Patient Centered Quality Reporting
以患者为中心的质量报告
基本信息
- 批准号:8726852
- 负责人:
- 金额:$ 31.79万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2012
- 资助国家:美国
- 起止时间:2012-09-30 至 2016-08-31
- 项目状态:已结题
- 来源:
- 关键词:
项目摘要
DESCRIPTION (provided by applicant): Quality report cards have become an important component of the American health care system in recent decades. The Centers for Medicare and Medicaid Services (CMS) publishes several web based report cards, including the Nursing Home Compare (NHC). It offers patients and their families' information about staffing, deficiencies, and 19 clinical quality measures (QMs). The objectives of these reports are to inform consumers' choice and improve quality of care. The evidence about their success in achieving these goals is mixed. Studies to-date suggests that many report cards are not widely used or not used at all. This is not surprising given both the complexity of the information and the fact that nursing home choices are typically made under both time constraints and in emotionally stressful situations, typically when the elder has to be discharged from the hospital.
The objective of the proposed project is to develop and test a new e-coaching approach designed to take advantage of web technology and decision support software in order to facilitate and enhance access to and use of NHC. The Specific Aims of the project are: 1) To develop a consumer friendly web-based interface between NHC and an e-coaching/decision-aid tool. 2) To test its effectiveness through a randomized control trial. The project will be conducted at the University of California, Irvine Medical Center and will include medical and surgical patients identified by the attending as likely to be discharged to a nursing home. In year
1 we will develop a decision-aid tool, pilot test it with patients and families and build a web application that will integrate and interact with the NHC data guided by users' response to queries. In year 2 we will test the application we developed in the treatment group. The control group will continue with the usual discharge practice. Both groups will be surveyed. In year 3 survey data, data about the use patterns of the application, and data about the quality of nursing home destination facilities will be analyzed to test the study hypotheses. The lessons learned from this study will have direct application to improving the use of NHC by consumers. They may also be relevant to other report cards in the "Compare" series, Home Care Compare in particular.
描述(由申请人提供):近几十年来,质量报告卡已成为美国医疗保健系统的重要组成部分。医疗保险和医疗补助服务中心(CMS)发布了几个基于网络的报告卡,包括护理之家比较(NHC)。它为患者及其家属提供了有关人员配备、缺陷和19项临床质量指标(QM)的信息。这些报告的目的是告知消费者的选择和提高护理质量。关于它们在实现这些目标方面取得成功的证据好坏参半。 迄今为止的研究表明,许多成绩单没有得到广泛使用或根本没有使用。这并不奇怪,因为信息的复杂性以及养老院的选择通常是在时间限制和情绪紧张的情况下做出的,通常是当老人必须出院时。
拟议项目的目标是开发和测试一种新的电子辅导方法,利用网络技术和决策支持软件,以便利和加强获得和使用国家人道主义委员会。 该项目的具体目标是:1)在NHC和电子辅导/决策辅助工具之间开发一个消费者友好的基于网络的界面。2)通过随机对照试验验证其有效性。 该项目将在加州大学欧文分校医学中心进行,将包括主治医师确定的可能出院到疗养院的内科和外科患者。年级
1.我们将开发一个决策辅助工具,在患者和家属中进行试点测试,并建立一个网络应用程序,该应用程序将根据用户对查询的反应与NHC数据进行整合和互动。在第2年,我们将在治疗组中测试我们开发的应用程序。对照组将继续进行常规出院实践。两组都将接受调查。在第3年的调查数据中,将分析有关应用程序的使用模式的数据以及有关养老院目的地设施质量的数据,以验证研究假设。 从这项研究中吸取的教训将直接应用于改善消费者对NHC的使用。它们也可能与“比较”系列中的其他报告卡有关,特别是家庭护理比较。
项目成果
期刊论文数量(5)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
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DANA B MUKAMEL其他文献
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{{ truncateString('DANA B MUKAMEL', 18)}}的其他基金
Home Health, ADRD, Telehealth, and Patient Outcomes
家庭健康、ADRD、远程医疗和患者结果
- 批准号:
10513268 - 财政年份:2022
- 资助金额:
$ 31.79万 - 项目类别:
Home Health, ADRD, Telehealth, and Patient Outcomes
家庭健康、ADRD、远程医疗和患者结果
- 批准号:
10689783 - 财政年份:2022
- 资助金额:
$ 31.79万 - 项目类别:
Staffing and Health Outcomes in Nursing Homes for Residents with and without Dementia
疗养院中患有和未患有痴呆症的居民的人员配备和健康状况
- 批准号:
10621699 - 财政年份:2020
- 资助金额:
$ 31.79万 - 项目类别:
Staffing and Health Outcomes in Nursing Homes for Residents with and without Dementia
疗养院中患有和未患有痴呆症的居民的人员配备和健康状况
- 批准号:
10171551 - 财政年份:2020
- 资助金额:
$ 31.79万 - 项目类别:
Staffing and Health Outcomes in Nursing Homes for Residents with and without Dementia
疗养院中患有和未患有痴呆症的居民的人员配备和健康状况
- 批准号:
10368160 - 财政年份:2020
- 资助金额:
$ 31.79万 - 项目类别:
The Costs of Home Health and Patient Outcomes
家庭健康的成本和患者的治疗结果
- 批准号:
9164927 - 财政年份:2016
- 资助金额:
$ 31.79万 - 项目类别:
The Costs of Home Health and Patient Outcomes
家庭健康的成本和患者的治疗结果
- 批准号:
9756259 - 财政年份:2016
- 资助金额:
$ 31.79万 - 项目类别:
Improving quality report cards through inclusion of consumers preferences
通过纳入消费者偏好来提高报告卡质量
- 批准号:
9103796 - 财政年份:2016
- 资助金额:
$ 31.79万 - 项目类别:
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