Improving Care in HF Patients through Decision Support

描述（由申请人提供）：这是由Cheryl Dennison提交的修改后的申请，Cheryl Dennison是约翰霍普金斯大学护理学院的一名初级教员，在约翰霍普金斯大学医学中心进行质量患者护理创新。该候选人具有重症监护临床医生的背景，是一名具有预防心脏病学专业知识的成年执业护士，并拥有护理博士学位。候选人的目标是成为一名独立的临床研究者，运用严谨的研究方法开发和评估创新的跨学科方法，以提高慢性疾病（如心力衰竭）的护理质量。心衰是一个重大的公共卫生问题，影响着美国近500万美国人。预计到2007年，其在美国的流行率将翻一番。虽然5年内50%的心衰死亡率最近有所下降，但心衰发病率已达到流行病的程度。心衰仍然非常普遍，致残和昂贵，这在很大程度上是由于有效治疗的利用不足，尽管广为宣传的管理指南。候选人提出的职业发展计划包括一个跨学科的培训计划，旨在提供与结构化教学课程相关的密集、密切指导的研究经验。在资深研究人员的指导下。Jerilyn Allen和Peter Pronovost，候选人将进行监督研究，同时参加健康信息学和决策支持，护理质量，组织和提供者行为改变以及成本分析方法的高级课程。候选人建议开发、形成评估和试点测试一个创新的、交互式的、基于网络的临床决策支持系统（CDSS），以改善提供者对国家循证指南的实施，从而提高心衰患者的护理质量。本研究、其他研究项目和其中描述的职业发展计划将使该候选人成为一名独立、合作、在跨学科团队科学中高度社会化的研究者，并为其成功的职业生涯做好准备。

DESCRIPTION (provided by applicant): This is a revised application submitted by Cheryl Dennison, a junior faculty member at the Johns Hopkins University School of Nursing with an appointment in the Johns Hopkins Medicine Center for Innovation in Quality Patient Care. The candidate has a background as a clinician in critical care, is an adult nurse practitioner with preventive cardiology expertise, and has a PhD in nursing. The candidate's goal is to become an independent clinician investigator applying rigorous research methods to develop and evaluate innovative, interdisciplinary methods to improve quality of care for chronic illnesses, such as heart failure (HF). HF is a major public health problem, affecting nearly 5 million Americans in the United States. Its prevalence is expected to double in the United States by 2007. Although HF mortality of 50% over 5 years has recently decreased, HF morbidity is reaching epidemic proportions. HF remains highly prevalent, disabling, and costly in large part due to underutilization of effective therapies despite well-publicized management guidelines. The candidate's proposed career development plan incorporates an interdisciplinary training program designed to provide an intense, closely mentored, research experience in association with structured didactic curriculum. Under the mentorship of senior investigators, Drs. Jerilyn Allen and Peter Pronovost, the candidate will conduct supervised research while concurrently enrolled in advanced coursework in Health Informatics and Decision Support, Quality of Care, Organizational and Provider Behavior Change, and Cost Analysis methodology. The candidate proposes to develop, formatively evaluate, and pilot test an innovative, interactive, Web-based clinical decision support system (CDSS) to improve provider implementation of national evidence-based guidelines and thereby improve quality of care among HF patients. This study, other research projects, and the career development plan described within will prepare this candidate for a successful career as an independent, yet collaborative, investigator strongly socialized in interdisciplinary team science.