Implementation of Communication Disability Collection and Accommodations in Primary Care Settings
在初级保健机构中实施沟通障碍收集和住宿
基本信息
- 批准号:10586694
- 负责人:
- 金额:$ 80.16万
- 依托单位:
- 依托单位国家:美国
- 项目类别:
- 财政年份:2022
- 资助国家:美国
- 起止时间:2022-09-16 至 2027-06-30
- 项目状态:未结题
- 来源:
- 关键词:AcademyAddressAdoptionAdultAdverse eventAdvocateAffectAmericans with Disabilities ActAppointmentArthritisAsthmaCaringCharacteristicsChicagoChronicClinicClinicalCollectionColoradoCommunicationCommunication BoardCommunication DisabilityCommunitiesDataDiabetes MellitusDisabled PersonsDocumentationEducational InterventionElderlyElectronic Health RecordEnsureEthnic OriginEventFoundationsGender IdentityGoalsHealthHealth PersonnelHealth systemHealthcareHealthcare SystemsHearingHearing AidsHybridsHypertensionIndividualInfant MortalityInpatientsIntakeInterventionJusticeLanguageLanguage DisordersLearningLiteratureMaternal MortalityMedicalMedical HistoryMedicineMethodsOutcomePatientsPersonsPolicy MakerPopulationPractical Robust Implementation and Sustainability ModelPrimary Health CareProcessQuality of CareRaceReach Effectiveness Adoption Implementation and MaintenanceReportingResearchRuralSex OrientationSocial supportSourceSpeechTestingTimeUnited StatesVisitVoiceWomanWomen&aposs HealthWorkcare outcomesdemographicsdesigndisabilityeffectiveness implementation trialevidence baseexperiencefederal policyhealth care availabilityhealth care disparityhealth care servicehealth care service organizationhealth care settingshealth datahealth disparityhealth information technologyimplementation evaluationimplementation outcomesimplementation strategymarginalized populationpatient orientedpatient portalprimary care settingprimary outcomeprogramssafety netsocialsocial health determinantswillingness
项目摘要
PROJECT SUMMARY/ABSTRACT
The Americans with Disability Act (ADA) requires that healthcare organizations and providers ensure that
patients with disabilities receive equal access to healthcare services, facilities and programs. While the ADA
was passed more than 30 years ago, research demonstrates that persons with disabilities continue to
experience significant health and healthcare disparities. Persons with communication disabilities, who
represent >14% of the US population, experience specific challenges to patient-centered communication, an
essential component of high-quality care as outlined by the National Academy of Medicine report “Crossing the
Quality Chasm”.
Documentation of patients’ demographic information (e.g., race/ethnicity, sexual orientation, and gender
identity) and social data (e.g., Social Determinants of Health) in electronic health records (EHR) has been
recognized by healthcare organizations, policy makers and advocates as a necessary step towards advancing
healthcare equity. Unfortunately, most healthcare organizations do not consistently or comprehensively
document patients’ disability status within the EHR. Consistent and accurate documentation of disability status
is needed to track the quality of care delivered to patients with communication disabilities and to identify
patients who need disability accommodations required by the ADA.
This project aims to adapt and evaluate the effects of an implementation support package of strategies to
assist primary care clinics in (1) documenting patients’ communication disability and accommodation needs in
the EHR and (2) providing communication disability accommodations. In Aim 1 we will employ Implementation
Mapping Adapt, which will allow us to review existing literature and build upon what is already known about
implementation of documentation of other demographic data. With a stakeholder panel, we will adapt an
implementation support package for documentation of communication disability status and provision of
communication accommodations in the primary care setting. Our final product will be a multi-component, multi-
level implementation support package designed for use in varying contexts. In Aim 2 and 3, we will conduct a
multi-method, Hybrid Type III effectiveness-implementation trial across 9 clinics in 3 healthcare systems:
UCHealth, Denver Health (a safety net health system), and Northwestern Medicine in Chicago, IL. The primary
care clinics will be diverse (e.g., urban, rural, women’s health, and geriatric clinics) to maximize learnings
across different contexts. Our outcomes will be guided by the PRISM/RE-AIM framework, with our primary
outcomes being the Reach of documentation of patients’ disability status (Aim 2) and the Adoption of provision
of disability accommodations (Aim 3.) The study findings will inform a support package with scalable strategies
that can be adapted and generalized to other types of disabilities.
项目总结/摘要
美国残疾人法案(ADA)要求医疗保健组织和提供者确保,
残疾人可平等获得医疗保健服务、设施和方案。当助理检察官
30多年前,研究表明,残疾人继续
在健康和医疗保健方面存在巨大差距。沟通障碍者,
占美国人口的14%以上,在以患者为中心的沟通方面遇到具体挑战,
美国国家医学院的报告“跨越国界”概述了高质量护理的重要组成部分,
质量鸿沟”。
记录患者的人口统计信息(例如,种族/民族、性取向和性别
身份)和社交数据(例如,健康的社会决定因素)在电子健康记录(EHR)中的应用,
医疗保健组织、政策制定者和倡导者认为,这是推进
保健公平。不幸的是,大多数医疗机构并不一致或全面地
在电子健康记录中记录患者的残疾状况。一致和准确的残疾状况记录
需要跟踪为沟通障碍患者提供的护理质量,
需要ADA所要求的残疾住宿的患者。
该项目旨在调整和评价一揽子执行支助战略的效果,
协助初级保健诊所(1)记录病人的沟通障碍和住宿需求,
EHR和(2)提供沟通障碍的住宿。在目标1中,我们将采用实施
映射适应,这将使我们能够审查现有的文献,并建立在什么是已经知道的
记录其他人口数据。通过利益相关者小组,我们将调整
执行一揽子支助,以记录通信障碍状况,并提供
初级保健环境中的通信设施。我们的最终产品将是一个多组件,多-
为在不同情况下使用而设计的一个执行级支持包。在目标2和目标3中,我们将进行
在3个医疗保健系统的9家诊所进行的多方法、混合III型有效性实施试验:
加州大学健康,丹佛健康(一个安全网健康系统),和西北医学在芝加哥,IL。主
护理诊所将是多样化的(例如,城市、农村、妇女健康和老年诊所),以最大限度地提高学习效果
在不同的背景下。我们的结果将由PRISM/RE-AIM框架指导,我们的主要
结果是达到记录病人残疾状况(目标2)和通过提供
(目标3)研究结果将为具有可扩展战略的一揽子支持提供信息
可以被改编和推广到其他类型的残疾。
项目成果
期刊论文数量(0)
专著数量(0)
科研奖励数量(0)
会议论文数量(0)
专利数量(0)
数据更新时间:{{ journalArticles.updateTime }}
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
数据更新时间:{{ journalArticles.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ monograph.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ sciAawards.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ conferencePapers.updateTime }}
{{ item.title }}
- 作者:
{{ item.author }}
数据更新时间:{{ patent.updateTime }}
Megan A Morris其他文献
Trust and activation in defining patient-clinician interactions for chronic disease management.
定义慢性病管理的患者与临床医生互动的信任和激活。
- DOI:
- 发表时间:
2022 - 期刊:
- 影响因子:3.5
- 作者:
Grace E. Venechuk;L. Allen;J. Thompson;Megan A Morris;D. Matlock;C. McIlvennan;Neal W. Dickert;C. Tietbohl - 通讯作者:
C. Tietbohl
Silence in the EHR: infrequent documentation of aphonia in the electronic health record
- DOI:
10.1186/1472-6963-14-425 - 发表时间:
2014-09-23 - 期刊:
- 影响因子:3.000
- 作者:
Megan A Morris;Abel N Kho - 通讯作者:
Abel N Kho
Megan A Morris的其他文献
{{
item.title }}
{{ item.translation_title }}
- DOI:
{{ item.doi }} - 发表时间:
{{ item.publish_year }} - 期刊:
- 影响因子:{{ item.factor }}
- 作者:
{{ item.authors }} - 通讯作者:
{{ item.author }}
{{ truncateString('Megan A Morris', 18)}}的其他基金
Implementation of Communication Disability Collection and Accommodations in Primary Care Settings
在初级保健机构中实施沟通障碍收集和住宿
- 批准号:
10705832 - 财政年份:2022
- 资助金额:
$ 80.16万 - 项目类别:
Disparities in Patient-Centered Communication Experienced by Patients with Communication Disabilities
有沟通障碍的患者在以患者为中心的沟通中所经历的差异
- 批准号:
10393171 - 财政年份:2018
- 资助金额:
$ 80.16万 - 项目类别:
相似海外基金
Rational design of rapidly translatable, highly antigenic and novel recombinant immunogens to address deficiencies of current snakebite treatments
合理设计可快速翻译、高抗原性和新型重组免疫原,以解决当前蛇咬伤治疗的缺陷
- 批准号:
MR/S03398X/2 - 财政年份:2024
- 资助金额:
$ 80.16万 - 项目类别:
Fellowship
Re-thinking drug nanocrystals as highly loaded vectors to address key unmet therapeutic challenges
重新思考药物纳米晶体作为高负载载体以解决关键的未满足的治疗挑战
- 批准号:
EP/Y001486/1 - 财政年份:2024
- 资助金额:
$ 80.16万 - 项目类别:
Research Grant
CAREER: FEAST (Food Ecosystems And circularity for Sustainable Transformation) framework to address Hidden Hunger
职业:FEAST(食品生态系统和可持续转型循环)框架解决隐性饥饿
- 批准号:
2338423 - 财政年份:2024
- 资助金额:
$ 80.16万 - 项目类别:
Continuing Grant
Metrology to address ion suppression in multimodal mass spectrometry imaging with application in oncology
计量学解决多模态质谱成像中的离子抑制问题及其在肿瘤学中的应用
- 批准号:
MR/X03657X/1 - 财政年份:2024
- 资助金额:
$ 80.16万 - 项目类别:
Fellowship
CRII: SHF: A Novel Address Translation Architecture for Virtualized Clouds
CRII:SHF:一种用于虚拟化云的新型地址转换架构
- 批准号:
2348066 - 财政年份:2024
- 资助金额:
$ 80.16万 - 项目类别:
Standard Grant
BIORETS: Convergence Research Experiences for Teachers in Synthetic and Systems Biology to Address Challenges in Food, Health, Energy, and Environment
BIORETS:合成和系统生物学教师的融合研究经验,以应对食品、健康、能源和环境方面的挑战
- 批准号:
2341402 - 财政年份:2024
- 资助金额:
$ 80.16万 - 项目类别:
Standard Grant
The Abundance Project: Enhancing Cultural & Green Inclusion in Social Prescribing in Southwest London to Address Ethnic Inequalities in Mental Health
丰富项目:增强文化
- 批准号:
AH/Z505481/1 - 财政年份:2024
- 资助金额:
$ 80.16万 - 项目类别:
Research Grant
ERAMET - Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
ERAMET - 快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
- 批准号:
10107647 - 财政年份:2024
- 资助金额:
$ 80.16万 - 项目类别:
EU-Funded
Ecosystem for rapid adoption of modelling and simulation METhods to address regulatory needs in the development of orphan and paediatric medicines
快速采用建模和模拟方法的生态系统,以满足孤儿药和儿科药物开发中的监管需求
- 批准号:
10106221 - 财政年份:2024
- 资助金额:
$ 80.16万 - 项目类别:
EU-Funded
Recite: Building Research by Communities to Address Inequities through Expression
背诵:社区开展研究,通过表达解决不平等问题
- 批准号:
AH/Z505341/1 - 财政年份:2024
- 资助金额:
$ 80.16万 - 项目类别:
Research Grant