Primary Care Extension in Oklahoma: An Evidence-Based Approach to Dissemination a

俄克拉荷马州的初级保健扩展：基于证据的传播方法

• 批准号: 8227762
• 负责人: JAMES W. MOLD
• 金额: $ 49.94万
• 依托单位: UNIVERSITY OF OKLAHOMA HLTH SCIENCES 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/8227762
• 关键词: Primary; Care; Extension; Oklahoma; Evidence

DESCRIPTION (provided by applicant): The purpose of this project is to complete the development of a statewide, county-based quality improvement (QI) and community health improvement infrastructure that will help primary care practices become patient-centered medical homes and to improve the health of Oklahomans. We will also provide assistance to three other states, helping them to create similar infrastructures. The QI approach developed by Oklahoma researchers and tested in Oklahoma practices has now been implemented by several state agencies and organizations, many organizations throughout the country, incorporated into the national Accountable Care Act, and specified in this Request for Applications. Oklahoma received federal grants for an HIT Regional Extension Center (REC) and for Health Information Exchange (HIE). The Oklahoma HIE Trust, the applicant for this award, was established to promote HIE throughout the state. An AHRQ- funded Regional Health Information Organization, SMRTNet, has already connected a variety of health data sources throughout the state. County-level health improvement activities have emerged and are being supported by the Department of Health, the HIT REC, and SMRTNet. The Area Health Education Centers are prepared to become Regional Coordinating Centers. Assembling a cohesive, sustainable infrastructure from the existing pieces will require: 1) clinician education, mobilization, and input; 2) alignment of the principal organizations and QI providers; 3) an organizational blueprint including administrative structure, bylaws, policies and procedures, job descriptions, communication channels, reporting requirements, and formation of county-based non-profits; 4) a plan for recruiting, training, and certifying practice facilitators; 5) development of a process for identification and prioritization of improvement projects; and 6) identification of sustainable funding to supplement project-specific funding. We have chosen three dissemination states, Arkansas, Pennsylvania, and Oregon, with well-developed statewide QI activities. Money has been budgeted for our team to travel to each state, for a statewide stakeholders meeting, and for leaders in each state to conduct the individual and group meetings required to align stakeholder groups. Communication between the four states will begin as soon as the award has been received and continue throughout the project. PUBLIC HEALTH RELEVANCE: We will complete development of a statewide, county-based quality improvement infrastructure that will improve primary care services and community health in Oklahoma using evidence- based methods. An initial focus will be on widespread implementation of HIT and HIE.

描述（由申请人提供）：该项目的目的是完成全州范围内，以县为基础的质量改进（QI）和社区健康改善基础设施的发展，这将有助于初级保健实践成为以患者为中心的医疗之家，并改善俄克拉荷马州人的健康。我们还将向其他三个国家提供援助，帮助它们建立类似的基础设施。由俄克拉荷马州研究人员开发并在俄克拉荷马州实践中测试的QI方法现已由几个州机构和组织实施，全国各地的许多组织已纳入国家责任关怀法案，并在本申请请求中详细说明。俄克拉荷马州获得了联邦赠款，用于建立HIT区域推广中心（REC）和卫生信息交流中心（HIE）。该奖项的申请人俄克拉荷马州HIE信托基金的成立是为了在全州范围内推广HIE。一个由AHRQ资助的区域卫生信息组织SMRTNet已经连接了全州的各种卫生数据源。已经出现了县级健康改善活动，并得到卫生部、HIT REC和SMRTNet的支持。地区健康教育中心准备成为区域协调中心。从现有部分组装一个有凝聚力的，可持续的基础设施将需要：1）临床医生教育，动员和输入; 2）主要组织和QI提供者的一致性; 3）组织蓝图，包括行政结构，规章制度，政策和程序，职务说明，沟通渠道，报告要求，以及县为基础的非营利组织的形成; 4）招聘、培训和认证实践促进者的计划; 5）制定改进项目的识别和优先级排序流程; 6）确定可持续的资金，以补充特定项目的资金。我们选择了三个传播州，阿肯色州、宾夕法尼亚州和俄勒冈州，这些州都有完善的QI活动。已经为我们的团队预算了资金，用于前往每个州，参加全州范围的利益相关者会议，并为每个州的领导人举行协调利益相关者群体所需的个人和小组会议。四个州之间的沟通将开始，一旦收到奖励，并继续在整个项目。 公共卫生相关性：我们将完成全州范围内，以县为基础的质量改进基础设施的发展，这将改善俄克拉荷马州的初级保健服务和社区健康，使用基于证据的方法。最初的重点将是广泛实施HIT和HIE。