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

描述（由申请人提供）：本提案旨在测试一个软件应用程序的可行性，该软件应用程序用于收集、分析和报告供方与患者对话的录音。提出的应用程序可以有效地收集和使用提供者-患者通信数据进行评估和质量改进。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目的，并充分了解影响患者结果的因素，需要测量现实生活（而不是模拟）提供者沟通行为的数据。此外，为了准确评估，这些数据需要基于在服务点（接触期间）直接获取的通信，而不是通过访问后记录或医疗记录获得的二手数据。在过去的十年里，人们大力推动了对通信质量的衡量。虽然这项工作很有见地，但由于难以以结构化的方式收集和评估现实生活中的通信数据，这项工作受到了限制。记录对话的技术既繁琐又耗时，而且需要在大多数临床环境中找不到的专业知识。此外，由于缺乏现成的工具来评估记录，对捕获的通信数据的分析也很麻烦，并且具有广泛的主观性。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。RECAP由两个集成工具组成：1)基于智能手机的音频捕获和传输应用程序，2)基于web的音频分析和报告应用程序。使用RECAP，医疗服务提供者将能够轻松、安全地对患者的遭遇进行录音，并将录音自动上传到可以分析录音内容的中心位置。然后，分析产生的数据可用于报告个别提供者的结果，以供评估和培训之用，或用于汇总结果

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.