Defragmenting Care for Patients at Increased Risk of Hospitalization: A Conference on Comprehensive Care

对住院风险增加的患者进行整理护理：综合护理会议

• 批准号: 10673492
• 负责人: DAVID O MELTZER
• 金额: $ 5万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10673492
• 关键词: Defragmenting; Care; Patients; Increased; Risk

Project Summary/Abstract This application requests support for a novel 1-year dissemination and implementationconference grant in which the University of Chicago Comprehensive Care Program (CCP) research team will engage ~50 healthcare leaders and clinicians and social service providers in a hybrid in-person/virtual 1-day conference in Chicago and monthly virtual sessions for the duration of the project period. The conference will focus on sharing dissemination tools and implementation frameworks for evidence-based care delivery models that increase relational continuity across inpatient and outpatient settings for patients at increased risk of hospitalization and explicitly address both complex medical and social needs. This focus is motivated by evidence that greater continuity of care can improve outcomes for patients at increased risk of hospitalization. This evidence includes studies of our Comprehensive Care Program (CCP) that find that providing patients at increased risk of hospitalization access to care from the same doctor in and out of the hospital can reduce hospitalization and improve health outcomes. As a result of these positive findings, interest in implementing similar comprehensive care models has grown, with several community and academic medical centers across the U.S. and internationally adapting CCP in their settings with our guidance. This proposal builds on several years of successfully facilitating relevant learning collaboratives that have engaged a diverse set of healthcare providers and health system types through virtual meetings in the context of COVID-19, including a recent Comprehensive Care Grand Rounds virtual meeting series. Participants in those meetings have expressed significant interest in building a community around “comprehensive care” with in-an person convening opportunity to share implementation best practices and evaluation methods. We propose 3 specific aims for this conference grant: Aim 1: To hold a conference in Fall 2023 that convenes stakeholders who have implemented or are interested in implementing models of care that defragment care for patients at increased risk of hospitalization. Aim 2: Through conference presentations and interactive workshops, to share tools and frameworks for how to successfully implement and evaluate comprehensive care models in a range of health care settings to support the dissemination of evidence-based comprehensive care models and the development of research to evaluate these models at other sites. Aim 3: To create and share deliverables for participants to continue to participate in dialogue and knowledge sharing throughout the course of the year following the conference, including through a web-based forum to facilitate relationship-building amongst participates and to house recordings fromthe conference workshops and presentation and implementation and evaluation resources.

项目概要/摘要 本申请请求支持一项新颖的为期一年的传播和实施会议拨款，其中 芝加哥大学综合护理计划 (CCP) 研究团队将参与约 50 名医疗保健人员 领导人、临床医生和社会服务提供者参加在芝加哥举行的为期一天的面对面/虚拟混合会议 项目期间每月举行一次虚拟会议。会议将重点分享传播 提高关系连续性的循证护理服务模式的工具和实施框架 在住院和门诊环境中，针对住院风险较高的患者，并明确解决 复杂的医疗和社会需求。这种关注的动机是有证据表明，更大的连续性护理可以 改善住院风险增加患者的治疗结果。这些证据包括我们的研究 综合护理计划 (CCP) 发现为住院风险较高的患者提供服务 在医院内外由同一位医生提供护理可以减少住院时间并改善健康状况。 由于这些积极的发现，人们对实施类似的综合护理模式的兴趣有所增长， 与美国各地的多个社区和学术医疗中心合作，并在国际上适应 CCP 在我们的指导下进行设置。该提案建立在多年来成功促进相关学习的基础上 通过虚拟方式吸引了不同类型的医疗保健提供者和医疗系统类型的合作 COVID-19 背景下的会议，包括最近的全面护理大查房虚拟会议 系列。这些会议的参与者对建立一个围绕 “全面护理”，有机会分享实施最佳实践和 评价方法。 我们为本次会议拨款提出了 3 个具体目标： 目标 1：在 2023 年秋季召开会议，召集已实施或感兴趣的利益相关者 实施护理模式，对住院风险增加的患者进行整理护理。 目标 2：通过会议演讲和互动研讨会，分享工具和框架 在一系列医疗保健环境中成功实施和评估综合护理模式，以支持 传播基于证据的综合护理模式和开展评估研究 这些模型在其他网站上。 目标 3：为参与者创建和分享可交付成果，以继续参与对话和获取知识 会议后一年内进行分享，包括通过网络论坛 促进与会者之间建立关系并保存会议研讨会的录音和 演示、实施和评估资源。