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Communication Processes for Accountable Care Enhancement (C-PACE)

加强责任护理的沟通流程 (C-PACE)

基本信息

批准号：
8525010
负责人：
RUSSELL Charles MAULITZ
金额：
$ 14.58万
依托单位：
STARSHIP HEALTH TECHNOLOGIES
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-08-01 至 2014-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8525010
关键词：
Address Age Algorithms American Back Books Brain Businesses Caring Characteristics Chronic Disease Clinical Communication Complex Computers Consult Cost Control Data Development Devices Discipline Effectiveness Electronic Health Record Electronic Mail Event Failure Frail Elderly Geriatrics Hand Head Health Healthcare Healthcare Systems Human Individual Information Technology Investments Link Location Maintenance Market Research Mediating Medical Medical Errors Medical Informatics Medicine Mining Monitor Natural regeneration Outcome Outcomes Research Outpatients Pathway Analysis Patient Preferences Patients Phase Plague Process Provider Published Comment Research Resources Role Science Semantics Shipping Ships Site Social Network Societies Software Tools Solutions Specialist Stream Structure System Tablets Technology Telefacsimile Telemedicine Telephone Testing Third-Party Payer Time User-Computer Interface Work aging population analytical tool base care episode clinical practice commercialization computerized physician order entry cost cost effective data mining data modeling design digital experience health care service organization health information technology health record improved innovation laptop meetings news older patient open source operation patient oriented prototype public health relevance social usability

项目摘要

DESCRIPTION (provided by applicant): The C-PACE Project (Communications Processes for Accountable Care Enhancement) will develop a new and innovative form of social computing that is customized for the care of frail, elderly patients. A successful C-PACE system will improve patient-centered health care, reduce medical errors, and provide the kind of data that CMS, third party payers, Accountable Care Organizations and other health care organizations need in order to monitor clinical outcomes. C-PACE is ideally suited to the aging population toward which it will be initially targeted. These complex patients are constantly shuttled back and forth between providers and venues of care. But the information needed to track and care for such individuals does not necessarily follow them - even, surprisingly, in the era of electroni health records (EHRs). How could such a thing possibly happen in the digital age? The answer is deceptively simple. EHRs sit in silos, geared for billing and designed to document single events of care. They embody information that may describe care episodes and associated costs, but rarely include certain critical thought processes. Such thought processes, including patient preferences, are needed by "down-stream" providers to understand, literally, what needs to happen next. Today, communications about transitions of care, information hand-offs, clinicians' communications to give one another "heads-ups," or to pick each other's brains are key pieces of the care process that are not documented and that, as a result, just get lost. C-PACE is a software tool that captures, in a lasting digital record, these clinical communications about patients that collectively form care coordination. The science behind C-PACE draws from different disciplines of medicine and technology including geriatrics, human factors, medical informatics, social network analysis, and user interface design. Phase I of this interdisciplinary effort will show whether the building of such a system is feasible, by developing and assessing a user-centered C-PACE human- computer interface, an underlying data model, and a data mining capability. C-PACE can rewrite the rule-book by taking what's always been "under the radar" -- care-coordination -- and making it visible, well-supported, and accountable.

描述（由申请人提供）：C-PACE 项目（增强责任护理的通信流程）将开发一种新的创新形式的社交计算，专为照顾体弱的老年患者而定制。成功的 C-PACE 系统将改善以患者为中心的医疗保健，减少医疗错误，并提供 CMS、第三方付款人、责任医疗组织和其他医疗保健组织监测临床结果所需的数据。 C-PACE 非常适合其最初目标的老龄化人口。这些复杂的患者不断地在提供者和护理场所之间来回穿梭。但追踪和照顾这些人所需的信息并不一定会跟随他们——令人惊讶的是，即使在电子健康记录 (EHR) 时代也是如此。在数字时代，这样的事情怎么可能发生？答案看似简单。电子病历位于孤岛中，用于计费并旨在记录单个护理事件。它们包含可能描述护理事件和相关费用的信息，但很少包括某些批判性思维过程。 “下游”提供者需要这样的思维过程，包括患者的偏好，才能从字面上理解接下来需要发生什么。如今，有关护理过渡的沟通、信息交接、临床医生之间相互“提醒”或听取彼此意见的沟通是护理过程中的关键部分，但这些内容没有记录在案，因此就被迷失了。 C-PACE 是一种软件工具，可以在持久的数字记录中捕获有关患者的这些临床通信，从而共同形成护理协调。 C-PACE 背后的科学源自不同的医学和技术学科，包括老年病学、人为因素、医学信息学、社交网络分析和用户界面设计。这项跨学科工作的第一阶段将通过开发和评估以用户为中心的 C-PACE 人机界面、底层数据模型和数据挖掘能力来展示构建这样一个系统是否可行。 C-PACE 可以重写规则手册，将一直处于“雷达之下”的内容（护理协调）纳入可见、得到良好支持和负责。