A National Report of Nursing Home Quality Measures and Information Technology
国家疗养院质量措施和信息技术报告
基本信息
- 批准号:9753148
- 负责人:
- 金额:$ 23.27万
- 依托单位:
- 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 2020-02-29
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
Abstract
In this National Report of Nursing Home Quality Measures and Information Technology, AHRQ will support an
interdisciplinary research team who are already contributing to clinical research in long-term care settings. The
PI is a doctorally-prepared RN and fellow in the American Academy of Nursing with over two decades of work
in diverse projects, settings, and disciplines. Additional leadership includes experts in informatics including
health information technology (IT), long term care, survey methodologies, statistics, and nursing homes have
been assembled to guide this study. The research strategy includes a 4 round Delphi Technique with 30 NH IT
experts to validate a NH IT Maturity survey that includes 29 content areas in resident care, clinical support, and
administrative activities. Delphi experts will help also develop a NH IT maturity staging model based on NH IT
capabilities, extent of IT use, and IT integration. Delphi expert opinion regarding the the NH IT Maturity scale
and staging model will be combined to form a new survey that will be used to measure NH IT Maturity
nationally, in the U.S. The team will conduct a pilot test of the new survey, prior to the national survey, to
examine validity of the instrument. The pilot study will be conducted with 24 respondents who participated in
the initial national NH IT sophistication study. These respondents will be recruited from a pool of 223 NHs
participating in original research with diverse total IT sophistication measures (HIGH, MEDIUM, and LOW).
Once the NH IT Maturity survey is validated, the team will conduct a three-wave, longitudinal, repeated
measures study measuring NH IT Maturity in a national sample of NHs. Methods include an examination of the
relationships between NH IT Maturity and stages of maturity, and nationally-reported, publicly-available NH
Quality Measures available through Nursing Home Compare over three consecutive years. Specific aims are:
1) Create a NH IT maturity survey and maturity staging model using a 4 round Delphi with NH IT experts, 2)
Pilot test the NH IT Maturity Survey and staging model with NH IT experts, 3) Explore NH IT maturity using the
survey and staging model during a 3-year national assessment, and 4) Examine if NH IT maturity is associated
with CMS quality measures in a national sample of NHs over 3 years. The project is highly innovative; national
assessments of NH IT Maturity and maturity stages have not been measured previously or linked with national
NH Quality Measures. This study includes a survey of NH IT Maturity in a nationally representative sample
including 10% of NHs recruited from each state in the United States (N=1,570). Statistical analysis will be done
using the software SAS v9 (SAS Institute Inc., Cary, NC, USA). Since the sampling method involves
stratification by state and since the sampling weights assigned to homes will depend on the number of
respondents within each state, the analysis must take the complex sampling design into account. SAS
procedures such as SURVEYMEANS, SURVEYFREQ, SURVEYLOGISTIC, and SURVEYREG will be used
for such analyses.
摘要
在这份护理之家质量措施和信息技术的国家报告中,AHRQ将支持一项
跨学科研究团队已经在长期护理环境中为临床研究做出贡献。的
PI是一名具有博士学位的RN,也是美国护理学院的研究员,拥有二十多年的工作经验
在不同的项目,设置和学科。其他领导层包括信息学专家,
健康信息技术(IT)、长期护理、调查方法、统计数据和疗养院,
来指导这项研究。研究策略包括4轮德尔菲技术和30个NH IT
专家验证NH IT成熟度调查,其中包括29个内容领域的居民护理,临床支持,
行政活动。德尔菲专家还将帮助开发一个基于NH IT的NH IT成熟度分级模型
能力、IT使用范围和IT集成。关于NH IT成熟度量表的德尔菲专家意见
和分期模型将结合起来,形成一个新的调查,将用于衡量NH IT成熟度
在全国范围内,在美国,该小组将进行一个新的调查试点测试,在全国调查之前,
检查工具的有效性。试点研究将与24名受访者进行,他们参加了
最初的国家NH IT复杂性研究。这些受访者将从223名NHs中招募
参与具有不同总体IT复杂性度量(高、中和低)的原创研究。
一旦NH IT成熟度调查得到验证,该团队将进行三波纵向重复调查,
衡量研究衡量NH IT成熟度在全国样本的NH。方法包括检查
NH IT成熟度和成熟度阶段之间的关系,以及国家报告的,公开可用的NH
连续三年通过护理之家比较提供的质量措施。具体目标是:
1)与NH IT专家一起使用4轮德尔菲创建NH IT成熟度调查和成熟度分级模型,2)
与NH IT专家一起对NH IT成熟度调查和阶段模型进行试点测试,3)使用
3年国家评估期间的调查和分期模型,以及4)检查NH IT成熟度是否相关
在3年内对全国卫生机构样本进行CMS质量测量。该项目具有高度创新性;国家
NH IT成熟度和成熟度阶段的评估以前没有进行过测量,也没有与国家
质量措施。这项研究包括在全国代表性样本的NH IT成熟度调查
包括从美国每个州招募的10%的NH(N= 1,570)。将进行统计分析
使用软件SASv 9(SASInstituteInc.,卡里,北卡罗来纳州,美国)。由于抽样方法涉及
由于分配给家庭的抽样权重将取决于
由于每个州都有调查对象,分析必须考虑到复杂的抽样设计。SAS
将使用SURVEYMEANS、SURVEYFREQ、SURVEYLOGISTIC和SURVEYREG等程序
对于这样的分析。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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Gregory L. Alexander其他文献
Generating Sensor Data Summaries to Communicate Change in Elder’s Health Status
生成传感器数据摘要以传达老年人健康状况的变化
- DOI:
10.4338/aci-2013-07-ra-0050 - 发表时间:
2014 - 期刊:
- 影响因子:2.9
- 作者:
Gregory L. Alexander;A. Wilbik;A. Wilbik;James M. Keller;Katy Musterman - 通讯作者:
Katy Musterman
Assessing Associations Between Health Information Technology Maturity and Nursing Home Survey Deficiencies.
评估健康信息技术成熟度与疗养院调查缺陷之间的关联。
- DOI:
10.3928/00989134-20231211-01 - 发表时间:
2024 - 期刊:
- 影响因子:1.3
- 作者:
Gregory L. Alexander;Jianfang Liu - 通讯作者:
Jianfang Liu
Gregory L. Alexander的其他文献
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{{ truncateString('Gregory L. Alexander', 18)}}的其他基金
Impact of Nursing Home Leadership Care Environments and Health Information Technology on Outcomes of Residents with Alzheimer's Disease and Related Dementias (ADRD)
疗养院领导护理环境和健康信息技术对阿尔茨海默病和相关痴呆症 (ADRD) 居民预后的影响
- 批准号:
10583354 - 财政年份:2023
- 资助金额:
$ 23.27万 - 项目类别:
A National Report of Nursing Home Quality Measures and Information Technology
国家疗养院质量措施和信息技术报告
- 批准号:
9554768 - 财政年份:2013
- 资助金额:
$ 23.27万 - 项目类别:
A National Report of Nursing Home Quality Measures and Information Technology
国家疗养院质量措施和信息技术报告
- 批准号:
10212453 - 财政年份:2013
- 资助金额:
$ 23.27万 - 项目类别:
A National Report of Nursing Home Quality Measures and Information Technology
国家疗养院质量措施和信息技术报告
- 批准号:
9980344 - 财政年份:2013
- 资助金额:
$ 23.27万 - 项目类别:
A National Report of Nursing Home Quality Measures and Information Technology
国家疗养院质量措施和信息技术报告
- 批准号:
8610452 - 财政年份:2013
- 资助金额:
$ 23.27万 - 项目类别:
A National Report of Nursing Home Quality Measures and Information Technology
国家疗养院质量措施和信息技术报告
- 批准号:
10093367 - 财政年份:2013
- 资助金额:
$ 23.27万 - 项目类别:
Assessing the Relationship Between IT Sophistication and Nursing Home Quality
评估 IT 复杂程度与疗养院质量之间的关系
- 批准号:
8141289 - 财政年份:2007
- 资助金额:
$ 23.27万 - 项目类别:
Assessing the Relationship Between IT Sophistication and Nursing Home Quality
评估 IT 复杂程度与疗养院质量之间的关系
- 批准号:
7686080 - 财政年份:2007
- 资助金额:
$ 23.27万 - 项目类别:
Assessing the Relationship Between IT Sophistication and Nursing Home Quality
评估 IT 复杂程度与疗养院质量之间的关系
- 批准号:
7294435 - 财政年份:2007
- 资助金额:
$ 23.27万 - 项目类别:
Assessing the Relationship Between IT Sophistication and Nursing Home Quality
评估 IT 复杂程度与疗养院质量之间的关系
- 批准号:
7898686 - 财政年份:2007
- 资助金额:
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