Reducing Health Disparities with a Web Based Learning Management System: GURULZ

 描述(由申请人提供)：My Coverage Plan，Inc.(MCP)建议：使用基于网络的学习管理系统减少健康差距：GURULZ。减少无偿护理有助于差异患者和提供者。根据凯撒基金会的数据，由于缺乏对医疗保险资源的了解，2013年美国产生了846亿美元的无偿医疗服务。“GURULZ”技术解决方案是一个学习管理系统(LMS)，它将通过个性化的、基于能力的利益相关者培训，促进基于社区的健康福利咨询服务的发展和增强。主要利益相关者(学习者)是社区倡导者和卫生保健提供者工作人员。次要利益相关者是将从健康福利咨询服务中受益的患者，也可以使用GURULZ来加强对健康福利计划的知识和使用。GURULZ将把利益攸关方与一个可衡量的、互动的、具有文化能力的培训联系起来，培训内容是如何获得医疗福利，以减少健康差距和无偿护理。GURULZ提供培训和LMS，以补充MCP类似TurboTax(R)的福利筛选和覆盖记录工具(目前处于最后开发阶段)，用于基于社区的健康福利咨询服务。GURULZ将衡量和加强倡导者和其他人提供熟练福利咨询服务和减少无偿护理的核心能力。评估将衡量培训后利益相关者核心能力的变化，利益相关者就培训经验和影响进行的访谈，并审查慈善护理和无偿护理数据。合作伙伴：ABC for Health，Inc.(ABC)；圣玛丽医院；HealthWatch Wisconin；社区联盟、成人教育、健康素养和软件顾问。前哨合作伙伴圣玛丽医院为1000名低收入人士提供服务：30%讲西班牙语，25%非裔美国人，25%有特殊需求。总体具体目标：通过测试和为三类利益攸关方开发GURULZ LMS，减少健康覆盖方面的知识障碍，从而减少健康差距：1)宣传工作人员(高级宣传培训)，2)卫生服务提供者工作人员(转介和服务协调中级培训)，3)患者(保险概念和选择的基本培训)。具体目标1：为每个利益攸关方群体建立一个以能力为基础的评估工具，以确定知识/能力差距以及健康覆盖方面的文化和经济障碍。具体目标2：制定“概念验证”--GURULZ LMS，为每个利益攸关方群体和每个学习者的个人初始评估提供互动培训模块。具体目标3：利用利益攸关方和咨询委员会的意见对GURULZ进行持续评估/改进，包括评估对利益攸关方群体的可用性和教育影响。具体目标4：确定GURULZ在新出现的福利筛选和记录技术范围内运作的整合战略。

 DESCRIPTION (provided by applicant): My Coverage Plan, Inc., (MCP) proposes: Reducing Health Disparities with a Web Based Learning Management System: GURULZ. Reducing uncompensated care helps disparity patients and providers. Lack of knowledge about health coverage resources helped create $84.6 billion of uncompensated care in 2013 in the U.S. according to the Kaiser Foundation. The "GURULZ" technology solution is a Learning Management System (LMS) that will facilitate development and enhancement of community based health benefits counseling services through individualized, competency-based stakeholder training. Primary stakeholders (learners) are community advocates and health care provider staff. Secondary stakeholders are patients who will benefit from health benefits counseling services and may also use GURULZ to strengthen knowledge and use of health benefits programs. GURULZ will link stakeholders to a measurable, interactive, culturally competent training about access to health care benefits for reducing health disparities and uncompensated care. GURULZ provides the training and LMS to complement MCP's TurboTax(r)-like Benefits Screener and coverage record tool (currently in final development) for community based health benefits counseling services. GURULZ will measure and strengthen the core competence of advocates and others to provide skilled benefits counseling services and reduce uncompensated care. The evaluation will measure changes in stakeholder core competencies after training, stakeholder interviews about training experience and impact, and review charity care and uncompensated care data. Partners: ABC for Health, Inc. (ABC); St. Mary's Hospital; HealthWatch Wisconsin; a Community Coalition, Adult Education, Health Literacy and software Consultants. Outpost partner, St. Mary's Hospital, serves 1,000 low-income individuals: 30% Spanish-speaking, 25% African American, and 25% special needs. Overarching Specific Aim: Reduce health disparities by mitigating knowledge barriers to health coverage through testing and developing a GURULZ LMS for three categories of stakeholders: 1) Advocacy Staff (advanced advocacy training), 2) Health Service Provider Staff (intermediate training on referral and service coordination), 3) Patients (basic training on insurance concepts and choices). Specific Aim 1: Establish a competency-based assessment tool for each stakeholder group that identifies knowledge/ competency gaps and cultural and economic barriers to health coverage. Specific Aim 2: Develop a "proof of concept", GURULZ LMS with interactive training modules for each stakeholder group and each learner's individual initial assessment. Specific Aim 3: Use stakeholder and advisory committee input for continuous assessment/improvement of GURULZ including evaluation of usability and educational impact on stakeholder groups. Specific Aim 4: Identify integration strategies for GURULZ to operate within emerging benefits screening and record technology.