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Infrastucture for CER on Innovative Delivery Systems for Complex Patients

针对复杂患者的创新输送系统的 CER 基础设施

基本信息

批准号：
8020258
负责人：
JOEL C CANTOR
金额：
$ 98.38万
依托单位：
RUTGERS, THE STATE UNIV OF N.J.
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-09-30 至 2013-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8020258
关键词：
Infrastucture CER Innovative Delivery Systems

项目摘要

DESCRIPTION (provided by applicant): This project will establish a statewide data infrastructure for Comparative Effectiveness Research (CER) on healthcare delivery innovations for complex patients in low-income communities. It addresses two CER priorities established by the Institute of Medicine in 2009 to evaluate outcomes of: (1) "...comprehensive care coordination programs, such as the medical home, in managing children and adults with severe chronic disease, especially in populations with known health disparities"; and (2) "accountable care systems ...for geographically defined populations of patients with one or more chronic diseases." Responding to the Agency for Healthcare Research and Quality request for applications (RFA-HS-10-001) to expand research capability to study comparative effectiveness in complex patients, this project has three specific aims: 1. Build a sustainable longitudinal database of linked hospital, Medicaid, and charity care claims and encounter records in New Jersey for CER on strategies to improve the delivery of care to complex patients in low-income communities. 2. Build and evaluate measures of resource use and quality of care for CER on innovative delivery systems for complex patients in low-income communities using the database developed under Aim 1. 3. Demonstrate the potential of this new research infrastructure by conducting a pilot evaluation of health services resource use and quality for complex patients served by an innovative care coordination program in Camden, NJ. Designed to become an ongoing enterprise, the data infrastructure will initially consist of six years of state program administrative records. Products of this work will be disseminated widely and the database will be released for public use. The project builds on a long-standing collaboration between university researchers and agencies of New Jersey government, and will take place in the context of state policies encouraging innovation in health care delivery for low-income urban populations. New Jersey is especially well suited to CER on health system delivery innovations because it has exceptionally high rates of preventable utilization of expensive hospital care. PUBLIC HEALTH RELEVANCE: Patients with complex health conditions in low-income communities frequently experience inadequate and fragmented health services, leading to avoidable use of expensive hospital care and poor outcomes. This project will build research capacity to compare the cost and quality of health care delivery system innovations to care typically received by medically complex patients in low-income communities in New Jersey.

描述（由申请人提供）：该项目将建立一个全州范围的数据基础设施，用于比较有效性研究（CER），研究低收入社区复杂患者的医疗服务创新。它解决了医学研究所于2009年确定的两个CER优先事项，以评估结果：(1)“.综合护理协调方案，如医疗之家，用于管理患有严重慢性疾病的儿童和成人，特别是在已知存在健康差距的人群中”；(2)“负责任的医疗体系……针对具有一种或多种慢性疾病的特定地理人群。”响应医疗保健研究和质量机构的申请请求（RFA-HS-10-001），以扩大研究能力，研究复杂患者的比较有效性，该项目有三个具体目标：1。在新泽西州建立一个可持续的纵向数据库，将医院、医疗补助和慈善机构的护理索赔和就诊记录联系起来，为CER提供改善低收入社区复杂患者护理服务的策略。2. 使用目标1下开发的数据库，建立和评估针对低收入社区复杂患者的创新交付系统的CER资源使用和护理质量措施。3. 通过对新泽西州卡姆登创新护理协调项目服务的复杂患者的卫生服务资源使用和质量进行试点评估，展示这一新的研究基础设施的潜力。数据基础设施旨在成为一个持续的企业，最初将由六年的国家计划管理记录组成。这项工作的成果将广泛散发，数据库将公布供公众使用。该项目建立在大学研究人员和新泽西州政府机构之间长期合作的基础上，并将在国家政策鼓励创新的背景下进行，为低收入城市人口提供卫生保健服务。新泽西州特别适合在卫生系统交付创新方面实施CER，因为它对昂贵的医院护理的可预防利用率特别高。