hospital patient care; human subject; patient care management; patient care planning; therapy compliance

DESCRIPTION (PROVIDED BY APPLICANT): Catholic Healthcare Partners' (CHP) previous proposal to AHRQ entitled "Heart Failure (HF) GAP (Guidelines Applied in Practice)" has been highly successful to date. Phase 1 has thus far consisted of both planning and active implementation of a comprehensive quality improvement effort for patients with chronic HF in accordance with national priorities recently set forth by the Institute of Medicine. Current major aims of this project include: (1) Adaptation of nationally published HF guidelines and associated quality measures for the Catholic Healthcare Partners system, consisting of 31 hospitals located in 5 states (which discharged over 8.000 patients with HF during calendar year 2003); (2) Development of a knowledge transfer framework to implement guidelines and motivate significant quality improvements for care of patients with chronic HF; (3) Development and implementation of a prototype for computerized physician order entry ("CPOE") systems that support the first and second aims, especially in the context of managing a chronic disease state such as HF, and (4) Demonstration of CHP's ability to establish and sustain effective, broad-based partnerships among a variety of diverse health care organizations, provider groups, professional medical societies and health care information technology corporations and their stakeholders. Phase 2 goals for the CHP HF GAP initiative include a larger focus on outpatient care coordination, support infrastructure and clinical quality improvement processes for patients with chronic HF. Additional areas of development, description and evaluation include expanding the use of quality measurement for chronic HF care to outpatient settings; defining the impact and acceptance of emerging chronic HF disease management programs; the influence of external and organizational incentive payments for demonstrating measurable quality improvement; the fostering of clinical cardiology leadership to promote quality improvements for chronic HF care; overcoming current health system challenges, especially those with potentially negative financial implications, for implementing quality improvement interventions that enhance self-management; and demonstrating improved quality of life, including the promotion of palliative care services for those patients with advanced chronic HF who are at or near the end of life.

描述（由申请人提供）：天主教医疗保健合作伙伴（CHP）以前向AHRQ提出的题为“心力衰竭（HF）GAP（实践中应用的指南）”的建议迄今为止非常成功。到目前为止，第1阶段包括计划和积极实施针对慢性病患者的全面质量改进工作。 根据医学研究所最近提出的国家优先事项，HF。该项目目前的主要目标包括：（1）为天主教医疗保健合作伙伴系统（由位于5个州的31家医院组成）改编国家出版的HF指南和相关质量措施（2003年期间，该医院共收治了8，000多名心力衰竭患者）;（2）制定知识转移框架，以实施指导方针并激励慢性心力衰竭患者护理的显著质量改进;（3）开发和实施计算机化医嘱输入（“CPOE”）系统的原型，该系统支持第一和第二目标，特别是在管理慢性疾病状态的背景下 （4）证明生防护中心有能力与不同的医疗机构、医疗服务提供者团体、专业医疗学会、医疗资讯科技公司及其持份者建立及维持有效而广泛的伙伴关系。CHP HF GAP计划的第2阶段目标包括更大程度地关注慢性HF患者的门诊护理协调、支持基础设施和临床质量改进流程。开发、描述和评估的其他领域包括：将慢性HF护理质量测量的使用扩展到门诊环境;定义新兴慢性HF疾病管理计划的影响和接受程度;外部和组织激励支付对证明可测量的质量改进的影响;培养临床心脏病学领导力，以促进质量改进， 慢性HF护理;克服当前卫生系统面临的挑战，特别是那些具有潜在负面财务影响的挑战，以实施质量改进干预措施，增强自我管理;并证明生活质量的改善，包括促进晚期慢性HF患者的姑息治疗服务，这些患者处于或接近生命的尽头。