Technology Exchange for Cancer Health Network (TECH-Net)

癌症健康技术交流网络（TECH-Net）

• 批准号: 6951503
• 负责人: TERESA M WATERS
• 金额: $ 47.33万
• 依托单位: UNIVERSITY OF TENNESSEE HEALTH SCI CTR
• 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 2007-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6951503
• 关键词: automated medical record system; behavioral /social science research tag; cancer information system; clinical research; computer assisted medical decision making; computer network; cooperative study; health care cost /financing; health care quality; health care service availability; health services research tag; hematology; human subject; interdisciplinary collaboration; medically underserved population; medicine; neoplasm /cancer; oncology; online computer; patient care management; patient safety /medical error; rural area; telemedicine

DESCRIPTION (provided by the applicant): The Technology Exchange for Cancer Health Network (TECH-Net) is a collaborative, multistate effort to implement a systematic care program to improve cancer management in the rural communities of west Tennessee, north Mississippi and east Arkansas. This Health Information Technology (HIT) project builds upon a two-pronged approach to total clinical decision support. The first component provides access to oncology, hematology, and other specialists through the dedicated telehealth network of the University of Tennessee's Health Science Center (UTHSC). The second component involves a distributed electronic health record (EHR) integrated with decision support systems, online management of cancer protocols, electronic orders, and medication management systems. The primary goal of this implementation project is to determine the extent to which a multi-state HIT collaborative network can contribute to measurable and sustainable improvements in the cost, safety, and overall quality of cancer care for a region. The specific aims of the project focus on the implementation of technology, personnel, and workflows, the impact Tech-NET has on patient care, and the dissemination of findings to other programs interested in developing similar services: Specific Aim #1: To implement a collaborative, multi-state Health Information Technology System that meets the needs of patients, families and providers in a rural cancer care setting. Specific Aim #2: To improve access to appropriate care, increase the quality and safety of care and achieve better health outcomes at equal or lower cost for cancer patients in rural communities through an integrated Health Information Technology System. Specific Aim #3: To produce and distribute a generalizable, replicable model for implementing an integrated Health Information Technology System for cancer care. TECH-Net will link thirteen separate cancer outreach clinics in a tri-state area with the specialists and researchers of UTHSC and with a major tertiary care hospital of Methodist Healthcare for comprehensive care and communications across the spectrum of adult cancer care. Implementation of this telehealth and EHR program will take a phased approach, sequentially building clinical decision support into existing workflows. Evaluation will examine qualitative and quantitative data to measure the success of TECH-Net's implementation and to determine the impact on patient safety, cost, access to care and overall patient outcomes.

描述（由申请人提供）：癌症健康网络技术交流（TECHNOLOGY EXCHANGE FOR CANCER HEALTH NETWORK，简称TECHNOLOGY EXCHANGE）是一个多州合作项目，旨在实施一项系统性护理计划，以改善田纳西州西部、密西西比北部和阿肯色州东部农村社区的癌症管理。这个健康信息技术（HIT）项目建立在一个双管齐下的方法，以全面的临床决策支持。第一部分通过田纳西大学健康科学中心（UTHSC）的专用远程医疗网络提供肿瘤学，血液学和其他专家的访问。第二个组成部分涉及分布式电子健康记录（EHR），集成了决策支持系统，癌症协议的在线管理，电子订单和药物管理系统。该实施项目的主要目标是确定一个多州HIT协作网络在多大程度上可以促进一个地区癌症护理的成本，安全性和整体质量的可衡量和可持续的改善。 该项目的具体目标侧重于技术、人员和工作流程的实施，Tech-NET对患者护理的影响，以及将研究结果传播给有兴趣开发类似服务的其他项目： 具体目标1：实施一个合作的、多州的卫生信息技术系统，以满足农村癌症护理环境中患者、家庭和提供者的需求。 具体目标#2：改善获得适当护理的机会，提高护理质量和安全性，并通过综合卫生信息技术系统，以同等或更低的成本为农村社区的癌症患者实现更好的健康成果。 具体目标#3：制作和分发一个可推广、可复制的模型，用于实施癌症护理综合卫生信息技术系统。 该网络将把三州地区的十三个独立的癌症外展诊所与UTHSC的专家和研究人员以及卫理公会医疗保健的一家主要三级保健医院联系起来，以提供全面的成人癌症护理和沟通。该远程医疗和EHR计划的实施将采取分阶段的方法，依次将临床决策支持纳入现有工作流程。评价将审查定性和定量数据，以衡量实施医疗保健网的成功程度，并确定对病人安全、费用、获得护理的机会和病人总体结果的影响。