Clinical Database to Support Comparative Effectiveness Studies of Complex Patient

描述（由申请人提供）：本项目将使用客观和标准化的医师办公室评估工具来识别患者安全的潜在风险，并在明爱基督教医疗保健网络的初级保健办公室实践中提高对HEDIS和区域保险公司质量指南的遵守。通过明爱医疗保健及其相关医疗专业责任公司的联合合作，医生办公室评估工具将作为一种干预手段，用于教育医生、医疗保健提供者和员工。评估工具将对直接影响患者安全和质量的实践操作方面的个体初级保健实践进行评估。可以在干预前后获得患者安全和质量指标，然后根据同行、专科、卫生保健系统和最佳实践目前可用的已知控制措施对其进行基准测试。通过这种干预所预期的变化的影响，可以在医疗网络和医疗事故保险公司的数据库中进行前瞻性分析，用于门诊门诊实践的索赔分析。这种效果有望转化为改善患者安全和护理，并可能伴随着责任索赔的减少，并最终降低保费。

DESCRIPTION (provided by applicant): This project will use an objective and standardized Physician Office Appraisal Tool to identify potential risks to patient safety and to increase compliance with HEDIS and regional insurer quality guidelines in primary care office practices in the Caritas Christi Healthcare Network. Through joint collaboration between Caritas Christi Healthcare and its associated medical professional liability companies, the Physician Office Appraisal Tool will be used as an intervention to educate physicians, health care providers, and staff. The appraisal tool will evaluate individual primary care practices with regard to practice operations that directly impact patient safety and quality. Patient safety and quality metrics can be obtained before and after the intervention and subsequently benchmarked against known controls that are currently available for peers, specialty, healthcare systems and best practices. The impact of the changes anticipated through this intervention can then be prospectively analyzed in the healthcare network and the medical malpractice insurers' databases for claims analysis for outpatient ambulatory practices. This effect prospectively may translate into improved patient safety and care, and may be accompanied by decreased liability claims, and ultimately premium costs. PUBLIC HEALTH RELEVANCE: The majority of patient care in our nation now occurs in the office setting. Significant numbers of procedures, once done in the hospital, are likewise being performed in ambulatory office settings. Coordinated, patient focused paradigms for organizing care in the office are needed so that quality patient care and safety are optimized. A standardized Physician Office Appraisal Tool will improve patient safety and quality of care in ambulatory office practices affiliated with a large health care system while prospectively decreasing medical professional liability claims and premium costs.