Advancing Patient-Centered Outcomes in Addiction Psychiatry Practice

描述（由申请人提供）：美国成瘾精神病学学会（AAAP）及其在威斯康星大学成瘾治疗改善网络（NIATx）和VA-Madison （VHA）的合作伙伴提出了一项试点研究，其总体目标是使用认证维护（MOC）过程来激励成瘾精神病学家学习传统和/或社交媒体途径教授的技能，使他们能够以患者为中心结果研究（PCOR）在他们的病人的护理。通过MOC，所有获得委员会认证的医生都应该证明他们致力于为患者实现高质量的临床结果，并确保他们提供的护理质量符合同行和国家基准的标准。MOC是认证机构、保险公司、医院和联邦政府认可的质量指标。我们将特别关注MOC实践绩效（PIP）的第4部分流程（MOC4）以及同行和患者评审。我们建议进行一项试点研究，分为三个阶段：(1)开发和定制以患者为中心的流程和支持MOC所需的材料；(2)通过AAAP年会学习协作、后续网络研讨会和社交媒体，提供关于PCOR知情护理、MOC4、绩效改进原则和社交媒体的技能和内容教育，以及项目/护理成果的衡量；(3)向AAAP会员传播教育过程，并通过MOC/社交媒体机制为AAAP对PCOR知情护理的持续支持做准备。我们的目标是：(1)开发PCOR知情PIP项目，并与临床医生进行焦点小组讨论，以定制所有以PCOR为重点的努力，并对临床医生和患者最重要，同时开发使用社交媒体的最佳机制，以追求PCOR知情的护理和mo4完成；(2)在AAAP年会上开展学习协作，教150名参与者学习如何开展PCOR知情的PIP项目以及互补的同行评审项目，并在自己的实践中实施，并记录MOC和本项目的成果；(3)在AAAP 2014年年会上向AAAP全体会员传播由此产生的学习协作、网络研讨会和其他社交媒体链接/支持。第三阶段还将包括产品的传播，包括将这些产品/过程的使用范围扩大到：(1)在成瘾精神病学项目中接受培训的研究员；(2)接受成瘾训练的精神科住院医师；(3)退伍军人健康管理局和(4)在威斯康星大学全国成瘾系统绩效改善项目中工作的其他学科。该项目将证明moc驱动的、社会媒体传递的方法在改善美国儿科学会成瘾精神病学家的PCOR知情护理方面的可行性。最后，该项目将使AAAP对这些努力的支持制度化，以便在未来维持并不断改进它。

DESCRIPTION (provided by applicant): Advancing Patient-Centered Outcomes in Addiction Psychiatry Practice The American Academy of Addiction Psychiatry (AAAP) and its partners at the University of Wisconsin's Network for Improvement of Addiction Treatment (NIATx) and VA-Madison (VHA) propose a pilot study with the overall aim of using the Maintenance of Certification (MOC) process to motivate addiction psychiatrists to learn skills taught by traditional and/or social media routes that will enable them to employ patient centered outcomes research (PCOR) in the care of their patients. Through MOC, all board certified physicians are expected to demonstrate their commitment to achieving quality clinical outcomes for their patients and to ensure that the quality of care they provide meets the standards in comparison to their peers and national benchmarks. MOC is a quality indicator recognized by credentialing organizations, insurers, hospitals, and the federal government. We will specifically focus on the MOC Part 4 process (MOC4) of Performance in Practice (PIP), and peer and patient review. We propose a pilot study with three stages: (1) development and tailoring of patient-centered processes and materials needed to support MOC; (2) delivery of skills and content education regarding PCOR informed care, the MOC4, performance improvement principles, and social media, as well as measurement of outcomes of projects/care through a AAAP Annual Meeting Learning Collaborative, follow-up webinars and social media; and (3) dissemination of educational process to full AAAP membership and preparation for sustained support by AAAP of PCOR informed care via the MOC/social media mechanisms. Our aims are to: (1) develop PCOR-informed PIP projects, and conduct focus groups with clinicians to tailor all efforts to be PCOR focused and optimally important to clinicians and patients as well as to develop optimal mechanisms for use of social media in the pursuit of PCOR-informed care and MOC4 completion; (2) conduct learning collaborative at AAAP annual meeting to teach 150 participants to learn how to do PCOR informed PIP projects as well as complementary peer review projects, implement them in their own practices, and document the outcomes for MOC and for this project; and (3) disseminate the resulting learning collaborative, webinars, and other social media links/supports to the full AAAP membership at the AAAP 2014 Annual Meeting. Stage 3 will also include dissemination of products, including the possibility of extending use of these products/processes to: (1) fellows in training in Addiction Psychiatry programs; (2) psychiatry residents receiving their addiction training; (3) the Veterans Health Administration and (4) other disciplines working in UW's nationwide addiction system performance improvement programs. This project will demonstrate the feasibility of this process of MOC-motivated, social-media-delivered approaches to improving PCOR informed care to addiction psychiatrists in AAAP. Finally, this project will allow AAAP to institutionalize its support for these efforts so as to sutain it and continually improve it in the future.