Reducing Health Disparities: A Health IT Solution

描述（由申请人提供）：“减少健康差距：健康IT解决方案”，提出了一项协作努力，以协调威斯康星州戴恩县的社区利益相关者，整合可复制和创新的健康IT解决方案，以克服加剧种族和少数民族健康差距和医疗保健质量的系统性障碍。从90年代末到2006年，戴恩县的非洲裔美国人婴儿死亡率急剧下降。在项目合作伙伴研究和评估急剧下降的原因时，我们建议建立在十多年成功的健康福利咨询联盟建设的基础上;护理协调;以及 为服务提供者提供培训，并制定“下一代”战略。我的保险计划公司和合作伙伴ABC for Health Inc. (ABC)开发供应商Yahara Software LLC、前哨合作伙伴St玛丽医院以及代表戴恩县健康观察联盟、健康开端和医学教育研究委员会婴儿死亡率协作的精选顾问提出了一个SBIR项目，以开发一个可访问的、基于网络的、文字直观的电子健康福利筛选工具，称为我的覆盖计划（MCP）。MCP的目标主要是减少三个可避免的健康差距：1）不保险率增加（经济）; 2）获得服务不足的非洲裔美国人或拉丁美洲人获得护理和覆盖面减少（文化）; 3）缺乏患者与提供者沟通的信息（知识）。该项目的具体目标包括：1）设计一个动态的、目标寻求的决策支持模型（DSM）; 2）使用“if/then”变量选择将DSM测试为原型软件应用程序，以使医疗服务提供者能够生成针对患者的医疗保险选项的电子文档; 3）设计一个具有适当操作系统配置和设计的软件应用程序，以确保系统的安全性;满足最终用户的期望;集成HIPPA要求;并符合HL 7和HITSP 电子病历系统集成的互操作性指南;以及4）设计一个 原型适合于提供商最终用户环境，但可在更广泛的应用程序中复制。未来的发展阶段将：在圣玛丽医院测试工作流程一体化，每年有700多名低收入者，其中30%是讲西班牙语的人，25%是非洲裔美国人，25%有特殊的医疗保健需求，以证明未投保的总人数减少。PI Atty。Robert Peterson是ABC for Health Inc的创始人，MCP工艺的发明者，并将担任MCP Inc的首席执行官。 （公共卫生相关声明）：“减少健康差距：健康IT解决方案”提出了一项社区合作，以减少可避免的健康差距，以及随之而来的对患者和医疗保健服务提供者的财务影响。我的保险计划（MCP）是一个基于网络的，文字直观的健康福利筛选创新，将生成电子保险记录，并确定当前和未来的公共和私人医疗保险选项。适当的协调和 最大限度地利用公共和私人保健资源是一项行之有效的战略，可减少可避免的健康差距，并通过增加获得保健的机会改善人口健康，同时为地方和州经济提供经济刺激，因为患者获得了现有的保险，并避免了医疗债务和无偿护理。

DESCRIPTION (provided by applicant): "Reducing Health Disparities: A Health IT Solution," proposes a collaborative effort to coordinate community stakeholders in Dane County, WI, to integrate a replicable and innovative health IT solution to overcome systemic barriers that exacerbate health disparities and quality of health care for racial and ethnic minorities. Dane county experienced a dramatic decrease in African American infant mortality from the late 90's to 2006. While project partners research and evaluate the causes for the precipitous drop, we propose to built upon a foundation of over a decade of successful health benefits counseling coalition building; care coordination; and benefits training for service providers and create the "next generation" strategy. My Coverage Plan, Inc. and partners ABC for Health Inc. (ABC), development vendor Yahara Software LLC, outpost partners St Mary's Hospital, and select advisors representing the Dane County HealthWatch Coalition, Healthy Beginnings, and The Medical Education Research Committee Infant Mortality Collaborative propose a SBIR project to develop an accessible, webbased, word-intuitive electronic health benefits screening tool called My Coverage Plan (MCP). MCP targets the reduction in primarily three avoidable health disparities: 1) the increased rate of un-insurance (economic); 2) the reduced access to care and coverage for underserved African American or Latino populations (cultural); and 3) the lack of patient-communicated information to providers (knowledge). The specific aims for the project include: 1) Design a dynamic, goal seeking decision support model (DSM); 2) Test a DSM into a prototype software application using "if/then" variable selection to enable health care providers to generate a patient-specific electronic document of healthcare coverage options; 3) Design a software application with a proper operating system configuration and design to ensure security of the system; meet enduser expectations; integrate HIPPA requirements; and comply with HL7 and HITSP interoperability guidelines for Electronic Medical Records systems integration; and 4) Design a prototype appropriate for a provider end user environment, yet replicable in broader applications. Future development phases will: test work flow integration at St. Mary's Hospital, with an available clientele of over 700 low-income individuals a year, of which 30% are Spanishspeaking, 25% are African American, and 25% have a special health care need, to demonstrate a reduced overall number of uninsured. The PI Atty. Robert Peterson is the founder of ABC for Health Inc, Inventor of the MCP process and will be the CEO of MCP Inc. (PUBLIC HEALTH RELEVANCE STATEMENT): "Reducing Health Disparities: A Health IT Solution" proposes a community collaboration to reduce avoidable health disparities and the attendant financial impacts on patients' and health care service providers. My Coverage Plan (MCP) is a web-based, word-intuitive health benefits screening innovation that will generate an electronic coverage record and identify current and future public and private healthcare coverage options. The proper coordination and maximization of public and private sources of health care is a proven strategy to reduce avoidable health disparities and improve population health associated with increased access to healthcare while providing economic stimulus to local and state economies as patients' secure available coverage and avoid medical-debt and uncompensated care.