Phase II IUCRC University of Louisville: Center for Health Organization Transformation (CHOT)

路易斯维尔大学（UL）申请成为美国国家科学基金会产学研合作研究中心（IUCRC）卫生组织转型（CHOT）的第二阶段研究基地。美国的医疗服务体系缺乏安全、有效、以病人为中心、及时和公平的医疗服务。医疗保健组织在管理和临床实践方面不断创新，以解决护理效率的不足，提供最新的临床技术，并保持竞争力。要在所有这些方面取得重大进展，就需要对卫生组织进行转型变革，从根本上改变做法和文化，并带来更好的卫生保健。UL CHOT应用并完善了一个全面的转型框架，该框架将指导、研究和推进卫生系统（特别是医院、诊所和医生团体）的组织转型。随着医疗支出呈指数级增长，政府、行业和公众对与组织和医疗服务支付相关的一系列医疗保健问题越来越关注。新的护理模式还要求医疗机构工作人员的临床医生类型发生转变。UL CHOT致力于开展研究，以了解在新的基于价值的方式下，这些新服务的最佳组合将为不同的患者群体提供医疗保健服务。UL CHOT的多学科研究团队建议加入现有的CHOT大学网站，通过深入整合人口健康管理，卫生信息系统设计和卫生系统科学方面的专业知识来增加价值，这将创造新的协同效应，使研究具有高度相关性，并结合最佳实践和最新技术。UL CHOT将对结合循证管理、临床和信息技术创新以及正在进行的组织学习和文化变革的转型干预和战略的前因后果、执行和效果进行混合方法和应用研究。卫生系统的转型努力经常忽视或过早地将若干个人和组织因素视为“固定”或不可改变的。转型战略要求对具有卫生系统特征的价值观、流程和结构进行重大的重新审查，并经常进行重新调整。这些重大创新（即精益生产、尖端临床创新和信息系统）需要领导力、重大文化变革、跨专业协调、流程再造要素以及有效的监控和反馈。我们以行业为导向的研究项目确定了在卫生系统中通过这类变革性干预措施产生预期结果的因素。UL CHOT将通过更有效地实施上述工具和战略，为行业合作伙伴提供的护理的效率和质量做出重大贡献。

The University of Louisville (UL) applies to become a Phase II research site addition for the NSF Industry-University Cooperative Research Center (IUCRC) for Health Organization Transformation (CHOT). The American health care delivery system falls short of care that is safe, effective, patient-centered, timely, and equitable. Health care organizations are continually innovating in both management and clinical practices to address care efficiency shortcomings, offer the latest clinical technologies, and remain competitive. To attain significant progress on all of these fronts requires transformational changes in health organizations that fundamentally alter practices and culture, and lead to better health care. UL CHOT applies and refines a comprehensive transformation framework that will guide, research, and advance organization transformation in health systems, especially hospitals, clinics, and physician groups. With health spending rising exponentially, government, industry, and the public share growing concerns about a range of health care issues related to the organization and payment for health care services. New care models also require a shift in the types of clinicians that staff healthcare organizations. UL CHOT is committed to conducting research to understand what the optimal mix of these new services will be under new value-based ways of providing healthcare for the benefit of a diverse patient population. UL CHOT's multi-disciplinary research team proposes to join the existing CHOT university sites, adding value through its in-depth integration of expertise in population health management, health information system design, and health systems sciences that will create new synergies that allows the research to be highly relevant, and incorporate best practices and the latest technology. UL CHOT will conduct mixed-methodology, applied research on the antecedents, execution, and effects of transformational interventions and strategies that combine evidence-based management, clinical and information technology innovations, and ongoing organizational learning and cultural change. Transformational efforts in health systems frequently ignore or prematurely treat several individual and organizational elements as "fixed" or immutable. Transformational strategies call for significant reexamination and, often, realignment of values, processes, and structures characterizing a health system. Such major innovations (i.e., LEAN, cutting-edge clinical innovations and information systems) call for leadership, significant cultural change, inter-professional alignment, elements of process reengineering, and effective monitoring and feedback. Our industry-guided research program identifies the factors that produce desired results from these kinds of transformational interventions in health systems. UL CHOT will contribute significantly to the efficiency and quality of care offered by industry partners by enabling more effective implementation of the aforementioned tools and strategies.