Pediatric Patient Engagement as a Criteria for Meaningful Use Stage 3

儿科患者参与作为有意义使用第 3 阶段的标准

基本信息

批准号：
8642460
负责人：
Alexander Gabriel Fiks
金额：
$ 48.79万
依托单位：
CHILDREN'S HOSP OF PHILADELPHIA
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：
2013-09-30 至 2015-09-29
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8642460
关键词：
Pediatric Patient Engagement Criteria Meaningful

项目摘要

PROJECT SUMMARY/ABSTRACT The federal government has allocated $27 billion to fund a staged program to foster the meaningful use of electronic health records. Stage 3 of the meaningful use program (MU3) prioritizes that families have the ability to submit patient-generated health information to improve health care performance on priority conditions and improve engagement in care. Patient portals, online healthcare applications that allow patients to interact and communicate with their healthcare providers, offer an ideal tool to achieve these goals, but the feasibility of using portals to achieve this goal and the impact of use on clinical care across diverse pediatric practice settings has not been established. Focusing on asthma, an AHRQ priority condition, in three AHRQ priority populations, children, low income, and special health care needs, this protocol will directly address these critical knowledge gaps in order to inform MU3 policy and practice implementation. Drawing from implementation science, this study evaluates the determinants of implementation success, implementation outcomes, and health care outcomes resulting from implementing an asthma portal in a national, AHRQ-funded, Center for Pediatric Practice-Based Research and Learning. Technically, the portal will be implemented with 2 innovative approaches that facilitate rapid cycle evaluation in multiple electronic health record systems. Although many patient portals are simple vehicles for transferring information about upcoming appointments, test results or laboratory findings, the asthma portal in this project, already developed and tested through a rigorous user-centered design process, extends this basic functionality to provide asthma education, collect patient-reported outcomes, evaluate medication use and side effects, and track parents' preferences and goals. Policy relevance of this research will be assured through the collaboration of The Children's Hospital of Philadelphia's PolicyLab, which has particular expertise in synthesizing research findings to inform policy, and the AAP's Child Health Informatics Center, which already is actively engaged with the Office of the National Coordinator for Health Information Technology in establishing guidelines for MU in pediatrics and will employ the full dissemination capabilities of the AAP to ensure that findings reach all appropriate stakeholders. Both groups have informed the proposal's 3 specific aims that utilize mixed methods: (1) To study the feasibility for pediatric primary care practices of using an EHR-linked portal to provide education and enable families to communicate treatment concerns and goals and report symptom control, medication use and side effects for children with asthma; (2) For a subset of children with poorly controlled asthma or medication side effects, to assess the impact on asthma management resulting from gathering data from families through the portal and sharing them with the primary care clinical team; and, (3) To describe barriers and solutions to improve the adoption, sustainability, and impact on clinical care of implementing portals across practice settings.

项目摘要/摘要联邦政府已分配了270亿美元，以资助一项分期计划，以促进有意义的使用电子健康记录。有意义使用计划（MU3）的第3阶段优先考虑家庭拥有能够提交患者生成的健康信息以在优先条件下提高医疗保健绩效并改善护理的参与。患者门户网站，在线医疗保健应用程序，允许患者互动并与他们的医疗保健提供者进行沟通，为实现这些目标提供了理想的工具，但是使用门户来实现这一目标以及使用对各种儿科实践的临床护理的影响设置尚未建立。专注于哮喘，AHRQ优先级条件，三个AHRQ优先级人口，儿童，低收入和特殊医疗保健需求，该协议将直接解决这些问题批判知识差距，以便为MU3政策和实践实施提供信息。根据实施科学的借鉴，本研究评估了实施成功的决定因素，实施成果以及由实施哮喘门户网站在国家，AHRQ资助，基于儿科实践的研究与学习中心。从技术上讲，门户将采用两种创新方法来实施，以促进多个电子的快速周期评估健康记录系统。尽管许多患者门户是简单的车辆，用于传输有关即将到来的约会，测试结果或实验室发现，该项目的哮喘门户已经开发并通过严格以用户为中心的设计过程进行测试，扩展了此基本功能以提供哮喘教育，收集患者报告的结果，评估药物使用和副作用，并跟踪父母的偏好和目标。这项研究的政策相关性将通过儿童医院的合作确保费城的政策列表，该政策列表在综合研究结果方面具有特殊的专业知识，以指导政策，并 AAP的儿童健康信息学中心已经与国家办公室积极互动健康信息技术协调员在建立儿科的MU指南，并将采用 AAP的全部传播功能以确保调查结果达到所有适当的利益相关者。两个都小组已告知提案的3个使用混合方法的特定目标：（1）研究可行性使用EHR链接门户提供教育并使家庭能够提供教育的小儿初级保健实践传达治疗问题和目标，并报告症状控制，药物使用和副作用患有哮喘的孩子；（2）对于控制哮喘或药物副作用不良的儿童子集评估通过从家庭通过门户收集数据的数据对哮喘管理的影响，与初级保健临床团队分享它们；（3）描述改善障碍和解决方案采用，可持续性和对跨执业环境实施门户的临床护理的影响。