Information Systems for Community Long Term Care

描述(由申请人提供)：在该计划的第一阶段，RTZ Associates开发了MSSPCare，这是一个电子集成信息系统，旨在满足加州最大的以家庭和社区为基础的服务计划-多功能高级服务计划(MSSP)-的所有运营、临床、管理、财政和州报告需求。拟议的第二阶段项目将在第一阶段的基础上，在MSSPCare和称为PACECare的信息系统之间建立一个共同的核心数据集，该信息系统是在第一阶段之后为国家PACE方案开发的。目前，国家和州正在努力比较长期护理计划，评估其优势和劣势，并开发最佳实践模式。拟议的第二阶段项目将创建一个业务数据仓库，用于比较不同地点、不同方案和不同州的客户信息，以提高方案管理和质量。具体地说，第二阶段项目将使用数据仓库编写跨站点摘要报告，比较客户人数和结果，并编写基准报告，将个别站点与其他类似方案进行比较。第二阶段还将使用数据仓库来解决第一阶段和PACECare项目开发阶段中揭示的一个优先问题：药物管理结果。由于医疗保险处方药改进和现代化法案(MMA)的通过，这个问题最近变得更加紧迫，该法案使老年人比以往任何时候都更容易获得处方药。具体地说，第二阶段项目将：1.开发与家庭医疗评估最低数据集(MDS-HC)兼容的通用核心MSSPCare/PACECare数据集，用于比较客户特征；2.开发跨两个信息系统的标准化药物相互作用检测软件；3.建立多站点数据仓库，并使用生成的分析来改进计划管理和质量；4.使用数据仓库改进临床实践，以检测重复的药物和潜在危险的相互作用；5.研究药物问题检测软件对处方模式和客户结果的影响；6.评估采用率、使用模式、企业软件系统和数据仓库的成本和收益。

DESCRIPTION (provided by applicant): During Phase I of the initiative, RTZ Associates developed MSSPCare, an electronic integrated information system designed to meet all of the operational, clinical, management, fiscal and state reporting needs of California's largest home- and community-based services program, the Multi-Purpose Senior Services Program (MSSP). The proposed Phase II project will build on Phase I by building a common core data set across MSSPCare and the information system called PACECare that was developed subsequent to Phase I for the national PACE program. Currently, there is a national and state effort to compare long term care programs, evaluate their strengths and weaknesses and to develop best practice models. The proposed Phase II project will create an operational data warehouse for comparing client information across sites, across programs, and across states for the purpose of improving program management and quality. Specifically, the Phase II project will use the data warehouse to prepare cross-site summary reports, to compare client populations and outcomes, and to prepare Benchmark Reports for the comparison of individual sites to other like programs. Phase II will also employ the data warehouse to address a priority issue revealed in the Phase I and PACECare project development phases: medication management outcomes. This issue has recently become more pressing due to the passage of the Medicare Prescription Drug Improvement and Modernization Act (MMA), which renders prescription drugs more accessible than ever to seniors. Specifically, The Phase II Project will: 1. Develop a common core MSSPCare/PACECare data set, compatible with the Minimum Data Set for Homecare Assessments (MDS-HC), for comparing client characteristics, 2. Develop a standardized drug interaction detection software across both information systems, 3. Build a multi-site data warehouse and use the analyses generated to improve program management and quality, 4. Use the data warehouse to improve clinical practice to detect redundant medications and potentially dangerous interactions, 5. Study the impacts of the medication problem detection software on prescription patterns and client outcomes, and 6. Evaluate the adoption rates, use patterns, costs and benefits of the enterprise software system and data warehouse.