Clinical Database to Support Comparative Effectiveness Studies of Complex Patient

描述(由申请人提供)：该项目将使用客观和标准化的医生办公室评估工具来识别患者安全的潜在风险，并在明爱克里斯蒂医疗网络的初级保健办公室实践中提高对HEDIS和地区保险公司质量指南的遵从性。通过明爱Christi Healthcare及其相关医疗专业责任公司之间的联合合作，医生办公室评估工具将被用作干预措施，以教育医生、医疗保健提供者和工作人员。评估工具将评估与直接影响患者安全和质量的实践操作有关的个人初级保健实践。患者的安全和质量指标可以在干预前后获得，并随后以同行、专科、医疗保健系统和最佳实践目前可用的已知控制为基准。然后，可以在医疗保健网络和医疗事故保险公司的数据库中前瞻性地分析通过这一干预措施预期的变化的影响，以进行门诊门诊实践的索赔分析。这一效果可能会带来患者安全和护理的改善，并可能伴随着责任索赔的减少，并最终导致保费成本的降低。 与公共卫生相关：我们国家的大多数病人护理现在都是在办公室进行的。大量的手术，一旦在医院完成，也同样在门诊办公室进行。需要协调的、以患者为中心的模式来组织办公室的护理，以便优化高质量的患者护理和安全。标准化的医生办公室评估工具将改善附属于大型医疗保健系统的门诊办公室实践中的患者安全和护理质量，同时预期将减少医疗专业责任索赔和保费成本。

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.