Reducing Health Disparities: A Health IT Solution

减少健康差异：健康 IT 解决方案

• 批准号: 8090445
• 负责人: Robert Albert Peterson
• 金额: $ 19.97万
• 依托单位: MY COVERAGE PLAN, INC.
• 依托单位国家: 美国
• 财政年份: 2010
• 资助国家: 美国
• 起止时间: 2010-06-15 至 2013-06-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8090445
• 关键词: Administrator; African American; Caring; Collaborations; Communities; Computer Security; Computer software; Computerized Medical Record; Counseling; County; Data; Data Sources; Databases; Decision Support Model; Development; Drops; Economics; Electronics; Ensure; Environment; Fee-for-Service Plans; Foundations; Future; Goals; Guidelines; Health; Health Benefit; Health Personnel; Health Services; Health Services Accessibility; Healthcare; Hispanics; Hospitals; Improve Access; Individual; Infant Mortality; Insurance; Internet; Interview; Knowledge; Learning; Legal; Legal patent; Link; Live Birth; Low income; Medical; Medical Education; Medical Records; Methods; Minority Groups; Modeling; Online Systems; Operating System; Outcome; Patient-Centered Care; Patients; Phase; Process; Provider; Publications; Recommendation; Research; Resources; Screening procedure; Secure; Services; Small Business Innovation Research Grant; Solutions; Source; Stimulus; System; Systems Integration; Technology; Testing; Time; Training; Uncompensated Care; Uninsured; Vendor; Work; design; expectation; experience; health care quality; health disparity; improved; innovation; interoperability; meetings; member; next generation; payment; population health; programs; prototype; public health relevance; relational database; success; tool

DESCRIPTION (provided by applicant): "Reducing Health Disparities: A Health IT Solution," proposes a collaborative effort to coordinate community stakeholders in Dane County, WI, to integrate a replicable and innovative health IT solution to overcome systemic barriers that exacerbate health disparities and quality of health care for racial and ethnic minorities. Dane county experienced a dramatic decrease in African American infant mortality from the late 90's to 2006. While project partners research and evaluate the causes for the precipitous drop, we propose to built upon a foundation of over a decade of successful health benefits counseling coalition building; care coordination; and benefits training for service providers and create the "next generation" strategy. My Coverage Plan, Inc. and partners ABC for Health Inc. (ABC), development vendor Yahara Software LLC, outpost partners St Mary's Hospital, and select advisors representing the Dane County HealthWatch Coalition, Healthy Beginnings, and The Medical Education Research Committee Infant Mortality Collaborative propose a SBIR project to develop an accessible, webbased, word-intuitive electronic health benefits screening tool called My Coverage Plan (MCP). MCP targets the reduction in primarily three avoidable health disparities: 1) the increased rate of un-insurance (economic); 2) the reduced access to care and coverage for underserved African American or Latino populations (cultural); and 3) the lack of patient-communicated information to providers (knowledge). The specific aims for the project include: 1) Design a dynamic, goal seeking decision support model (DSM); 2) Test a DSM into a prototype software application using "if/then" variable selection to enable health care providers to generate a patient-specific electronic document of healthcare coverage options; 3) Design a software application with a proper operating system configuration and design to ensure security of the system; meet enduser expectations; integrate HIPPA requirements; and comply with HL7 and HITSP interoperability guidelines for Electronic Medical Records systems integration; and 4) Design a prototype appropriate for a provider end user environment, yet replicable in broader applications. Future development phases will: test work flow integration at St. Mary's Hospital, with an available clientele of over 700 low-income individuals a year, of which 30% are Spanishspeaking, 25% are African American, and 25% have a special health care need, to demonstrate a reduced overall number of uninsured. The PI Atty. Robert Peterson is the founder of ABC for Health Inc, Inventor of the MCP process and will be the CEO of MCP Inc. (PUBLIC HEALTH RELEVANCE STATEMENT): "Reducing Health Disparities: A Health IT Solution" proposes a community collaboration to reduce avoidable health disparities and the attendant financial impacts on patients' and health care service providers. My Coverage Plan (MCP) is a web-based, word-intuitive health benefits screening innovation that will generate an electronic coverage record and identify current and future public and private healthcare coverage options. The proper coordination and maximization of public and private sources of health care is a proven strategy to reduce avoidable health disparities and improve population health associated with increased access to healthcare while providing economic stimulus to local and state economies as patients' secure available coverage and avoid medical-debt and uncompensated care.

描述(由申请者提供)：“缩小健康差距：健康信息技术解决方案”提出了一项协作努力，以协调威斯康星州戴恩县的社区利益相关者，整合一个可复制和创新的健康信息技术解决方案，以克服加剧健康差距和少数民族健康护理质量的系统性障碍。从90年代末到2006年，戴恩县经历了非裔美国人婴儿死亡率的急剧下降，S。当项目合作伙伴研究和评估急剧下降的原因时，我们建议建立在十多年成功的健康福利咨询联盟建立、护理协调和 为服务提供商提供培训，打造“下一代”战略。My Coverage Plan，Inc.和合作伙伴ABC for Health Inc.(ABC)、开发供应商Yahara Software LLC、前哨合作伙伴圣玛丽医院，以及代表戴恩县健康观察联盟、HealthBegings和医学教育研究委员会婴儿死亡率合作的精选顾问提出了一个SBIR项目，以开发一个可访问的、基于网络的、直观的电子健康福利筛选工具，称为My Coverage Plan(MCP)。MCP的目标是减少主要三个可避免的健康差距：1)未参保率增加(经济)；2)服务不足的非裔美国人或拉丁裔人口获得护理和覆盖的机会减少(文化)；以及3)缺乏患者与提供者沟通的信息(知识)。该项目的具体目标包括：1)设计一个动态的、寻求目标的决策支持模型(DSM)；2)使用“如果/然后”变量选择将DSM测试为原型软件应用程序，以使医疗保健提供者能够生成针对患者的医疗保险选项的电子文档；3)设计具有适当操作系统配置和设计的软件应用程序，以确保系统的安全性；满足最终用户的期望；集成HIPPA要求；以及遵守HL7和HITSP 电子病历系统集成的互操作性指南；以及4)设计 适用于提供商最终用户环境的原型，但可在更广泛的应用程序中复制。未来的开发阶段将：测试圣玛丽医院的工作流程整合，每年有700多名低收入者可用客户，其中30%是西班牙人，25%是非裔美国人，25%有特殊的医疗保健需求，以证明未参保总人数的减少。派·阿提尔。罗伯特·彼得森是ABC for Health Inc.的创始人，MCP流程的发明者，将担任MCP Inc.的首席执行官。 (与公共健康相关的声明)：“缩小健康差距：健康信息技术解决方案”建议社区合作，以减少可避免的健康差距及其对患者和医疗保健服务提供者的财务影响。My Coverage Plan(MCP)是一项基于网络、文字直观的健康福利筛查创新，它将生成电子保险记录，并确定当前和未来的公共和私人医疗保险选项。适当的协调和 最大限度地利用公共和私人医疗保健资源是一项行之有效的战略，可通过增加获得医疗保健的机会来减少可避免的健康差距和改善人口健康，同时为地方和州经济提供经济刺激，作为患者的安全可用覆盖范围，并避免医疗债务和无偿护理。