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: 8331859
• 负责人: Arthur Kaufman
• 金额: $ 49.71万
• 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 2014-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8331859
• 关键词: HEROs; New; Mexico; Health; Extension

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.

英雄：新墨西哥州的健康推广作为 通过协作和共享资源实现初级保健转型 项目摘要/摘要 这份提案中概述的是新墨西哥州不断增长的组织网络的响应，这些组织合作 作为将中小型初级保健实践转变为以患者为中心的共享资源 医疗院(PCMH)。在新墨西哥州创建的转型模式旨在解决资源障碍- 贫穷、人手不足的小实践是健康推广乡村办公室(HEROS)，它是一家以社区为基础、 与大学挂钩的模式，可以在其他州和全国范围内采用。模型的增强 本建议书中描述的内容将增加一系列实践改进策略，并进一步支持现有 英雄模式的努力和扩展将导致实现以下五个具体目标： “健康推广是初级保健实践转变的催化剂 作为初级保健实践转型教练的Heros员工 “通过初级保健实践采用质量改进模式和战略 一种可扩展的全国初级保健推广服务模式 “初级保健推广模式的评价和传播 为了实现这些目标，五个地区卫生推广乡村办事处(HEROS)的工作人员隶属于 新墨西哥大学健康科学中心将提供技术援助，提供 共享资源菜单，以帮助实践在两者之间实现向PCMH的增量转型 年度授权期。代表全州范围的主要项目的核心团队，这些项目提供以下主要实践 PCMH转型的组成部分(从信息技术到质量改进再到远程医疗)将 支持英雄工作人员的工作。这笔赠款将促进史无前例的资源共享 这些计划加快了PCMH的转型。一项强有力的评估计划将跟踪 在数量和质量两个维度上的转变过程。数据采集工具和措施 包括组织为变革做好准备、NCQA以患者为中心的医疗之家检查清单、实践 教练有效性仪表板、HERO活动日志、数据管理计划的充分性和数据 分析计划。全面传播将以初级保健保健推广工具包为特色，联合 由新墨西哥核心团队及其在其他三个州的传播合作伙伴开发(堪萨斯州， 肯塔基州和俄勒冈州)用于基于网络的传播。英雄计划将在全国范围内推广 保持州内所有约100家独立的小型初级保健做法在新墨西哥州实现PCMH 五年前的状态。