Real-time Optimal Care Plans for Nursing Home QI

这项拟议研究的目的是设计、支持和促进改变，根据国家压疮长期护理研究(NPULS)和其他已发表来源的证据，可能会导致医疗质量的有案可查的改善，并确保这些改善成为医疗保健提供者和临床医生持续实践的一部分。该项目将扩大最初于1996年为国家医疗服务中心建立的伙伴关系，以实施长期护理方面的最佳做法。 我们研究的主要目的是： 1)建立伙伴关系，促进在长期护理设施实施质量改进战略方面的合作， 2)使用自动化数据收集、管理和跟踪信息以及支持CINICAT决策和护理规划的技术，将基于证据的最佳实践整合到日常工作流程中。 3)加强教育战略，纳入CPT和组织变革的原则。 4)促进临床流程再设计。 我们必须重新设计流程，而不仅仅是改进现有的流程。我们打算设计、测试和评估自动化流程，以传输基于证据的信息，并为疗养院实践中的提供者提供决策支持。信息技术工具将实现协议驱动的护理的自动化：患者评估、每日文档流程图、基于患者需求的特定干预的警报或提示、跟踪特定的 根据最佳实践提供干预措施，并以以前需要图表提取和摘要的各种格式汇总记录在案的临床信息。该项目的具体目标是：1)发展伙伴关系，致力于将临床实践改进研究结果整合到日常实践中；2)确认优先改进 3)收集咨询委员会和工作组的意见，以增强国家最不发达国家的成果；4)为每个参与地点制定执行战略、执行材料和工具以及详细的执行计划；5)促进执行和维持进程；以及8)评估结果和制定计划 用于正在进行的扩大参与站点的倡议。

The objectives of the proposed study are to design, support and facilitate change that, according to evidence from the National Pressure Ulcer Long-Term Care Study (NPULS) and other published sources, is likely to lead to documented improvements in health care quality and ensure that these improvements become part of the ongoing practice of health care providers and clinicians. This project will broaden the partnerships originally established in 1996 for the NPULS to .Implement best practices in long term care. Key aims of our study are: 1 ) build partnerships to promote cooperation in Implementing quality improvement strategies In long term care facilities, 2) incorporate evidence-based best practices into everyday workflow using technology to automate data collIection, manage and track information, and support ciinicat decision-making and care planning. 3) enhance education strategies to include principles of CPt and organizational change. 4) facilitate clinical process redesign. We must redesign the process rather than just improve existlng processes. We intend to design, test, and evaluate automated processes to transmit evidence-based information and provide decision support for providers in nursing home practice. The information technology tools will enable automation of protocol-driven care: patient assessment, daily documentation flow sheets, alerts or prompts for specific interventions based on patient needs, tracking specific interventions delivered based on best practice, and summarizing documented clinical information in a variety of formats previously requiring a chart pull and abstraction. The specific objectives of this project are to: 1) Develop partnerships committed to integrating Clinical Practice Improvement study results into daily practice; 2) confirm priority improvement areas and measurable objectives; 3) Gather input from Advisory Board and Working Group to augment results of NPULS; 4) Develop implementation strategy, materials and tools for implementation, and detailed implementation plans for each participating site; 5) Facilitate implementation and sustain process; and 8) Evaluate results and develop plans for on-going initiative to expand participating sites.