Information Systems for Community Long Term Care

社区长期护理信息系统

• 批准号: 7123859
• 负责人: RICK T ZAWADSKI
• 金额: $ 40.52万
• 依托单位: RTZ ASSOCIATES
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-06-01 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7123859
• 关键词: Medicare /Medicaid; automated data processing; clinical research; community health services; computer system design /evaluation; data collection methodology /evaluation; drug interactions; extended care; frail elderly; health care facility information system; health services research tag; human subject; informatics; low socioeconomic status; patient care management

DESCRIPTION (provided by applicant): During Phase I of the initiative, RTZ Associates developed MSSPCare, an electronic integrated information system designed to meet all of the operational, clinical, management, fiscal and state reporting needs of California's largest home- and community-based services program, the Multi-Purpose Senior Services Program (MSSP). The proposed Phase II project will build on Phase I by building a common core data set across MSSPCare and the information system called PACECare that was developed subsequent to Phase I for the national PACE program. Currently, there is a national and state effort to compare long term care programs, evaluate their strengths and weaknesses and to develop best practice models. The proposed Phase II project will create an operational data warehouse for comparing client information across sites, across programs, and across states for the purpose of improving program management and quality. Specifically, the Phase II project will use the data warehouse to prepare cross-site summary reports, to compare client populations and outcomes, and to prepare Benchmark Reports for the comparison of individual sites to other like programs. Phase II will also employ the data warehouse to address a priority issue revealed in the Phase I and PACECare project development phases: medication management outcomes. This issue has recently become more pressing due to the passage of the Medicare Prescription Drug Improvement and Modernization Act (MMA), which renders prescription drugs more accessible than ever to seniors. Specifically, The Phase II Project will: 1. Develop a common core MSSPCare/PACECare data set, compatible with the Minimum Data Set for Homecare Assessments (MDS-HC), for comparing client characteristics, 2. Develop a standardized drug interaction detection software across both information systems, 3. Build a multi-site data warehouse and use the analyses generated to improve program management and quality, 4. Use the data warehouse to improve clinical practice to detect redundant medications and potentially dangerous interactions, 5. Study the impacts of the medication problem detection software on prescription patterns and client outcomes, and 6. Evaluate the adoption rates, use patterns, costs and benefits of the enterprise software system and data warehouse.

描述（由申请人提供）：在项目的第一阶段，RTZ Associates开发了MSSPCare，这是一个电子综合信息系统，旨在满足加州最大的家庭和社区服务项目——多功能老年人服务项目（MSSP）的所有运营、临床、管理、财政和州报告需求。拟议的第二阶段项目将以第一阶段为基础，在MSSPCare和名为PACECare的信息系统之间建立一个共同的核心数据集，PACECare是在第一阶段之后为国家PACE项目开发的。目前，全国和各州都在努力比较长期护理项目，评估它们的优缺点，并制定最佳实践模式。拟议的Phase II项目将创建一个可操作的数据仓库，用于跨站点、跨项目和跨州比较客户信息，以改进项目管理和质量。具体来说，第二阶段项目将使用数据仓库准备跨站点总结报告，比较客户群体和结果，并准备基准报告，将各个站点与其他类似项目进行比较。第二阶段还将使用数据仓库来解决第一阶段和PACECare项目开发阶段揭示的优先问题：药物管理结果。由于《医疗保险处方药改进和现代化法案》（MMA）的通过，这个问题最近变得更加紧迫，该法案使老年人比以往任何时候都更容易获得处方药。具体而言，第二期项目将：开发一个通用的核心MSSPCare/PACECare数据集，与家庭护理评估的最小数据集（MDS-HC）兼容，用于比较客户特征，2。开发跨两个信息系统的标准化药物相互作用检测软件；构建一个多站点数据仓库，并使用生成的分析来改进项目管理和质量。使用数据仓库来改进临床实践，以检测多余的药物和潜在的危险相互作用。5 .研究用药问题检测软件对处方模式和患者结局的影响；评估企业软件系统和数据仓库的采用率、使用模式、成本和收益。