Electronic Information System to Enhance Practice at an Opioid Treatment Program

电子信息系统加强阿片类药物治疗项目的实践

• 批准号: 7417463
• 负责人: LAWRENCE S BROWN
• 金额: $ 20.96万
• 依托单位: START TREATMENT AND RECOVERY CENTERS INC
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-09-15 至 2010-10-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7417463
• 关键词: Admission activity; Adult; Alcohol or Other Drugs use; Anniversary; Behavioral; Caring; Case Management; Client satisfaction; Clinical; Clinical Data; Color; Communities; Counseling; Data; Data Sources; Discipline; Disease; Electronics; Enrollment; Evaluation; Event; Evidence based practice; Frequencies; Funding; General Population; HIV; HIV Infections; Health Information System; Healthcare; Hepatitis C; Hepatitis C Antibodies; Hepatitis C virus; Human Resources; Infection; Information Systems; Inpatients; Intervention Studies; Investigation; Knowledge; Maintenance; Measurement; Measures; Medical; Medication Errors; Methods; Minority; Monitor; Needs Assessment; New York City; Numbers; Opioid; Outcome; Outpatients; Paper; Patients; Performance; Persons; Pharmacists; Population; Pre-study; Primary Health Care; Productivity; Publishing; Quality of Care; Rate; Reporting; Research; Research Design; Research Personnel; Risk; Risk Management; Sample Size; Services; Social Work; Source; Statistically Significant; Substance Use Disorder; Substance abuse problem; Surveys; System; Testing; Viral Load result; Visit; addiction; base; clinical research site; clinically relevant; cost; cost effectiveness; day; design; health care quality; improved; innovation; medical specialties; patient oriented; research to practice; satisfaction; treatment program

DESCRIPTION (provided by applicant): Background: Considerable discussion continues about effective ways to achieve desirable healthcare outcomes. An electronic health information system has been the focus of many discussions, especially at the Addiction Research and Treatment Corporation (ARTC). ARTC is an outpatient opioid treatment program providing primary medical care and HIV-related care for approximately 3,000 predominantly minority adults in Brooklyn and Manhattan in New York City. This economically disenfranchised population is also infected with hepatitis C virus. These patients are subject to significant disparities in healthcare access and quality compared to the general population. At ARTC, little information, especially clinical data, is stored electronically. There are few electronic systems; these are not integrated with each other. To test various hypotheses, ARTC will assess, over a three-year study, the implementation of an electronic health information system integrating counseling and social services, medical services, case management, HIV counseling and testing, dispensing information, administrative and fiscal data. Methods: Four specific aims (quality, productivity, satisfaction, and risk management) and one secondary aim (financial performance) will be examined to assess the impact of an electronic information system; these were selected from pre-study needs assessments involving stakeholders (patients, clinicians and managers) and/or prior published investigations. A number of hypotheses are proposed within each specific aim. For each quantitative measurement selected, the data sources will be either surveys of stakeholders or will be derived directly from the information system. Measurements will be assessed pre and post-implementation of an integrated electronic health information system for statistically significant changes. Conclusion: The results may have the potential to inform continuing discussions about the impact of integrated electronic systems in enhancing agency cost-effectiveness in substance abuse treatment settings. Because the patient population is largely economically disenfranchised and suffers disproportionately from HIV and HCV infection, the study findings have the potential to be responsive to the challenges of these infections and the healthcare disparities suffered by this patient population.

描述（由申请人提供）：背景：关于实现理想医疗结果的有效方法的大量讨论仍在继续。电子健康信息系统一直是许多讨论的焦点，特别是在成瘾研究和治疗公司（ARTC）。ARTC是一个阿片类药物门诊治疗项目，为纽约市布鲁克林和曼哈顿约3000名主要是少数族裔的成年人提供初级医疗保健和艾滋病毒相关护理。这些经济上被剥夺权利的人口也感染了丙型肝炎病毒。与一般人群相比，这些患者在获得医疗保健和质量方面存在显著差异。在ARTC，很少有信息，尤其是临床数据以电子方式存储。电子系统很少；这些不是相互整合的。为了检验各种假设，该中心将在一项为期三年的研究中，评估电子健康信息系统的实施情况，该系统集咨询和社会服务、医疗服务、个案管理、艾滋病毒咨询和检测、信息分发、行政和财政数据于一体。方法：四个具体目标（质量、生产力、满意度和风险管理）和一个次要目标（财务绩效）将被审查，以评估电子信息系统的影响；这些是从涉及利益相关者（患者、临床医生和管理人员）的研究前需求评估和/或先前发表的调查中选择的。在每个具体目标中都提出了一些假设。对于所选择的每一项定量测量，数据来源要么是对利益相关者的调查，要么直接来自信息系统。将对综合电子卫生信息系统实施前后的测量结果进行评估，以确定统计上的重大变化。结论：研究结果可能为继续讨论综合电子系统在提高药物滥用治疗机构成本效益方面的影响提供信息。由于患者群体在很大程度上被剥夺了经济权利，并且患有艾滋病毒和丙型肝炎病毒感染，因此研究结果有可能应对这些感染的挑战以及该患者群体遭受的医疗保健差异。

项目成果

Electronic medical record system at an opioid agonist treatment programme: study design, pre-implementation results and post-implementation trends.

阿片类激动剂治疗方案的电子病历系统：研究设计、实施前结果和实施后趋势。

• DOI: 10.1111/j.1365-2753.2011.01664.x
• 发表时间: 2012
• 期刊: Journal of evaluation in clinical practice
• 影响因子: 2.4
• 作者: Kritz,Steven;BrownJr,LawrenceS;Chu,Melissa;John-Hull,Carlota;Madray,Charles;Zavala,Roberto;Louie,Ben
• 通讯作者: Louie,Ben

Electronic health information system at an opioid treatment programme: roadblocks to implementation.

阿片类药物治疗计划的电子健康信息系统：实施的障碍。

• DOI: 10.1111/j.1365-2753.2011.01663.x
• 发表时间: 2012
• 期刊: Journal of evaluation in clinical practice
• 影响因子: 2.4
• 作者: Louie,Ben;Kritz,Steven;BrownJr,LawrenceS;Chu,Melissa;Madray,Charles;Zavala,Roberto
• 通讯作者: Zavala,Roberto