Care Coordination Enabled by Health IT: What Will It Take?

医疗 IT 支持的护理协调：需要做什么？

• 批准号: 8642605
• 负责人: SARAH H. SCHOLLE
• 金额: $ 49.96万
• 依托单位: NATIONAL COMMITTEE FOR QUALITY ASSURANCE
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-30 至 2014-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8642605
• 关键词: Care; Coordination; Enabled; Health; What

The National Committee for Quality Assurance (NCQA), the American Academy of Family Physicians National Research Network (AAFP NRN), and New York City Department of Health and Mental Hygiene have joined in this proposal to address critical policy questions regarding the feasibility, clinical acceptance, and measurability of MU Stage 3 objectives. Our long-term goal is to demonstrate how meaningful use of health IT can contribute to achievement of the National Quality Strategy goals of better care, healthy people and communities, and affordable care. This project will examine the feasibility, measurability and clinical relevance of six proposed MU Stage 3 objectives related to care coordination, including reconciliation and tracking of referrals, care transition record, and use of information for patient engagement and clinical decision-making. Our specific aims are Aim 1 To assess the technical feasibility and clinical acceptance of the proposed MU Stage 3 objectives for care coordination in diverse practice settings, Aim 2 to identify organizational and contextual factors that distinguish practices with a higher versus lower level of implementation of EHR functionality and clinical workflows for care coordination envisioned by the proposed MU Stage 3 objectives, and Aim 3 to explore methods for measuring and reporting on implementation of the proposed MU Stage 3 Objectives. This mixed-methods study will include a survey of 300 diverse practices to understand current implementation of care coordination activities in EHR functionality and clinical workflows, interviews of 20 practices that have implemented care coordination workflows with and without EHR functionality, and case studies of 10 practices that have adopted health IT capabilities for aspects of care coordination that are relevant to with the proposed objectives. We will vet the results and technical recommendations through review with a panel of EHR vendors. We will use the results of this project to provide our federal government a roadmap to achievement of the proposed MU objectives and how to measure their achievement by providers in ambulatory care settings. At the end of this 12-month project, we will have developed and disseminated 1) recommendations for potential revisions to the proposed MU Stage 3 objectives and to the proposed measures, 2) recommendations for changes in EHR certification criteria, and 3) examples of successful workflows and information on barriers to implementation. In addition to a report for federal policymakers, we will develop dissemination materials appropriate for primary care and specialty practices and disseminate these widely through NCQA's educational programs for providers and health plans, through AAFP educational channels, and in collaboration with AHRQ.

国家质量保证委员会（NCQA），美国家庭医生学会国家 研究网络（AAFP NRN）和纽约市卫生和心理卫生部也加入了进来 该提案旨在解决有关可行性、临床可接受性和可测量性的关键政策问题 第三阶段的目标。我们的长期目标是证明有意义地使用卫生信息技术可以做出多大贡献 实现国家质量战略的目标，更好地照顾，健康的人和社区， 负担得起的护理。该项目将研究六个建议的可行性，可测量性和临床相关性 MU第3阶段目标与护理协调有关，包括协调和跟踪转诊、护理 转换记录，以及使用信息进行患者参与和临床决策。我们的具体 目的1评估拟议的医疗事故调查第3阶段的技术可行性和临床接受程度 在不同的实践环境中进行护理协调的目标，目标2确定组织和 区分EHR实施水平较高与较低的实践的背景因素 拟议MU第3阶段设想的护理协调功能和临床工作流程 目标3，探讨衡量和报告《行动纲领》执行情况的方法， 第三阶段的目标。这项混合方法研究将包括对300种不同做法的调查 了解EHR功能和临床工作流程中护理协调活动的当前实施情况， 采访了20个已经实施了护理协调工作流程的实践，有和没有EHR 功能，以及对10个采用医疗IT功能进行护理方面的实践的案例研究 与拟议目标相关的协调。我们将审查结果和技术 通过与EHR供应商小组的审查提出建议。我们将利用该项目的成果， 为我们的联邦政府提供实现拟议的MU目标的路线图，以及如何 通过提供者在门诊护理环境中衡量他们的成就。在这个为期12个月的项目结束时，我们 将制定并传播1）对拟议的谅解备忘录可能进行修订的建议 第三阶段的目标和建议措施，2）电子健康记录的修改建议 认证标准，以及3）成功的工作流程实例和关于 实施.除了为联邦决策者编写一份报告外，我们还将编写宣传材料 适合初级保健和专业实践，并通过NCQA的教育广泛传播 通过AAFP教育渠道，并与AHRQ合作，为供应商和健康计划提供方案。