Chronic Disease Management System

描述（由申请人提供）：第一阶段STTR的重点是测试基于ClinfoTracker（一个在学术环境中开发的现有系统）开发可扩展的商业健康信息系统的可行性。该系统将对癌症等慢性疾病的识别、跟踪和管理产生重大影响。通过跟踪和管理包括筛查、预防、诊断和治疗在内的所有阶段的活动和结果，包括患者和非办公室护理人员在内的所有护理服务参与者，并向临床医生提供有关所需服务的主动提示和提醒，该系统将大大提高临床医生在慢性病预防和护理方面的能力。目前的卫生信息系统和慢性病管理系统不能充分满足临床医生提供全面优质护理的需要。电子病历系统侧重于文件的编码、转录和电子捕获，而不是慢性病的管理和护理。许多卫生信息技术解决方案需要改变临床医生的工作流程，不能与其他系统交换数据，并且对于中小型医生的实践来说过于昂贵。将这些问题结合起来，为临床医生提供了一些真正全面的选择，并提供了有利的成本效益比。STTR的第一阶段扩展了之前的工作，收集了更多关于ClinfoTracker在实践中的使用的细节，并通过以下目标开发了一个完整的慢性疾病管理系统的原型：通过检查护理交付和临床工作流程的变化，记录对患者、临床医生和办公室工作人员满意度的影响，详细说明系统的问题、缺点和缺失的组件，以及了解实践和他们所服务的患者的价值主张，调查在现有实施中，ClinfoTracker如何影响预防和慢性病护理。2)。根据ClinfoTracker的原则，根据潜在最终用户的意见，设计一个价格合理、可采用的全面系统的原型。二期的后续工作将包括完成并满足完整的产品规格，在临床环境中进行测试，评估其对用户的影响，并开发用户和技术文档。一个设计良好、完善、符合现有临床工作流程、价格合理的软件解决方案将会被市场所接受，并对慢性病的筛查、预防和治疗产生重大影响。这项研究将产生一种原型系统，可以对慢性疾病的筛查、预防和治疗产生重大影响，慢性疾病影响着超过一半的美国公民。更好地预防和治疗慢性疾病将减少其对美国公民健康和美国医疗保健费用的有害影响。

DESCRIPTION (provided by applicant): This Phase I STTR is focused on testing the feasibility of developing a scalable, commercial health information system based on ClinfoTracker, an existing system developed in an academic setting. The proposed system can significantly impact the recognition, tracking and management of chronic diseases such as cancers. By tracking and managing activities and outcomes at all stages including screening, prevention, diagnosis and treatment, involving all care delivery participants, including patients and non-office care-givers, and delivering proactive prompts and reminders to clinicians regarding required services, this proposed system will greatly increase the ability of clinicians in prevention and care of chronic disease. Current health information systems and chronic disease management systems do not adequately address the needs of clinicians to provide comprehensive quality care. Electronic medical record systems focus on coding, transcription and the electronic capture of documents and not on the management and care of chronic disease. Many health information technology solutions require changes to clinician workflow, cannot exchange data with other systems and are too expensive for adoption by small to mid-sized physician practices. Combining these issues provides a clinician with few options that are truly comprehensive and offer a favorable cost to benefit ratio. This STTR Phase I expands upon prior work by gathering more detail about the use of ClinfoTracker in practice and developing the prototype of a full chronic disease management system through the following aims: 1.) Investigate how, in existing implementations, ClinfoTracker impacts prevention and chronic disease care by examining changes in care delivery and clinical workflow, documenting the impact on patient, clinician and office staff satisfaction, detailing the system's problems, shortcomings and missing components and understanding the value proposition for practices and the patients they serve. 2.) Design a prototype of a fully- comprehensive system that is affordable and adoptable and built upon the principles of ClinfoTracker with input from potential end-users. Follow-up work in Phase II will include completing and meeting full product specifications, testing in clinical environments and evaluating its impact on users and developing user and technical documentation. A software solution that is well-designed and thorough, works with an existing clinical workflow and is reasonably priced will be ready accepted by the market and can significantly impact the screening, prevention and treatment of chronic disease. This research will result in a prototype system that can significantly impact the screening, prevention and treatment of chronic disease, a problem that affects over one-half of all U.S. citizens. Better prevention and treatment of chronic disease will reduce its detrimental impact on both the health of U.S. citizens and U.S. health care costs.