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: 9753148
• 负责人: Gregory L. Alexander
• 金额: $ 23.27万
• 依托单位: UNIVERSITY OF MISSOURI-COLUMBIA
• 依托单位国家: 美国
• 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: https://reporter.nih.gov/project-details/9753148
• 关键词: National; Report; Nursing; Home; Quality

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。