HEROs: New Mexico's Health Extension as a Model for Primary Care Transformation t

英雄：新墨西哥州的健康扩展作为初级保健转型的典范

• 批准号: 8221511
• 负责人: Arthur Kaufman
• 金额: $ 49.76万
• 依托单位: UNIVERSITY OF NEW MEXICO HEALTH SCIS CTR
• 依托单位国家: 美国
• 财政年份: 2011
• 资助国家: 美国
• 起止时间: 2011-09-30 至 2013-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8221511
• 关键词: HEROs; New; Mexico; Health; Extension

DESCRIPTION (provided by applicant): HEROs: New Mexico's Health Extension as a Model for Primary Care Transformation through Collaboration and Shared Resources Project Summary/Abstract Outlined in this proposal is the response from a growing network of organizations in New Mexico, collaborating as a shared resource in the transformation of small to medium sized primary care practices to patient-centered medical homes (PCMHs). The transformation model created in New Mexico to address barriers for resource- poor, understaffed small practices is Health Extension Rural Offices (HEROs), which is a community-based, University-linked model that can be adapted in other states and nationally. The model enhancements described in this proposal will add an array of practice improvement strategies and further support existing efforts and the expansion of the HEROs model will lead to accomplishing the following five specific aims: " Health Extension as a Catalyst for Primary Care Practice Transformation " HEROs Staff as Primary Care Practice Transformation Coaches " Adoption of Quality Improvement Models and Strategies by Primary Care Practices " A Scalable Model for a National Primary Care Extension Service " Evaluation and Dissemination of the Primary Care Extension Model To achieve these aims, staff of five, regional Health Extension Rural Offices (HEROs) affiliated with the University of New Mexico Health Sciences Center (UNM HSC) will provide technical assistance, offering a menu of shared resources to help practices make incremental transformation toward a PCMH over the two year grant period. A Core Team representing major, statewide programs that provide primary practices with components of PCMH transformation (from Information Technology to Quality Improvement to Telehealth) will support the work of the HEROs staff. This grant will facilitate an unprecedented sharing of resources between these programs to accelerate PCMH transformation. A robust evaluation plan will track the effectiveness of the transformation process in quantitative and qualitative dimensions. Data collection instrument and measures include Organizational Readiness for Change, NCQA Patient-Centered Medical Home Checklist, Practice Coaching Effectiveness Dashboard, HERO Activities Log, Adequacy of Data Management Plan, and a Data Analysis Plan. A comprehensive dissemination will feature a Primary Care Health Extension Toolkit, jointly developed by the New Mexico Core Team with its dissemination partners in three other states (Kansas, Kentucky and Oregon) for web-based dissemination. The HEROs program will be scaled up nationally and sustained in-state with all ~100 independent, small primary care practices in New Mexico achieving PCMH status by year five. PUBLIC HEALTH RELEVANCE: HEROs: New Mexico's Health Extension as a Model for Primary Care Transformation through Collaboration and Shared Resources Project Narrative Primary care practice transformation to a patient-centered medical home (PCMH) is difficult for resource-poor, understaffed, small primary care practices. The fundamental strategy New Mexico will employ to address the challenges to primary care infrastructure and practice transformation is the concept of Health Extension (a program known as "HEROs"), a community-based, state-wide, but university-linked network of agents that can assist and support small and medium sized primary care practices with the best evidence-based practices to support the provision of quality care and practice transformation. Health Extension mobilizes shared resources of the academic health center, public health and other state agencies, information technology and programs to the state's rural and urban, predominantly minority, and underserved communities that depend on local primary care practices for immediate access to health care.

描述（由申请人提供）：HEROS：新墨西哥州的健康扩展作为通过协作和共享资源进行初级保健转型的模式项目摘要/摘要本提案中概述的是来自新墨西哥州不断增长的组织网络的响应，在中小型初级保健实践向以患者为中心的医疗之家（PCMH）的转型中作为共享资源进行协作。在新墨西哥州创建的转型模式，以解决资源匮乏，人手不足的小做法的障碍是健康推广农村办事处（HERO），这是一个以社区为基础，大学联系的模式，可以在其他州和全国范围内进行调整。本提案中所述的模型增强将增加一系列实践改进战略，并进一步支持现有努力，HEROS模型的扩展将导致实现以下五个具体目标：“健康推广作为初级保健实践转型的催化剂“HEROS工作人员作为初级保健实践转型教练“通过初级保健实践采用质量改进模型和策略“国家初级保健推广服务的可扩展模式“初级保健推广模式的评估和传播为了实现这些目标，隶属于新墨西哥州大学健康科学中心（UNM HSC）的五个区域健康推广农村办事处（HERO）的工作人员将提供技术援助，提供共享资源菜单，帮助实践在两年的资助期内逐步向PCMH转变。一个核心团队代表主要的，全州范围内的计划，提供主要的做法与PCMH转型的组成部分（从信息技术到质量改进到远程医疗）将支持HEROS工作人员的工作。这笔赠款将促进这些项目之间前所未有的资源共享，以加速PCMH的转型。一个强有力的评价计划将从数量和质量两个方面跟踪转型进程的有效性。数据收集工具和措施包括组织变更准备情况、NCQA以患者为中心的医疗家庭检查表、实践指导有效性仪表板、HERO活动日志、数据管理计划的准确性和数据分析计划。全面传播的特点是新墨西哥州核心小组与其他三个州（堪萨斯、肯塔基州和俄勒冈州）的传播伙伴联合开发了一个初级保健保健推广工具包，供网上传播。HEROS计划将在全国范围内扩大规模，并在州内持续实施，新墨西哥州的所有~100个独立的小型初级保健实践将在第五年达到PCMH状态。 公共卫生相关性：英雄：新墨西哥州的健康扩展作为一个模式，通过合作和共享资源项目初级保健转型叙事初级保健实践转变为以病人为中心的医疗之家（PCMH）是很难的资源贫乏，人手不足，小型初级保健的做法。基本战略新墨西哥州将采用以解决初级保健基础设施和实践转型的挑战是健康扩展（一个程序称为“HEROS”）的概念，以社区为基础，全州范围内，但大学联系的代理商网络，可以协助和支持中小型初级保健实践与最佳循证实践，以支持提供优质护理和实践转型。健康推广动员学术健康中心，公共卫生和其他国家机构，信息技术和方案的共享资源，以国家的农村和城市，主要是少数民族和服务不足的社区，依赖于当地的初级保健做法，立即获得医疗保健。