Holomua Project Improving Transitional Care in Hawaii

Holomua 项目改善夏威夷的过渡护理

• 批准号: 7057478
• 负责人: CHRISTINE N.M. SAKUDA
• 金额: $ 47.62万
• 依托单位: HAWAII PRIMARY CARE ASSOCIATION
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-09-30 至 2008-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7057478
• 关键词: Hawaii; automated medical record system; behavioral /social science research tag; case history; clinical research; community health services; cooperative study; culture; decision making; family medicine; health care policy; health care professional practice; health care quality; health care referral /consultation; health care service availability; health care service evaluation; health care service planning; health services research tag; hospital patient care; human subject; longitudinal human study; medically underserved population; patient care management; patient safety /medical error; primary care physician; shared health service

DESCRIPTION (PROVIDED BY THE APPLICANT): The Holomua Project brings together the Hawaii Primary Care Association, the Kalihi-Palama Health Center, Kokua Kalihi Valley Health Center, Hawaii Pacific Health, and the Queens Medical Center in an approach to information sharing during transitional care. The overall goal of this project is to support the goals and aims directly derived from the Holomua planning process. The implementation plan will assist the Holomua partners in achieving the ultimate project goal to increase patient safety, quality and continuity of care during transitional care for vulnerable populations in Hawaii through improving the flow of information between patients/families, community health centers and hospitals using health information technology (HIT). The specific aims of the project are to: 1) Increase accuracy and timeliness of shared patient information during transitional care between primary care and tertiary care facilities; 2) Reduce incidence of medical errors that may occur due to linguistic and/or cultural barriers between patients and medical providers that prevent accurate communication of health information such as previous medical history and treatment, medications, referrals); 3) Reduce occurrences of duplicated diagnostic procedures performed on patients due to lack of communication between primary care and tertiary care facilities; 4) Increase participation and involvement in decision making by patients or family on health related matters; and 5) Determine mechanisms by which information resources, information systems, and other IT initiatives and/or networks in Hawaii can best support both short and long term implementation activities of the Holomua Project. The project will consist of both technological and non-technological solutions to the problem of transitional care. The technological solution involves the development and implementation of a Master Visit Registry (MVR) as a means of sharing health information between systems. The non-technological solutions involve charting workflow related to transitional care, polices and procedures relative to transitional care, and using dialogue and communication to facilitate transitional care. The technological method was chosen as it represents a scalable, interoperable solution that takes into account the disparate resources of all the partner organizations. The non-technological methods are based on abundant research that illustrates the necessity of attending to the human side of Information to ensure success of implementation efforts.

描述（由申请人提供）：Holomua项目汇集了夏威夷初级保健协会，Kalihi-Palama健康中心，Kokua Kalihi Valley Health Center，Hawaii Pacific Health和Queens Medical Center在过渡过程中的信息共享方法。该项目的总体目标是支持直接来自Holomua计划过程的目标和目标。该实施计划将帮助Holomua合作伙伴实现最终的项目目标，以通过改善使用健康信息技术（HIT）的患者/家庭，社区保健中心和医院之间的患者/家庭，社区健康中心和医院之间的信息流来提高夏威夷脆弱人群过渡期间的护理质量和连续性。该项目的具体目的是：1）在初级保健和三级护理设施之间过渡性护理期间，提高共享患者信息的准确性和及时性； 2）减少由于患者和医疗提供者之间语言和/或文化障碍可能导致的医疗错误的发生率，以防止准确地沟通健康信息，例如先前的病史和治疗，药物，转诊）； 3）减少由于初级保健和三级护理设施之间缺乏沟通而对患者执行的重复诊断程序的发生； 4）增加参与并参与患者或家人在与健康相关事项方面的决策； 5）确定夏威夷信息资源，信息系统以及其他IT计划和/或网络的机制可以最好地支持Holomua项目的短期和长期实施活动。 该项目将包括针对过渡护理问题的技术和非技术解决方案。该技术解决方案涉及总访问注册表（MVR）的开发和实施，以此作为在系统之间共享健康信息的手段。非技术解决方案涉及与过渡性护理，政策和程序相对于过渡护理以及使用对话和沟通来促进过渡护理的工作流程。选择该技术方法是因为它代表了可扩展的可互操作解决方案，该解决方案考虑了所有合作伙伴组织的不同资源。非技术方法基于丰富的研究，该研究说明了参与信息的人方面的必要性，以确保实施努力的成功。