eHealth Partnered Evaluation Initiative

电子医疗合作评估计划

• 批准号: 9142688
• 负责人: Timothy Patrick Hogan
• 金额: --
• 依托单位: EDITH NOURSE ROGERS MEMORIAL VETERANS HOSPITAL
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-10-01 至 2024-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9142688
• 关键词: Address; Address; Adoption; Adoption; Advocate; Advocate; Caring; Caring; Clinical; Clinical; Complex; Complex; Consultations; Consultations; Dimensions; Dimensions; Effectiveness; Effectiveness; Electronic Mail; Electronic Mail; Emerging Technologies; Emerging Technologies; Evaluation; Evaluation; Family; Family; Funding; Funding; Future; Future; Goals; Goals; Health; Health; Health Policy; Health Policy; Health Services Accessibility; Health Services Accessibility; Health Services Administration; Health Services Administration; Healthcare; Healthcare; Healthcare Systems; Healthcare Systems; Home; Home environment; Individual; Individual; Informatics; Informatics; Information Management; Information Management; Institutes; Institutes; Intervention; Intervention; Leadership; Leadership; Maps; Maps; Measures; Measures; Methods; Methods; Mission; Mission; Modality; Modality; Modeling; Modeling; Nature; Nature; Outcome; Outcome; Parents; Parents; Patient-Focused Outcomes; Patient-Focused Outcomes; Patients; Patients; Persons; Persons; Policies; Policies; Practical, Robust Implementation and Sustainability Model; Process; Process; Public Health Informatics; Public Health Informatics; Quality of Care; Quality of Care; Research; Research; Research Personnel; Research Personnel; Schedule; Schedule; Secure; Secure; Services; Services; Support System; System; System; Technology; Technology; Text; Text Messaging; Transact; Veterans; Veterans; Veterans Health Administration; Virtual System; Virtual System; Vision; Vision; Visit; Visit; Work; Work; authority; authority; behavior influence; behavior influence; care outcomes; communication behavior; communication behavior; connected health; design; design; disorder prevention; disorder prevention; eHealth; eHealth; evidence base; evidence base; experience; experience; health administration; health care model; health care model; health care service; health care service; health management; implementation science; implementation science; improved; improved; mHealth; mHealth; member; member; mobile application; mobile application; new technology; new technology; patient oriented; patient oriented; patient portal; population health; population health; preference; preference; public health relevance; public health relevance; randomized trial; randomized trial; response; response; telehealth; telehealth; virtual; virtual; web services; web services

 DESCRIPTION (provided by applicant): eHealth is a model for the delivery and receipt of healthcare services with an expanding evidence base that suggests great potential to increase access and support the transition from episodic to continuous care. In this model, patients, their families, and clinical team members use eHealth technologies that support functions (e.g., communication, behavior support, transactions) that are critical to disease prevention and health management which in turn influences behaviors, processes and outcomes. In October 2016, the existing Office of Telehealth and the Connected Health Office will merge to create a single Office to oversee the implementation and evaluation of eHealth technologies across VHA. The new combined Connected Health/Telehealth Office will manage the full spectrum of technologies included in the current Offices of Telehealth (e.g., clinical video telehealth, home telehealth, tele-ICU) and Connected Health (e.g., patient portal, secure messaging, mobile apps), as well as new technologies that span these offices (such as the new Automated Telehealth Texting System). Recognizing the importance of rigorous evaluation to its mission, the Connected Health/Telehealth Office is pledging funds for an eHealth Partnered Evaluation Initiative (PEI) to support the further implementation of eHealth technologies across VHA, and to measure their impacts on dimensions of access, as well as Veteran and clinical team experiences, healthcare processes, and Veteran health outcomes. Developed in close consultation with Connected Health/Telehealth Office leadership, the proposed objectives of the eHealth PEI are to (1) implement a patient-level "supported adoption intervention" for secure messaging and evaluate the impact of secure messaging use through a rapid, one-year randomized trial; and (2) evaluate the initial rollout of VHA's automated telehealth text messaging system to Veterans and clinical team members. The evaluation work associated with each of these two objectives will be guided by the Practical, Robust Implementation and Sustainability Model (PRISM). As we discuss throughout this application, the implementation and evaluation of eHealth technologies is not just the mission of the new Connected Health/Telehealth Office, it is also the vision of VHA. In addition to addressing the needs of our operational partner, the aforementioned objectives map to key strategies and transformational actions detailed in the Blueprint for Excellence, and align with a recently developed Virtual Access Strategy Document intended to guide the efforts of the Connected Health/Telehealth Office. The proposed eHealth PEI team includes leadership and investigators from the eHealth Quality Enhancement Research Initiative (QUERI) who are recognized authorities in informatics, implementation science, and mixed methods evaluation, and have longstanding, collaborative relationships with constituents in the Connected Health/Telehealth Office.

 描述（由申请人提供）： 电子保健是提供和接受医疗保健服务的一种模式，其证据基础不断扩大，表明有很大潜力增加获得服务的机会，并支持从间歇性护理向连续性护理的过渡。在此模式中，患者、其家属和临床团队成员使用电子医疗技术支持功能（例如，沟通，行为支持，交易），这是至关重要的疾病预防和健康管理，这反过来又影响行为，过程和结果。2016年10月，现有的远程医疗办公室和互联医疗办公室将合并为一个办公室，负责监督VHA电子医疗技术的实施和评估。新合并的互联医疗/远程医疗办公室将管理目前远程医疗办公室所包括的全部技术（例如，临床视频远程医疗、家庭远程医疗、远程ICU）和连接的健康（例如，患者门户网站、安全消息传递、移动的应用程序），以及跨越这些办公室的新技术（如新的自动远程医疗短信系统）。认识到严格评估对其使命的重要性，互联医疗/远程医疗办公室承诺为电子医疗合作评估计划（PEI）提供资金，以支持在VHA中进一步实施电子医疗技术，并衡量其对访问维度的影响，以及退伍军人和临床团队经验，医疗保健流程和退伍军人健康结果。在与互联健康/远程医疗办公室领导层密切协商后制定的电子医疗PEI的拟议目标是：（1）实施患者层面的“支持采用干预”，以实现安全消息传递，并通过一项为期一年的快速随机试验评估安全消息传递使用的影响;（2）评估VHA自动远程医疗短信系统向退伍军人和临床团队成员的首次推出。与这两个目标中的每一个目标相关的评价工作将以实用、稳健实施和可持续性模式为指导。正如我们在本申请中所讨论的那样，电子医疗技术的实施和评估不仅是新的互联医疗/远程医疗办公室的使命，也是VHA的愿景。除了满足我们运营合作伙伴的需求外，上述目标还与卓越蓝图中详细说明的关键战略和转型行动相对应，并与最近制定的旨在指导互联健康/远程医疗办公室工作的虚拟访问战略文件保持一致。拟议的eHealth PEI团队包括来自eHealth Quality Enhancement Research Initiative（QUERI）的领导和研究人员，他们是信息学，实施科学和混合方法评估方面的公认权威，并与Connected Health/Telehealth Office中的成员建立了长期的合作关系。