Quality Improvement Methods in Geriatric Mental Health

描述（由申请人提供）：本提案为K01指导研究科学家发展奖。候选人是一名临床心理学家，也是康奈尔大学干预与服务研究高级中心（ACISR）的发展研究员。该申请的目标是提供进一步的跨学科培训和研究机会，使候选人成为一名独立的卫生服务研究人员，专门研究提高老年心理健康环境中循证治疗方案（ebp）的吸收和可持续性的策略。该候选人的职业目标是开发和研究跨学科的质量改进方法，以改善家庭护理和其他环境中老年患者的循证精神卫生服务的传播、吸收和可持续性。本应用的职业发展目标是学习：1)以医疗保健为重点的质量改进方法，2)精神卫生服务的先进研究方法，3)循证治疗指南的发展和传播，以及4)医疗保险政策/支付，以及它如何影响家庭护理中的精神卫生服务。拟议的试点研究侧重于使用质量改进方法，以改善伙伴家庭保健机构对抑郁症循证治疗方案的接受和使用。将评估护理实践、患者结果和用户对质量改进方法的可接受性。

DESCRIPTION (provided by applicant): This proposal is for a K01 Mentored Research Scientist Development Award. The candidate is a clinical psychologist and developing investigator at the Cornell Advanced Center of Interventions and Services Research (ACISR). The goal of this application is to provide further interdisciplinary training and research opportunities to transition the candidate to become an independent health services researcher, specializing in strategies to improve the uptake and sustainability of evidence-based treatment protocols (EBPs) in geriatric mental health settings. The career goal of the candidate is to develop and study cross-disciplinary quality improvement methods to improve the dissemination, uptake and sustainability of evidence-based mental health services for older patients in home care and other settings. The career development objectives of this application are to learn about: 1) healthcare-focused quality improvement methods, 2) advanced research methods in mental health services, 3) development and dissemination of evidence-based treatment guidelines, and 4) Medicare policy/payment, and how it influences mental health services in home care. The proposed pilot study focuses on the use of a quality improvement method to improve the uptake and use of a depression evidence-based treatment protocol in a partner home health agency. Nursing care practice, patient outcomes, and user acceptability of the quality improvement methodology will be evaluated.