Developing a New Method to Improve Primary Care Workforce Management

开发改进初级保健劳动力管理的新方法

基本信息

  • 批准号:
    10425164
  • 负责人:
  • 金额:
    --
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2022
  • 资助国家:
    美国
  • 起止时间:
    2022-07-01 至 2025-06-30
  • 项目状态:
    未结题

项目摘要

Background: The Office of Primary Care (OPC) is charged with overseeing primary care in the Department of Veterans Affairs (VA). In 2010, VA primary care moved to a medical home model called the Patient Aligned Care Team (PACT). Over 5.7 million Veterans are assigned, or “empaneled”, to a primary care provider and team. Current VA panel sizes are based on historic means and there are concerns that these metrics should be updated given high rates of burnout among primary care providers. However, the evidence base is thin, and a recent a recent HSR&D Evidence Synthesis Program (ESP) report calls for greater evidence to manage the primary care work force of 7,995 primary care physicians and providers (PCP). Significance/Impact: This study will assist the VA with managing its primary care workforce to balance the needs for efficiency and the wellness of the workforce. The novel methods in this study will set the stage for future randomized program evaluations that can test ways to improve efficiency and outcomes for providers and patients. Innovation: The goal of the proposed study is to provide foundational evidence on primary care panel size by adapting and extending a recently developed methodology to assess the workload of primary care patients. The results of this study have a high probability of immediate impact in the VA by informing primary care work force management, in addition to providing evidence that longitudinal patient histories can be used to estimate time and workload for primary care panels. Specific Aims: Aim 1: To describe weekly demand, weekly capacity, and weekly overflow (i.e., demand > capacity) for every PCP and how these parameters vary by PCP, by team, by clinic and by health care system. Aim 2: To determine whether system-level funding is associated with PCP overflow. We will examine the association between the system funding and PCP overflow. Aim 3: To identify which patient events are leading to overflow. This aim examines random variation in weekly patient flow to determine whether random “shocks” in patient events are leading to overflow. Aim 4: To examine overflow in relation to workforce health, measured by provider burnout and turnover. Methodology: The proposed study extends a recently developed methodology to assess the workload of primary care patients and use this workload to develop time estimates for caring for populations of patients. This approach, recently published by Rossi et al. (2018), uses longitudinal data to enumerate patient-related events, or transactions, including both face to face visits and non-face to face care. These transactions are then combined with time estimates per transaction to determine the time it would take to care for a panel of patients. The method provides information on the flow of patients and the demand on primary care providers, and allows for calculation of overflow, where demand would exceed capacity to supply services. We have piloted this method in one health care system in VA and have demonstrated the feasibility of using this method for VA data and have calculated plausible estimates for overflow hours. Implementation/Next steps: The current proposal builds a methodology for tracking panel management. These results have implications for primary care workforce management in VA and other large integrated health systems. It will be through future randomized program evaluations, in combination with the tools we are building, that we will be able to understand the causal effects of policies on PCP productivity, while tracking adverse outcomes.
背景:初级保健办公室(OPC)负责监督部门的初级保健

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)

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

数据更新时间:{{ journalArticles.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ monograph.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ sciAawards.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ conferencePapers.updateTime }}

{{ item.title }}
  • 作者:
    {{ item.author }}

数据更新时间:{{ patent.updateTime }}

KARIN M. NELSON其他文献

KARIN M. NELSON的其他文献

{{ item.title }}
{{ item.translation_title }}
  • DOI:
    {{ item.doi }}
  • 发表时间:
    {{ item.publish_year }}
  • 期刊:
  • 影响因子:
    {{ item.factor }}
  • 作者:
    {{ item.authors }}
  • 通讯作者:
    {{ item.author }}

{{ truncateString('KARIN M. NELSON', 18)}}的其他基金

Vet-COACH (Veteran peer Coaches Optimizing and Advancing Cardiac Health)
Vet-COACH(优化和促进心脏健康的资深同行教练)
  • 批准号:
    9812763
  • 财政年份:
    2016
  • 资助金额:
    --
  • 项目类别:
Vet-COACH (Veteran peer Coaches Optimizing and Advancing Cardiac Health)
Vet-COACH(优化和促进心脏健康的资深同行教练)
  • 批准号:
    10186477
  • 财政年份:
    2016
  • 资助金额:
    --
  • 项目类别:
Vet-COACH (Veteran peer Coaches Optimizing and Advancing Cardiac Health)
Vet-COACH(优化和促进心脏健康的资深同行教练)
  • 批准号:
    10805352
  • 财政年份:
    2016
  • 资助金额:
    --
  • 项目类别:
Vet-COACH (Veteran peer Coaches Optimizing and Advancing Cardiac Health)
Vet-COACH(优化和促进心脏健康的资深同行教练)
  • 批准号:
    10806228
  • 财政年份:
    2016
  • 资助金额:
    --
  • 项目类别:
Peer Support for Achieving Independence in Diabetes (Peer AID)
实现糖尿病独立的同伴支持(Peer AID)
  • 批准号:
    8728823
  • 财政年份:
    2010
  • 资助金额:
    --
  • 项目类别:
DELAYS IN CARE FOR ABNORMAL PAP SMEARS AMONG HISPANICS
西班牙裔子宫颈抹片检查异常的延误治疗
  • 批准号:
    6208464
  • 财政年份:
    2000
  • 资助金额:
    --
  • 项目类别:

相似海外基金

A self-guided and monitored innovative AI-driven parental support intervention (mobile app), for families caring for a young one that self-harms: feasibility study
一种自我指导和监控的创新型人工智能驱动的家长支持干预措施(移动应用程序),适用于照顾自残儿童的家庭:可行性研究
  • 批准号:
    10101171
  • 财政年份:
    2024
  • 资助金额:
    --
  • 项目类别:
    Collaborative R&D
Caring Communities 1800-present: Rethinking Children's Social Care
关爱社区 1800 年至今:重新思考儿童的社会关怀
  • 批准号:
    MR/X034968/1
  • 财政年份:
    2024
  • 资助金额:
    --
  • 项目类别:
    Fellowship
Conference: Caring for the Future: Empathy in Engineering Education
会议:关爱未来:工程教育中的同理心
  • 批准号:
    2418876
  • 财政年份:
    2024
  • 资助金额:
    --
  • 项目类别:
    Standard Grant
Who is Caring for the Caregiver? Understanding Quality of Life and Mental Health Outcomes in Caregivers of Persons with Brain Injury
谁在照顾看护者?
  • 批准号:
    492369
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Operating Grants
When caring ends: Understanding and supporting informal care trajectories
当护理结束时:理解和支持非正式护理轨迹
  • 批准号:
    LP220100209
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Linkage Projects
Caring for Providers to Improve Patient Experience (CPIPE) Study
关爱医疗服务提供者以改善患者体验 (CPIPE) 研究
  • 批准号:
    10556284
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
Intergenerational conversations in contemporary performance: conflict, caring and the earth crisis
当代表演中的代际对话:冲突、关怀和地球危机
  • 批准号:
    2887471
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Studentship
Evaluation of the Caring Letters Suicide Prevention Intervention after Removal of an Electronic Health Record Flag for Suicide Risk: An Effectiveness-Implementation Hybrid Type 2 Trial
移除电子健康记录自杀风险标记后关怀信自杀预防干预的评估:有效性-实施混合 2 型试验
  • 批准号:
    10753299
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
Co-creating a new model of long-term care home for older adults experiencing homelessness: Long-term Caring
为无家可归的老年人共同打造长期护理院新模式:长期关怀
  • 批准号:
    490004
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Operating Grants
Intergenerational conversations in contemporary performance: conflict, caring and the earth crisis.
当代表演中的代际对话:冲突、关怀和地球危机。
  • 批准号:
    2904652
  • 财政年份:
    2023
  • 资助金额:
    --
  • 项目类别:
    Studentship
{{ showInfoDetail.title }}

作者:{{ showInfoDetail.author }}

知道了