RECAP - Application for capture and analysis of provider-patient encounters

描述(由申请人提供)：本提案旨在测试用于收集、分析和报告录音提供者与患者对话的软件应用程序的可行性。拟议的应用程序使高效地收集和使用提供者-患者通信数据用于评估和质量改进成为可能。为了评估医疗服务的提供者-患者沟通方面，无论是出于报销还是培训的目的，并充分了解影响患者结局的因素，需要测量真实生活中(不是模拟的)提供者沟通行为的数据。此外，为了得到准确的评估，这些数据需要基于在服务点(在遭遇期间)直接捕获的通信，而不是通过访问后笔记或医疗记录的二手信息。在过去的十年里，在衡量通信质量方面取得了重大进展。尽管这项工作很有洞察力，但由于难以以结构化的方式收集和评估现实生活中的交流数据，这项工作一直受到限制。记录对话的技术既繁琐又耗时，而且需要大多数临床环境中找不到的专业知识。此外，由于缺乏评估录音的现成工具，对所捕获的通信数据的分析也很繁琐，而且容易受到广泛的主观性影响。拟议的应用程序RECAP(例行遭遇捕获和分析程序)解决了这一问题。Recapp由两个集成工具组成：1)基于智能手机的音频捕获和交付应用程序，以及2)基于网络的音频分析和报告应用程序。使用Recap，提供商将能够轻松而安全地对患者的会面进行音频记录，并将生成的录音自动上传到一个中央位置，在那里可以分析录音的内容。然后，可以使用分析生成的数据来报告各个提供商的结果，以用于评估和培训目的，或汇总以下各项的结果 对提供者群体或与提供者-患者互动相关的研究进行评估。建议产品的关键创新在于，它为这些数据的收集、分析和报告提供了一个无缝且简单的流程。如果成功，它将促进更多的活动来分析和改善提供者与患者的沟通。第一阶段包括两个目标：1)开发基于智能手机的音频记录和传送应用程序，与基于网络的音频分析和报告应用程序配对；以及2)评估用于记录临床环境中的会面以及评估和报告提供者沟通技能的应用程序的可用性和可接受性。在第二阶段，我们将通过增加平台兼容性和额外功能来扩展应用程序功能；测试与替代方法相比的有效性和成本效益；并进一步制定商业化战略。在第三阶段，我们将把产品授权给用户和集成商，进行额外的应用程序改进，并扩展功能，使Recapp适用于其他行业。

DESCRIPTION (provided by applicant): This proposal aims to test the feasibility of a software application for the collection, analysis, and reporting of audio-recorded provider-patient conversations. The proposed application makes it possible to efficiently collect and use provider-patient communication data for evaluation and quality improvement. In order to assess the provider-patient communication aspect of care delivery, whether for reimbursement or training purposes, and to fully understand the factors that affect patient outcomes, data are needed that measure real- life (not simulated) provider communication behavior. Additionally, to be accurately evaluated, these data need to be based on direct capture of communication at the point of service (during the encounter), not second-hand through post-visit notes or medical records. In the last ten years, a significant push has been made to measure the quality of communication. Though insightful, the work has been limited by the difficulty of collecting and evaluating real-life communication data in a structured way. The technology for recording conversations is cumbersome and time consuming, and it requires expertise not found in most clinical settings. Furthermore, with the absence of off-the-shelf tools for evaluating the recordings, analysis of communication data which is captured is also cumbersome and open to wide subjectivity. The proposed application, RECAP (Routine Encounter Capture and Analysis Program), addresses this condition. RECAP consists of two integrated tools: 1) a smartphone-based audio capture and delivery application, and 2) a web-based audio analysis and reporting application. Using RECAP, providers will be able to easily and securely audio record patient encounters, with resulting recordings being automatically uploaded to a central location where the content of the recordings can be analyzed. Data generated from analysis can then be used to report individual provider results for evaluation and training purposes or aggregate results for evaluation of provider groups or for research related to provider-patient interaction. The key innovation of the proposed product is that it provides a seamless and easy process for the collection, analysis, and reporting of these data. If successful, it will facilitate much greater activity to analyze and improve provider-patient communication. Phase I includes two aims: 1) develop a smartphone-based audio recording and delivery application paired with a web-based audio analysis and reporting application, and 2) evaluate usability and acceptability of the applications for recording encounters in a clinical setting and for evaluating and reporting on provider communication skills. In Phase II, we will expand application functionality with additional platform compatibility and additional functionality; test effectiveness and cost effectiveness compared to alternative methods; and, further develop commercialization strategies. In Phase III, we will license the product to users and integrators, carry out additiona application improvements, and expand features to make RECAP applicable to other industries.