Enhancing Hawaii Hospital Information Content

增强夏威夷医院信息内容

• 批准号: 8055071
• 负责人: TODD B SETO
• 金额: $ 132.3万
• 依托单位: QUEEN'S MEDICAL CENTER
• 依托单位国家: 美国
• 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/8055071
• 关键词: Enhancing; Hawaii; Hospital; Information; Content

DESCRIPTION (provided by applicant): The interest in comparative effectiveness research (CER) is based on the belief that more informed decisions about the use of health care resources could improve the public's health and reduce the costs of care. Although CER encompasses a broad range of methodologic approaches and data sources, the goal of this proposal is to develop the capacity to perform CER by enhancing the breadth and scope of data contained within a statewide, all-payer hospital discharge and emergency department data set in Hawaii - the state that has the nation's most racially diverse population, the longest life expectancy, the longest experience with employer-mandated health care benefits (over 35 years), and one of the lowest Medicare costs per beneficiary. The aims of this study are to 1) Supplement administrative hospital discharge data with hospitalization-related laboratory results, an enhancement that has been shown to improve estimates of inpatient mortality and surgical complications, and the measurement of disease severity and clinical performance; 2) Build on our preliminary work developing a Master Patient Identifier (MPI) to link patients across hospitals throughout the state, by extending our work to include newborns, and creating a program that would automatically assign an MPI to all new patient records received into the statewide database; and 3) Demonstrate the feasibility and usefulness of the enhanced database by performing a comparative effectiveness research study that will examine the outcomes of care (e.g., length of stay, cost, in-hospital death, 30-day readmission to any hospital) for patients treated by hospitalists compared with patients treated by non-hospitalists. PUBLIC HEALTH RELEVANCE: There is a significant need to generate comprehensive information that will help health care professionals, patients, and their families make more informed health care decisions. We plan to enhance the content of a statewide, all-payer hospital discharge database by adding laboratory results and completing work on a method to track patients across hospital visits throughout the state. We will also use this enhanced data set to evaluate the outcomes of care for patients treated by hospitalists -- physicians who specialize in inpatient medicine and who manage the care of hospitalized patients for primary care physicians - compared with patients treated by non-hospitalists.

描述(由申请人提供)：对比较有效性研究(CER)的兴趣是基于这样一种信念，即关于医疗资源使用的更明智的决定可以改善公众的健康并降低医疗成本。尽管CER包含了广泛的方法学方法和数据源，但这项提案的目标是通过增强全州范围内所有付款人出院和急诊科数据集中包含的数据的广度和范围来发展执行CER的能力。夏威夷是美国人口种族最多元化、预期寿命最长、雇主强制医疗福利经验最长(超过35年)、以及每个受益人的医疗保险成本最低的州之一。这项研究的目的是1)用与住院相关的实验室结果补充行政医院出院数据，这一增强已被证明改善了对住院患者死亡率和手术并发症的估计，以及对疾病严重性和临床表现的测量；2)在我们前期工作的基础上，开发了一个主患者识别符(MPI)，通过将我们的工作扩展到包括新生儿，并创建一个程序，该程序将自动为接收到全州数据库的所有新患者记录分配一个MPI；以及3)通过进行比较有效性研究来证明增强的数据库的可行性和实用性，该研究将检查接受住院医生治疗的患者与非住院医生治疗的患者的护理结果(例如，住院时间、费用、住院死亡、30天再入院)。 公共卫生相关性：非常需要生成全面的信息，以帮助卫生保健专业人员、患者及其家人做出更明智的卫生保健决策。我们计划通过添加实验室结果并完成一种跟踪全州所有医院就诊患者的方法的工作，来增强全州范围内所有付费医院出院数据库的内容。我们还将使用这一增强的数据集来评估由住院医生治疗的患者与非住院医生治疗的患者的护理结果。住院医生是专门从事住院医学并为初级保健医生管理住院患者护理的医生。