Planning Grant: Engineering Research Center for Health Care Transformation (ERC-HCT)

尽管在医学、技术、卫生政策、法规和资源方面取得了进步，但美国医疗保健服务中的重大问题依然存在。美国拥有世界上最伟大的医学科学，无法为所有公民提供一致的、负担得起的医疗服务。医学研究所(IOM)将每年超过10万人的死亡归因于可预防的医疗差错，这些差错是由于未能提供良好的实践标准的系统失误造成的。质量、安全和协调问题表明，转变美国医疗保健的障碍是复杂的系统工程问题。跨医疗系统共享信息的努力有许多未解决的障碍。这笔规划赠款是由医疗保健转型工程研究中心(ERC-HCT)的愿景推动的，该中心专注于通过整合信息技术、系统工程、社会科学、医学和医疗信息学的多管齐下的方法来重新设计医疗保健的交付。其主要目标是推进科学，使美国的医疗保健服务从今天昂贵的、不一致的以提供者为中心的系统，转变为更好地协调一致的以人为中心的医疗系统。这一愿景在医疗专业人员、行业合作伙伴和行为科学家的指导下，将创建护理改进和可持续、可扩展的集成交付模式。规划助学金将促使合作伙伴对当今技术提供的障碍和机会建立共同的、更深入的理解，作为澄清战略和塑造拟建工程研究中心的管理结构的基础。这项规划资助汇集了来自南卡罗来纳大学、克莱姆森大学、克莱夫林、肯塔基大学医学院和PRISMA卫生系统的不同研究团队，以对当今S技术提供的障碍和机会建立共同的、更深入的理解。ERC-HCT将汇集通常在竖井中发挥作用的专业知识和研究，避开在系统级别转换方面的重大进展。虽然大多数资助的医疗保健转化研究支持循证医学，但拟议的ERC-HCT通过解决系统层面的医疗保健提供优化来填补空白，这是一个顽固的棘手挑战。我们将重点推进基础科学，以解决四个关键研究重点：护理协调、临床决策支持、人口健康管理和个性化健康。要解决的科学包括人工智能、数据科学、生物医学、健康信息技术、复杂系统工程和人机交互。研究将为医疗实践、支付、公共政策提供信息，并提供丰富的创新生态系统，为未来的领导者做准备，并吸引新的创新研究人员到合作大学，为可持续发展做出贡献。随着利益相关者努力寻求解决方案，我们预计他们的观点将围绕现实的可能性和前进道路达成一致，以实现更好地设计、以患者为中心的医疗保健提供系统的愿景。规划拨款活动将集中于让这些利益相关者建立领导力，确定ERC的治理结构，并制定详细的战略和行动计划，以保持多个正在进行的研究和试验台项目的融合。该奖项反映了NSF的法定使命，并通过使用基金会的智力优势和更广泛的影响审查标准进行评估，被认为值得支持。

Significant issues in U.S. healthcare delivery persist despite advances in medicine, technologies, health policies, regulations, and resources. U.S. has the greatest medical science in the world, that is unable to provide consistent, affordable care for all citizens. The Institute of Medicine (IOM) attributes more than 100,000 deaths a year to preventable medical errors, resulting from system lapses that fail to deliver well-established standards of practice. Quality, safety, and coordination issues suggest that barriers to transforming U.S. healthcare are complex system engineering problems. Efforts to share information across healthcare systems has many unaddressed barriers. This planning grant is driven by a vision of an Engineering Research Center for Health Care Transformation (ERC-HCT) focused on reengineering delivery of healthcare through a multi-pronged approach that integrates information technology, systems engineering, social sciences, medical science, and health informatics. The primary aim is to advance the science for reengineering U.S. health care delivery from today's costly, inconsistent provider-centric system to a better coordinated person-centered care system. This vision, guided by medical professionals, industry partners, and behavioral scientists, will create care improvements and sustainable, scalable integrated delivery models. The Planning Grant will engage partners to develop a common, deeper understanding of barriers and opportunities afforded by today's technologies as a basis for clarifying strategies and shaping the management structure of the proposed Engineering Research Center.This planning grant brings together a diverse team of researchers from the University of South Carolina, Clemson University, Claflin, University of Kentucky College of Medicine, and the PRISMA Health System, to develop a common, deeper understanding of barriers and opportunities afforded by today?s technologies. ERC-HCT will bring together expertise and research that generally functions in silos, eluding significant progress in system-level transformation. While most funded healthcare translational research supports evidence-based medicine, the proposed ERC-HCT fills a gap by addressing healthcare delivery optimization at a system level, a stubbornly intractable challenge. We will focus on advancing the fundamental sciences essential to address four key research thrusts: care coordination, clinical decision support, population health management, and personalized health. Sciences to be addressed include artificial intelligence, data science, biomedicine, health IT, complex system engineering, and human-computer interaction. Research will inform healthcare practice, payment, public policy, and provide a rich innovation ecosystem to prepare future leaders and attract new innovative researchers to partner universities, contributing to sustainability. As stakeholders work toward solutions, we anticipate that their views will coalesce around realistic possibilities and pathways forward for achieving the vision for a better engineered, patient-centered healthcare delivery system. The planning grant activities will focus on engaging these stakeholders to establish leadership, determine a governance structure for the ERC, and develop detailed strategies and action plans to sustain convergence across multiple ongoing research and testbed projects.This award reflects NSF's statutory mission and has been deemed worthy of support through evaluation using the Foundation's intellectual merit and broader impacts review criteria.