PROJECT 3 - CANCER PREVENTION INDEX: USING ELECTRONIC RECORDS TO MAINTAIN
项目 3 - 癌症预防指数:使用电子记录来维护
基本信息
- 批准号:7303416
- 负责人:
- 金额:$ 12.16万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2007
- 资助国家:美国
- 起止时间:2007-03-01 至 2012-04-30
- 项目状态:已结题
- 来源:
- 关键词:AddressAdherenceAdministratorAdoptedAreaAwardBackBody Weight ChangesBody mass indexBreastBudgetsCancer Research NetworkCervicalClinicClinicalClinical Trials DesignColorectalComputerized Medical RecordConsultationsDataEffectiveness of InterventionsElectronicsEventFeedbackFutureGuidelinesHealth systemHealthcare SystemsIndividualInformation SystemsInterventionIntervention TrialMalignant NeoplasmsMalignant neoplasm of cervix uteriMalignant neoplasm of prostateMeasuresMedicalMethodologyMethodsMonitorNumbersObesityOutcomePatientsPatternPerformancePhasePhase II Clinical TrialsPoliciesPreventionPreventivePrimary Health CarePrimary PreventionProstateQuality of CareRandomizedRandomized Clinical TrialsRateRecordsRecurrenceRecurrent Malignant NeoplasmRisk BehaviorsScoreScreening procedureSecond Primary CancersSecondary PreventionServicesSmokingSmoking StatusStage at DiagnosisStandards of Weights and MeasuresSymptomsSystemTestingTimeVariantWeightbasecancer carecancer diagnosiscancer preventioncancer recurrencecare deliverycostdesignevidence based guidelinesfeedingfollow-upimprovedindexingprevention serviceprospectivesizetertiary preventionvirtual
项目摘要
The expanding use of Electronic Medical Records (EMR) makes it possible to 1) examine practice variation
in applying standard guidelines, 2) to precisely determine areas of high and low performance, 3) to
determine the relation of practice variation to differences in medical outcomes and utilization, and 4) to feed
this information back to improve the quality of care. This study will use the Prevention Index (PI)
methodology and the Cancer Research Network (CRN) Virtual Data Warehouse (VDW) to develop and apply
a set of Cancer Prevention Indices (CPI) to assess the quality of primary, secondary, and tertiary preventive
care for cancer. These CPI measures determine the variations in application by clinicians and health
systems of evidence-based guidelines. The indices are based on EMR data and include quality measures
for individual services, for groups of services (subscales) and a combined score that summarizes the overall
quality of care in participating health care systems. We will: 1) identify retrospectively the variation in CPI
scores across clinics and clinical practices and determine the association of these variations to selected
event rates several years later. These event rates will include primary prevention (smoking and obesity
rates), secondary prevention events (stage at diagnosis of new cancers) and tertiary prevention events
(stage at diagnosis of seco'nd primary cancers and recurrences) if numbers permit. The epidemiological
component of the study uses a retrospective-prospective design to determine the association of clinician
adherence to guidelines to subsequent events among their patients. The intervention component of the
study will analyze performance scores for primary care practices in each health care system and provide
personalized feedback on performance variation at the system, clinic, and clinician levels to system and
clinic managers. The emphasis will be on identifying system problems that can be remedied easily and at
reasonable cost. Using a randomized clinical trial design, we will then determine if such feedback leads to
changes in care delivery and reductions in performance problems. Finally, we will provide assistance and
consultation to systems that would like to use this methodology to monitor future quality of care. Twelve
months after the end of the intervention trial, we will repeat the analyses to determine the persistence of
intervention effects in the involved systems and assess the degree to which the methods have been
adopted.
电子病历的广泛应用使得以下方面成为可能:1)检查实践差异
在应用标准指导方针时,2)准确确定高绩效和低绩效领域,3)
确定实践变化与医疗结果和利用差异的关系,以及4)喂养
这一信息的反馈,以提高护理质量。本研究将使用预防指数(PI)
方法和癌症研究网络(CRN)虚拟数据仓库(VDW)开发和应用
一套癌症预防指数(CPI),用于评估初级、二级和三级预防措施的质量。
治疗癌症。这些CPI指标决定了临床医生和健康状况的应用变化
循证指南系统。这些指数是基于电子病历数据,包括质量措施
单项服务、各类服务(分量表)和综合评分,
参与医疗保健系统的护理质量。我们会:1)追溯消费物价指数的变动
在诊所和临床实践中的评分,并确定这些变化与选定的
几年后的事件率。这些事件发生率将包括一级预防(吸烟和肥胖
发生率)、二级预防事件(诊断新癌症时的分期)和三级预防事件
(第二和原发性癌症和复发的诊断时的阶段)。流行病学
该研究的组成部分使用回顾性-前瞻性设计来确定临床医生的相关性。
患者对后续事件的依从性指南。2000年的干预部分
研究将分析每个卫生保健系统中初级保健实践的绩效评分,并提供
系统、诊所和临床医生层面的性能变化的个性化反馈,
诊所经理重点将是找出容易补救的系统问题,
合理的成本。使用随机临床试验设计,我们将确定这种反馈是否会导致
护理服务的变化和绩效问题的减少。最后,我们将提供援助,
咨询系统,希望使用这种方法来监测未来的护理质量。十二
在干预试验结束后几个月,我们将重复分析,以确定
干预措施在所涉系统中的效果,并评估这些方法在多大程度上被
领养的
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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THOMAS MICHAEL VOGT其他文献
THOMAS MICHAEL VOGT的其他文献
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{{ truncateString('THOMAS MICHAEL VOGT', 18)}}的其他基金
Relation of Primary Care Practice Variation to the Prevention of CVD and Diabetes
初级保健实践变化与预防 CVD 和糖尿病的关系
- 批准号:
7645007 - 财政年份:2008
- 资助金额:
$ 12.16万 - 项目类别:
Relation of Primary Care Practice Variation to the Prevention of CVD and Diabetes
初级保健实践变化与预防 CVD 和糖尿病的关系
- 批准号:
7462403 - 财政年份:2008
- 资助金额:
$ 12.16万 - 项目类别:
Using IT to Improve the Quality of CVD Prevention & Management
利用信息技术提高心血管疾病预防质量
- 批准号:
7355422 - 财政年份:2007
- 资助金额:
$ 12.16万 - 项目类别:
INTEGRATING AND PRIORITIZING CANCER PREVENTION IN MEDICAL PRACTICE
将癌症预防纳入医疗实践并优先考虑
- 批准号:
6334977 - 财政年份:2000
- 资助金额:
$ 12.16万 - 项目类别:
INTEGRATING AND PRIORITIZING CANCER PREVENTION IN MEDICAL PRACTICE
将癌症预防纳入医疗实践并优先考虑
- 批准号:
6203383 - 财政年份:1999
- 资助金额:
$ 12.16万 - 项目类别:
INTEGRATING AND PRIORITIZING CANCER PREVENTION IN MEDICAL PRACTICE
将癌症预防纳入医疗实践并优先考虑
- 批准号:
6103275 - 财政年份:1998
- 资助金额:
$ 12.16万 - 项目类别:
INTEGRATING AND PRIORITIZING CANCER PREVENTION IN MEDICAL PRACTICE
将癌症预防纳入医疗实践并优先考虑
- 批准号:
6237748 - 财政年份:1997
- 资助金额:
$ 12.16万 - 项目类别:
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