Informatics, Decision-Enhancement and Analytic Sciences Center

信息学、决策增强和分析科学中心

• 批准号: 9076152
• 负责人: MATTHEW H SAMORE
• 金额: --
• 依托单位: VA SALT LAKE CITY HEALTHCARE SYSTEM
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-10-01 至 2018-09-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9076152
• 关键词: Achievement; Address; Adverse event; Antibiotic Resistance; Antibiotics; Antimicrobial Resistance; Area; Caring; Clinical; Cognitive; Cognitive Science; Coin; Collaborations; Communities; Contracts; Coupled; Data; Decision Making; Decision Support Systems; Development; Discipline; Environment; Epidemiology; Evaluation; Health; Health Priorities; Health Services; Health Services Research; Healthcare; Homelessness; Imagery; Incubated; Infection; Informatics; Intervention; Limb structure; Measurement; Mentors; Methods; Mission; Natural Language Processing; Nosocomial Infections; Operations Research; Outcome; Pharmacoepidemiology; Process; Provider; Quality of Care; Research; Research Infrastructure; Research Personnel; Resistance to infection; Rural Health; Science; Scientific Advances and Accomplishments; Secure; Structure; Syndrome; System; Testing; Therapeutic; Time; Veterans; War; base; career development; community reintegration; design; experience; health care delivery; improved; innovation; mathematical model; next generation; novel; population health; programs; success; tool

DESCRIPTION (provided by applicant): The mission of our COIN is to advance scientific discovery, incubate novel interventions, promote research collaboration and engage operational partners. We pursue this mission by creating an environment within VA where informatics is tightly integrated with health services research and other disciplines. We have established success in building VA informatics research capacity, developing novel tools to derive meaning from data and enhancing our understanding of the distributed information space. Through these successes, we are leading research to transform measurement of quality, understanding of sociotechnical complexity, surveillance of adverse events and management of population health. Our plan is to apply methodological innovations in informatics, epidemiology and cognitive science to address high-priority health problems for Veterans. Our underlying conceptual framework posits that innovation and implementation are two synergistic components of effective system change. Needs and gaps in healthcare delivery arise and are addressed through active engagement with partners through the entire span of the research process, ranging from observation, brainstorming, implementation, evaluation and dissemination. As a result of our close relationship with clinical processes, our research enterprise produces innovative tools that are effective and practical for Veterans, clinicians and managers. Central to our research portfolio is the quest to enhance effective use of VA data. Our COIN draws heavily from our experience with the HSR&D informatics initiatives, Veterans Informatics and Computing Infrastructure (VINCI) and Consortium for Healthcare Informatics Research (CHIR). Indeed, the establishment of a secure national data and computational environment is a notable achievement of partnership-based research. Our COIN will build on this accomplishment to move to new levels of integration between research and operations that will both benefit the VA health services research community and the quality of care delivered to Veterans. Our focused areas of research reflect the clinical emphases of our investigators and partners, coupled with our methodological strengths in information visualization, natural language processing, decision- support system design, mathematical models and pharmacoepidemiology. The first thematic focus, the topic associated with our CREATE, is cognitive support for therapeutic decision-making. A second focus is the set of problems related to healthcare-associated infection, antibiotic resistance and inappropriate use of antibiotics. A third focus is post-deployment health in vulnerable Veterans, including problems of homelessness and limb loss. Finally, an emerging area of research for our COIN is rural health. For each of these areas, we have exceptionally strong partnerships providing an open path for implementation and dissemination. Our mentoring and career development program will provide structure and sufficient time for us to help develop the next generation of health services researchers.

描述（由申请人提供）： 我们COIN的使命是推进科学发现，孵化新的干预措施，促进研究合作并吸引运营合作伙伴。我们追求这一使命通过创造一个环境内VA信息学与卫生服务研究和其他学科紧密结合。我们已经成功地建立了VA信息学研究能力，开发新的工具，从数据中获得意义，并提高我们对分布式信息空间的理解。 通过这些成功，我们正在领导研究，以改变质量的测量，社会技术复杂性的理解，不良事件的监测和人口健康的管理。我们的计划是应用信息学，流行病学和认知科学的方法创新，以解决退伍军人的高度优先健康问题。 我们的基本概念框架假定创新和实施是有效的系统变革的两个协同组成部分。医疗保健服务的需求和差距出现，并通过与合作伙伴在整个研究过程中的积极参与来解决，从观察，集思广益，实施，评估和传播。由于我们与临床过程的密切关系，我们的研究企业生产的创新工具，是有效和实用的退伍军人，临床医生和管理人员。 我们的研究组合的核心是寻求提高VA数据的有效利用。我们的COIN大量借鉴了我们在HSR&D信息学计划、退伍军人信息学和计算基础设施（芬奇）以及医疗保健信息学研究联盟（CHIR）方面的经验。事实上，建立一个安全的国家数据和计算环境是基于伙伴关系的研究的一项显著成就。我们的COIN将在这一成就的基础上，将研究和运营之间的整合提升到新的水平，这将有利于VA医疗服务研究社区和为退伍军人提供的护理质量。 我们的重点研究领域反映了我们的研究人员和合作伙伴的临床重点，再加上我们在信息可视化，自然语言处理，决策支持系统设计，数学模型和药物流行病学方面的方法优势。第一个主题焦点，与我们的CREATE相关的主题，是对治疗决策的认知支持。第二个重点是与卫生保健相关的感染、抗生素耐药性和抗生素使用不当有关的一系列问题。第三个重点是部署后的健康 在弱势退伍军人，包括无家可归和肢体损失的问题。最后，我们COIN的一个新兴研究领域是农村健康。在每一个领域，我们都有非常强大的伙伴关系，为执行和传播提供了一条开放的道路。我们的指导和职业发展计划将为我们提供结构和足够的时间来帮助发展下一代卫生服务研究人员。

项目成果

Longitudinal mental health outcomes of combat-injured service members.

• DOI: 10.1002/brb3.2088
• 发表时间: 2021-05
• 期刊: Brain and behavior
• 影响因子: 3.1
• 作者: Walker LE;Watrous J;Poltavskiy E;Howard JT;Janak JC;Pettey WBP;Zarzabal LA;Sim A;Gundlapalli A;Stewart IJ
• 通讯作者: Stewart IJ

Antimicrobial Agent Shortages: The New Norm for Infectious Diseases Physicians.

• DOI: 10.1093/ofid/ofy068
• 发表时间: 2018-04
• 期刊: Open forum infectious diseases
• 影响因子: 4.2
• 作者: Gundlapalli AV;Beekmann SE;Graham DR;Polgreen PM;Members of the Emerging Infections Network
• 通讯作者: Members of the Emerging Infections Network

Effectiveness of a multisite personal protective equipment (PPE)-free zone intervention in acute care.

多地点无个人防护装备 (PPE) 区域干预在急性护理中的有效性。

• DOI: 10.1017/ice.2019.111
• 发表时间: 2019
• 期刊: Infection control and hospital epidemiology
• 影响因子: 4.5
• 作者: Visnovsky,LindsayD;Zhang,Yue;Leecaster,MollyK;Safdar,Nasia;Barko,Lauren;Haroldsen,Candace;Mulvey,DianeL;Nevers,McKenna;Shaughnessy,Catherine;Stratford,KristinaM;Drews,FrankA;Samore,MatthewH;Mayer,Jeanmarie
• 通讯作者: Mayer,Jeanmarie

Temporary Financial Assistance for Housing Expenditures and Mortality and Suicide Outcomes Among US Veterans.

针对美国退伍军人的住房支出以及死亡率和自杀结果的临时财政援助。

• DOI: 10.1007/s11606-023-08337-7
• 发表时间: 2024
• 期刊: Journal of general internal medicine
• 影响因子: 5.7
• 作者: Nelson,RichardE;Montgomery,AnnElizabeth;Suo,Ying;Effiong,Atim;Pettey,Warren;Gelberg,Lillian;Kertesz,StefanG;Tsai,Jack;Byrne,Thomas
• 通讯作者: Byrne,Thomas

Predicting and Planning for Musculoskeletal Service-Connected Disabilities in VA Using Disability for Active Duty OEF/OIF Military Service Members.

• DOI: 10.1093/milmed/usz223
• 发表时间: 2020-01-07
• 期刊: MILITARY MEDICINE
• 影响因子: 1.2
• 作者: Gundlapalli, Adi, V;Redd, Andrew M.;Suo, Ying;Pettey, Warren B. P.;Brignone, Emily;Chin, David L.;Walker, Lauren E.;Poltayskiy, Eduard A.;Janak, Jud C.;Howard, Jeffrey T.;Sosnov, Jonathan A.;Stewart, Ian J.
• 通讯作者: Stewart, Ian J.