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.

项目总结/摘要 此申请要求支持一个新的1年传播和实施会议赠款，其中 芝加哥大学综合护理计划（CCP）研究小组将参与约50个医疗保健 领导者、临床医生和社会服务提供者在芝加哥举行的为期一天的混合面对面/虚拟会议上， 在项目期间每月举行一次虚拟会议。会议将重点讨论分享传播 提高关系连续性的循证护理提供模式的工具和实施框架 在住院和门诊环境中，针对住院风险增加的患者， 复杂的医疗和社会需求。这种关注的动机是有证据表明，更大的护理连续性可以 改善住院风险增加患者的结局。这些证据包括我们的研究， 综合护理计划（CCP）发现，为住院风险增加的患者提供 在医院内外由同一名医生提供护理，可以减少住院治疗，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加， 美国和国际上的多个社区和学术医疗中心在其各自的医疗中心中采用了CCP 在我们的引导下，该提案建立在多年来成功促进相关学习的基础上 协作，通过虚拟的方式与各种医疗保健提供者和卫生系统类型进行合作， 在COVID-19背景下的会议，包括最近的综合护理大圆桌虚拟会议 系列.这些会议的与会者表示非常有兴趣建立一个社区， “全面护理”，有机会亲自召集会议，分享实施最佳做法， 评价方法 我们为这次会议赠款提出了3个具体目标： 目标1：在2023年秋季举行一次会议，召集已经实施或感兴趣的利益相关者 在实施对住院风险增加的病人进行碎片化护理的护理模式方面。 目标2：通过会议介绍和互动研讨会，分享如何 在一系列卫生保健环境中成功实施和评估综合护理模式，以支持 传播以证据为基础的综合护理模式，并开展研究， 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，以继续参与对话和知识 在会议之后的一年中进行交流，包括通过网上论坛， 促进参与者之间的关系建立，并保存会议研讨会的录音， 介绍和执行以及评价资源。