Aging Pilot Core

医学研究所和国家研究理事会关于“家庭医疗保健的未来”的研讨会报告， 要求以病人和以人为本的护理，无缝连接和协调，高质量， 技术使能。老龄化焦点试点核心（核心G）的总体目标是促进 科学利用技术和人工智能来优化老年人的健康和护理管理 独立生活在家中的人，以及接受熟练的家庭和社区服务的人（H&CBS）。 我们利用这个机会接触到接受H&CBS的全国人口，其中包括熟练的家庭 医疗保健（HHC），老年人全方位护理计划（PACE）和管理的长期服务 和支持（MLTSS），除了健康的老年人生活在社区。这些老年人 成年人提供了一个理想的机会，应用人工智能和技术，以促进健康老龄化和公平获得 照顾和支持;解决弱势老年人的需求;避免机构化;保持质量 生命，并获得适当的临终关怀。我们提出三个目标：目标1。建立一个国家网络， 有兴趣提供数据和/或作为测试的家庭护理机构、PACE研究中心和MLTSS计划 人工智能和技术解决方案的网站，以支持患者/成员，提供者和家庭护理人员。的 目标1成果是家庭护理机构、PACE站点和MLTSS计划的综合性国家数据库 有兴趣提供数据，作为试点测试网站，或作为商业产品的购买者。国家 通过合作实验室开发的商业产品的潜在试点地点和客户网络将 通过与我们最初的合作伙伴建立网络，在国家会议上建立联系，并通过 专业组织。AIM 2.促进宾夕法尼亚大学附属研究人员和我们的 同行机构和研究中心的网络，以培养科学家骨干，推动科学发展 家庭和社区服务中的护理。目标2的成果将是举办年度讲习班， 组建团队，并就数据源、服务、政策和研究问题对调查人员进行培训 这对促进老龄科学的到位和将产品推向市场至关重要。AIM 3.恳求，选择， 开发/完善和管理开发或测试人工智能和技术应用的试点研究，以检测 风险，预测需求，解决差距，改善获得护理的机会，并支持决策， 为老年人及其家庭照顾者提供慢性病管理和安全老龄化。 每年成功资助和完成2-3项受资助的试点研究，传播研究结果， 将投放市场的产品商业化，这些产品能够检测风险、预测需求、解决差异、改善 获得护理，并为服务不足和难以接触到的老年人及其照顾者提供决策支持。

The Institute of Medicine and National Research Council workshop report on "The Future of Home Health Care”, calls for care that is patient and person-centered, seamlessly connected and coordinated, high quality and technology enabled. The overarching goal of the Aging Focus Pilot Core (Core G) is to promote the advancement of science using technology and artificial intelligence to optimize health and care management for older adults living in their homes independently, and those receiving skilled home and community-based services (H&CBS). We capitalize on the opportunity to reach a national population receiving H&CBS which includes skilled home health care (HHC), the Program for All-Inclusive Care for the Elderly (PACE), and Managed Long-Term Services and Supports (MLTSS), in addition to healthy older adults living in the community. These populations of older adults present an ideal opportunity to apply AI and technology to promote healthy aging and equitable access to care and supports; address the needs of vulnerable older adults; avoid institutionalization; maintain quality of life; and receive appropriate end-of-life care. We propose three aims: AIM 1. Establish a national network of home care agencies, PACE sites, and MLTSS plans interested in supplying data and/or serving as test sites for AI and technology solutions to support patients/members, providers, and family caregivers. The Aim 1 outcome is a comprehensive national database of home care agencies, PACE sites, and MLTSS plans interested in supplying data, serving as pilot test sites, or as purchasers of commercial products. The national network of potential pilot sites and customers for commercial products developed through the Collaboratory will grow each year through networks with our initial partners, contacts at national conferences, and outreach through professional organizations. AIM 2. Foster collaborations among affiliated Penn investigators and our network of peer institutions and research centers to grow a cadre of scientists to advance the science of care within home and community-based services. The outcome of Aim 2 will be annual workshops that build teams and educate investigators about the data sources, services, policies, and research questions essential to promote the science of aging in place and bring products to market. AIM 3. Solicit, select, develop/refine, and manage pilot studies that develop or test AI and technology applications to detect risk, predict needs, address disparities, improve access to care, and support decision making for chronic illness management and safe aging in place for older adults and their family caregivers. Successful funding and completion of 2-3 funded pilot studies per year, dissemination of their results, and commercialization of products brought to market that detect risk, predict needs, address disparities, improve access to care, and support decision making for underserved and hard to reach older adults and their caregivers.