Model of Integrative Care In An Academic Health Center

描述（由申请人提供）：本申请的目的是 在学术医疗机构内开发可复制的综合护理模式 中心这个应用程序建立在贝丝已经在进行的努力之上 以色列女执事医疗中心（BIDMC）和哈佛医学院（HMS）， 设计并实现这样一个模型。我们的综合护理中心，目前 计划于2002年在BIDMC开放，旨在作为一个 将在区域内其他医院完善和复制原型， 全国范围内。它还旨在为新的研究提供数据， 成立了HMS研究和教育部， 综合医学治疗。慈善团体已经 承诺提供资金，以支持该模型中心的建设和人员配备， BIDMC。本NIH申请的目的是确保 模型;以及，测试其产生科学上有用的临床 和财务数据。 具体目标如下： I.在第一阶段，制定必要的示范战略和医院程序， 在学术健康中心内开设综合护理中心。这些 战略和程序将解决各种问题，包括 资格认证、责任、药房和治疗指南、数据跟踪， 计费、管理要求、有效的患者分流以及 与跨专业团队建设有关的障碍。 2.在第二阶段，为了在一个 学术健康中心内的综合护理临床设施;即， BIDMC是哈佛医学院的主要教学附属机构。 3.在第三阶段，为了证明我们有能力评估 在一项涉及医院的试点RCT中，综合护理中心提供的护理 员工和管理式护理患者因腰痛致残。我们还将 记录使用综合方法治疗背痛的成本与 常规护理方法。 4.在第四阶段，审查我们的试点研究结果，以设计随后的 具有足够统计把握度的全面试验;总结 建立和维持这一模式：并记录我们的战略， 传播我们的程序，使模型能够在 其他网站.

DESCRIPTION (provided by applicant): The purpose of this application is to develop a replicable model of integrative care within an academic medical center. This application builds upon efforts already underway at the Beth Israel Deaconess Medical Center (BIDMC) and Harvard Medical School (HMS) to design and implement such a model. Our integrative care center, currently planned to open at the BIDMC in the year 2002, is intended to serve as a prototype to be refined and replicated at other hospitals regionally and nationally. It is also intended to provide research data for the newly established HMS Division for Research and Education in Complementary and Integrative Medical Therapies. The philanthropic community has already committed funding to support the building and staffing of this model center at BIDMC. The purpose of this NIH application is to insure the transferability of the model; and, to test its capacity to generate scientifically useful clinical and financial data. The specific aims are as follows: I. In Phase I, to develop model strategies and hospital procedures necessary to open an integrative care center within an academic health center. These strategies and procedures will address a variety of issues including credentialing, liability, pharmacy and therapeutics guidelines, data tracking, billing, administrative requirements, efficient patient triage as well as barriers relating to inter-professional team building. 2. In Phase II, to implement and refine these strategies in the operation of an integrative care clinical facility within an academic health center; namely, the BIDMC, a major teaching affiliate of the Harvard Medical School. 3. In Phase III, to demonstrate our ability to evaluate the effectiveness of care provided by the Integrative Care Center in a pilot RCT involving hospital employees and managed care patients disabled by low back pain. We will also document the costs of treating back pain using the integrative approach vs. the usual care approach. 4. In Phase IV, to review the results of our pilot study to design a subsequent full-scale trial with adequate statistical power; to summarize the cost of building and sustaining this model: and, to document our strategies and disseminate our procedures, enabling transfer and refinement of the model at other sites.