A Conference for Patient Centered Post-Acute Care

摘要 为老年人住院后在专业护理机构、长期护理机构、住院治疗机构提供的护理 康复设施或家庭保健机构提供的服务被定义为“急性期后护理”。急性期后护理可能是其中之一 美国医疗体系中最具活力的部门。在国家立法的推动下， 支付模式正在推动医院和急性后护理提供者的综合护理模式， 越来越多地分担老年人的成本和成果的责任。改革正在迅速见效， 然而，在这一统一体中提供高质量护理的最佳做法尚不清楚。在后护理- 急性期缺乏跨临床筒仓的整合，包括医院、护理设施和 家庭环境。这种分散性阻碍了急需的“学习保健”的建立 系统”，以改善老年人急性和急性后护理的结果并降低成本。 为了最好地利用新改革带来的机会，必须将 不同的利益相关者建立关系，就急性后护理的重要问题达成共识， 规划前进的道路以患者为中心的急性期后护理会议将汇集代表 包括行业、政策制定者和临床医生。我们的目标是促进合作， 以患者为中心的政策和研究议程，并作为识别和促进 在急性期后护理方面有前途的做法。 我们将通过一种新的会议形式，即3个会议来实现这些目标，其使命是 改善老年人急性期后护理的护理。这次全国会议旨在汇集 学术界、行业、政策利益相关者和患者/护理人员。目标是促进内部合作 跨学科，以患者为中心的政策和研究议程后急性护理，并作为一个枢纽 确定和促进新的倡议。目标受众包括研究人员、政策制定者、 制造商、行业领导者和PAC临床医生。第一次会议将讨论首要问题， 对PAC的重要影响，它将为以下方面的合作和讨论奠定基础：1） 国家政策2）临床和研究挑战/机遇和3）创新解决方案。在该第一 会议期间，将成立工作组，在整个4年赠款期间制定和执行战略计划 期我们将评估会议对与会者的影响，以建立新的合作， 通过出版会议记录和协商一致意见传播会议内容 白色文件。出版物将通过主要分发渠道向利益攸关方分发， 社交媒体行业协会和学术团体会议。本次会议的赠款将建立在连续 多年来的想法和关系创造了前几年，不同的主题是为了捕捉 急性期后护理的重要主题的广度。

Abstract Care provided after hospitalization for older adults in skilled nursing facilities, long term care facilities, inpatient rehabilitation facilities or by home health agencies is defined as “post-acute care”. Post-acute care may be one of the most dynamic sectors of the American health care system. Spurred by national legislation, alternative payment models are driving integrated care models for hospitals and post-acute care providers who are increasingly sharing accountability for costs and outcomes of older adults. Reforms are rapidly taking effect, however, best practices for providing high-quality care across this continuum are unknown. Care in the post- acute period suffers from a lack of integration across clinical silos including the hospital, nursing facility, and home environment. This fragmentation prevents the establishment of sorely-needed “learning health care systems” to improve outcomes and lower costs across acute and post-acute care for older adults. In order to best leverage the opportunities presented by new reforms, it is essential to bring together the diverse stakeholders to build relationships, establish consensus on important issues in post-acute care, and chart a path forward. The Conference for Patient-Centered Post-Acute Care will bring together representatives from these silos including industry, policymakers and clinicians. Our aim is to promote collaboration, foster a patient-centered policy and research agenda, and serve as a hub for the identification and promotion of promising practices in post-acute care. We will accomplish these Aims through a novel conference format of 3 conferences with the mission of improving care for older adults in post-acute care. This national conference is designed to bring together academic, industry, policy stakeholders, and patients/caregivers. The goal is to promote collaboration within and across disciplines, a patient-centered policy and research agenda in post-acute care, and serve as a hub for the identification and promotion of novel initiatives. The intended audience includes researchers, policy makers, industry leaders and PAC clinicians. The first conference will address overarching questions with important implications for PAC, which will set the landscape for collaboration and discussion regarding: 1) National Policy 2) Clinical and Research Challenges/Opportunities and 3) Innovative Solutions. At this first conference, work groups will be formed to develop and execute a strategic plan throughout the 4-year grant period. We will evaluate the effect of the conference on attendees to establish new collaborations, will disseminate the content of this conference through publication of conference proceedings and a consensus white papers. Publications will be disseminated using major distribution channels for stakeholders including social media trade associations and academic society meetings. This conference grant will build in consecutive years on the ideas and relationships created in previous years, with different themes meant to capture the breadth of important topics in post-acute care.