Nursing Home Training to Impact CMS Indicators

描述(由申请人提供)：至少有一半的养老院居民患有阿尔茨海默氏症或其他痴呆症[7]，许多养老院照顾者缺乏必要的知识和技能来提供适当的护理[4-10]。从2002年秋季开始，医疗保险和医疗补助服务中心(CMS)开始在其网站上公布所有疗养院在十个质量指标上的得分，其中三个与痴呆症护理特别相关(使用身体约束、疼痛控制和维持日常生活中后期丧失的活动--ADL)。Healthcare Interactive通过与全国阿尔茨海默氏症协会的创新合作，建议将交互式多媒体的能力应用于疗养院和辅助生活设施中专业和半专业护理人员的教育需求，最终实现影响这些CMS指标的第二阶段目标。第一阶段项目的目标是证明基于互联网的交互式多媒体培训资源的可行性，该培训资源针对患有阿尔茨海默病或其他痴呆症的疗养院居民的专业和半专业护理人员。通过提供有关阿尔茨海默氏症和痴呆症护理的一般培训，重点关注三个CMS指标衡量的领域，原型应该会改善住院医生的护理实践和结果，并提高疗养院的分数。第二阶段的计划包括产品完成度和有效性测试，以确定培训计划对指标的影响程度。初步商业化将集中在与阿尔茨海默氏症协会全国办公室和互联网上互动健康相关内容出版商的营销努力上。由于疗养院管理者在CMS质量指标上的得分较高，因此，纳入这三个指标衡量的领域的培训应有助于说服管理者购买和使用拟议的培训方案。 由于养老院的多封支持信、专业焦点小组的参与、指导开发过程的国家咨询委员会的专业知识、如果第一阶段获得批准，阿尔茨海默氏症协会全国办公室提供300小时的实物支持，以及协会同意销售所产生的产品，这一阶段的提交得到了加强。

DESCRIPTION (provided by applicant): At least half of all nursing home residents have Alzheimer's Disease or another dementing condition [7], and many nursing home caregivers lack needed knowledge and skills to provide appropriate care [4-10]. Beginning in the fall of 2002, the Centers for Medicare and Medicaid Services (CMS) began posting on its website scores for all nursing homes on ten quality indicators, three of which are particularly relevant for dementia care (use of physical restraints, pain management, and maintenance of late-loss Activities of Daily Living--ADLs). Healthcare Interactive, in an innovative collaboration with the national Alzheimer's Association, proposes to apply the capabilities of interactive multimedia to the educational needs of professional and paraprofessional caregivers in nursing homes and assisted living facilities with the eventual Phase Ii goal of impacting these CMS indicators. The goal of the Phase I project is to demonstrate feasibility of an Internet-based interactive multimedia training resource targeted to professional and paraprofessional caregivers of nursing home residents with Alzheimer's disease or another dementing condition. By providing general training about Alzheimer's and dementia care with focused attention to the areas measured by the three CMS indicators, the prototype should result in improved care practices and outcomes for the residents and improved scores for the nursing homes. Plans for Phase Ii include product completion and efficacy testing to determine the extent of which the training program impacts the indicators. Primary commercialization will concentrate on marketing efforts with the national office of the Alzheimer's Association and publishers of interactive health-related content on the Internet. Since nursing home administrators value higher scores on the CMS quality indicators, the inclusion of training on areas measured by the three indicators should help in convincing administrators to purchase and use the proposed training package. This Phase 1 submission is strengthened by multiple letters of support from nursing homes, the involvement of professional focus groups, the expertise of a National Advisory Board to guide the development process, the offer of 300 hours of in-kind support from the national office of the Alzheimer's Association should this Phase I be approved, and the agreement by the Association to market the resulting product.