Health Information Technology Value in Rural Hospitals

卫生信息技术在乡村医院的价值

• 批准号: 6937236
• 负责人: MARCIA M WARD
• 金额: $ 40.61万
• 依托单位: UNIVERSITY OF IOWA
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-01 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6937236
• 关键词: clinical research; decision making; health care facility information system; health care quality; health services research tag; hospitals; human subject; information systems; patient safety /medical error; rural area

DESCRIPTION (provided by the applicant): The national discussion of quality and patient safety has only recently begun to identify and understand the unique quality and patient safety issues facing rural hospitals, as opposed to those of their much larger and far more complex, urban counterparts. Serious questions arise about whether commonly proposed health information technology (HIT) interventions for quality and patient safety issues actually make sense in rural hospitals. Moreover, very few rural hospitals currently have the necessary HIT capacities because of expense, limited in-house HIT expertise, and mismatches among HIT applications. The project we propose is designed to meet the special needs of rural hospitals for assistance with planning HIT enhancements to address patient's safety and healthcare quality concerns. This project was developed in response to RFA HS-04-012 which states that "AHRQ is specifically interested in...applications that explore the unique barriers faced by rural and small community providers in adopting HIT and opportunities for overcoming these barriers" and "Research areas that are of particular interest to AHRQ include: development and evaluation of toolkits...that can be used by...decision-makers to help them understand the value of HIT and assist them to make HIT purchasing and implementation decisions." The proposed project has four primary objectives. First, we will document the patient safety and healthcare quality challenges unique to rural hospitals. Second, we will explore the current HIT capacity in rural hospitals, the potential use of HIT by rural hospitals to address their unique patient safety and healthcare quality issues, and the unique barriers faced by rural hospitals in adopting HIT. Third, we will measure value derived from HIT in rural hospitals and identify which HIT solutions for enhancing patient safety and healthcare quality have the greatest potential in terms of generating a positive return on investment. Fourth, we will create decision-making HIT toolkits to address barriers and provide solutions that are appropriate for rural hospitals. Once the toolkits are developed, we will make them available to rural hospital decision-makers. The toolkits will facilitate rural hospitals' ability to utilize current and emerging evidence to guide HIT investment and implementation decisions that fit their particular healthcare environment.

描述(由申请人提供)：关于质量和患者安全的全国性讨论最近才开始确定和理解农村医院面临的独特质量和患者安全问题，而不是规模大得多、复杂得多的城市医院。对于通常提出的针对质量和患者安全问题的健康信息技术(HIT)干预措施在乡村医院是否真的有意义，出现了严重的问题。此外，由于费用、内部HIT专业知识有限以及HIT应用之间的不匹配，目前很少有乡村医院具有必要的HIT能力。我们建议的项目旨在满足乡村医院在规划HIT增强方面的特殊需求，以解决患者的安全和医疗质量问题。该项目是为了响应RFA HS-04-012的规定而开发的，RFA HS-04-012规定：“AHRQ对探索农村和小型社区提供者在采用HIT时面临的独特障碍以及克服这些障碍的机会的应用程序特别感兴趣”，“AHRQ特别感兴趣的研究领域包括：开发和评估工具包……可供……决策者使用，帮助他们了解HIT的价值，并帮助他们做出HIT采购和实施决策。”拟议的项目有四个主要目标。首先，我们将记录乡村医院特有的患者安全和医疗质量挑战。其次，我们将探讨乡村医院目前的HIT能力，乡村医院使用HIT解决其独特的患者安全和医疗质量问题的潜在可能性，以及乡村医院在采用HIT时面临的独特障碍。第三，我们将衡量乡村医院HIT带来的价值，并确定哪些HIT解决方案在提高患者安全和医疗质量方面最具潜力，可以产生正投资回报。第四，我们将创建决策HIT工具包，以解决障碍并提供适合乡村医院的解决方案。一旦开发出工具包，我们将把它们提供给乡村医院的决策者。这些工具包将促进农村医院利用当前和新出现的证据来指导符合其特定医疗环境的HIT投资和实施决策的能力。