Administrative Core

行政核心

• 批准号: 10709335
• 负责人: JOSHUA CHODOSH
• 金额: $ 195.91万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-09-15 至 2028-08-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10709335
• 关键词: Accident and Emergency department; Alzheimer' s Disease; Caring; Case Management; Catalogs; Classification; Collaborations; Communication; Communities; Complex; Dementia; Discipline; Discipline of Nursing; Elderly; Electronic Health Record; Emergency Care; Emergency Medicine; Emergency department visit; Ensure; Funding; Future; Goals; Grant; Health system; Home; Hospitalization; Human Resources; Infrastructure; Institutional Review Boards; Intervention; Knowledge; Lead; Leadership; Memorial Sloan-Kettering Cancer Center; Methodology; Nurses; Occupational activity of managing finances; Paramedical Personnel; Peer Review; Persons; Procedures; Process; Protocols documentation; Public Health; Publications; Research; Research Infrastructure; Research Personnel; Resources; Role; Rural; Scientist; Seasons; Site; Structure; Telephone; Training; Universities; Wisconsin; Work; clinical decision support; college; community setting; dementia care; design; experience; human subject; improved; insight; interoperability; medical schools; meetings; member; pragmatic trial; preservation; recruit; success; web site

PROJECT SUMMARY The overall objective of Emergency Departments LEading the transformation of Alzheimer’s and Dementia care (ED-LEAD) is to optimize and study a suite of care interventions (emergency care redesign, nurse-led telephonic case management, and community paramedic-led transitions intervention) both alone and in combination, in a pragmatic, multifactorial trial embedded in 80 Emergency Departments (EDs). The overall goal is to decrease emergency department use and hospitalizations, and increase days at home for persons living with dementia (PLWD) and for their care partners (collectively known as dyads), who visit the ED. The primary roles of the Administrative Core are to: 1) ensure efficient and effective communication between interventions, cores, and ED sites; 2) coordinate support and guidance from external partners; and 3) disseminate products and findings of this work. In particular, the Administrative Core leadership will mobilize expertise from two NIA-funded dementia research networks in emergency medicine and pragmatic trials, and convene an External Advisory Board comprising organizational stakeholders, a Lived Experience Panel made up of PLWD and care partners, and a Lived Practice Panel comprising different disciplines engaged in intervention experience. All three groups will provide insights critical to the success of ED-LEAD. The Administrative Core will be led by a Steering Committee comprising the Executive Director, the multiple PI (mPI) team (Chodosh, Brody, Shah, and Grudzen), Statistical Core Lead (Goldfeld), Lead Informatician (Mann), and NIA project scientists. These seasoned collaborators will be supported by a rich research infrastructure and personnel with expertise in launching complex interventions across multiple settings in older adults with serious illness. NYU Grossman School of Medicine, NYU Rory Meyers College of Nursing, University of Wisconsin–Madison School of Medicine and Public Health, Memorial Sloan Kettering Cancer Center, and the mPI team have substantial expertise in tailoring the electronic health record (EHR) to promote EHR interoperability and using single IRB review to increase efficiency of multi-site embedded pragmatic trials. As a first step to ensuring effective and efficient functioning across the three interventions, the Administrative Core will classify and catalogue intervention core functions and clinical decision support processes into forms for ongoing reference and to preserve knowledge for future use. Besides financial management, the Administrative Core will recruit, engage, guide, and support the External Advisory Board, and the Lived Experience Panel and the Lived Practice Panel. The Administrative Core will integrate expertise from NIA- funded dementia research networks, all in close coordination with the Implementation Core, and direct all processes to support a strong communication plan. This includes developing and maintaining an accessible and robust website and using various forums to disseminate knowledge.

项目总结 急诊科引领阿尔茨海默病和痴呆症转化的总体目标 护理(ED-LEAD)是优化和研究一套护理干预措施(急救护理重新设计，护士主导 电话病例管理和社区护理人员主导的过渡干预)单独和在 在一项在80个急诊科(ED)中嵌入的务实的多因素试验中，进行了组合。整体而言 目标是减少急诊室的使用和住院，增加人们在家中的天数 痴呆症患者(PLWD)和他们的护理伙伴(统称为二人组)，他们去急诊室就诊。这个 行政核心的主要作用是：1)确保高效和有效的沟通 干预措施、核心和ED站点；2)协调外部合作伙伴的支持和指导；3) 传播这项工作的产品和发现。特别是，行政核心领导班子将动员 NIA资助的两个痴呆症研究网络在紧急医学和实用试验方面的专业知识，以及 召集一个由组织利益攸关方组成的外部咨询委员会，一个生活体验小组 由PLWD和CARE合作伙伴组成，以及一个由不同学科组成的生活实践小组 干预体验。这三个小组都将提供对ED-Lead成功至关重要的见解。这个 行政核心将由一个指导委员会领导，该委员会由执行主任、多名PI (MPI)团队(Chodosh、Brody、Shah和Grudzen)，统计核心负责人(Goldfeld)，首席信息学家 (Mann)和NIA项目科学家。这些经验丰富的合作者将得到丰富的研究支持 基础设施和人员具有在较旧的多个环境中发起复杂干预的专业知识 患有严重疾病的成年人。纽约大学格罗斯曼医学院，纽约大学罗里·迈耶斯护理学院， 威斯康星大学麦迪逊医学与公共卫生学院纪念斯隆·凯特琳癌症 中心和MPI团队在定制电子健康记录(EHR)方面拥有丰富的专业知识，以促进 EHR互操作性和使用单一IRB审查，以提高多站点嵌入式务实试验的效率。 作为确保在三项干预措施中有效和高效运作的第一步，行政当局 CORE将对干预核心功能和临床决策支持流程进行分类和编目 以供持续参考，并保存知识以供将来使用。除了财务管理， 行政核心将招聘、聘用、指导和支持外部咨询委员会和在册人员 体验小组和现场练习小组。行政核心将整合NIA的专业知识- 资助痴呆症研究网络，所有这些都与执行核心密切协调，并指导所有 支持强有力的沟通计划的流程。这包括开发和维护可访问的 和强大的网站，并利用各种论坛传播知识。