Developing New Approaches to Chronic Disease Care: Collaborative Team Workflow

项目摘要 这个K22职业发展建议的总体目标是发展PI，一个博士培训 生物医学信息学的研究员，成为一名独立的研究员。该提案包括 职业发展活动和基于社区的生物医学结构化计划 信息学研究 PI完成了生物医学工程的本科培训， 生物医学信息学研究生培训。她的生物医学信息学研究生培训是 通过范德比尔特大学医学院的NLM资助的培训项目 生物医学信息学系。在硕士和博士研究期间，PI 在定性研究方面发展了知识和研究技能， 工作流程、信息流以及卫生信息技术在医疗保健服务中的作用。 PI的长期职业目标是开发快速表征 现有的工作实践，并为以患者和提供者为中心的HIT开发新的范例 设计和实施。为了开始实现长期职业目标的道路， PI的职业发展目标是：1）获得知识，技能， 经验需要成为生物医学信息学的独立调查员，2）移动 [her]研究社区环境，建立必要的研究关系， 成功的以社区为基础的[信息学]研究，3）进行跨学科的创新研究， 组织工作流程和技术在协作中的作用，以收集初步的 R 01基金提案的数据，以及4）获得独立的研究资金。 本提案中的职业发展活动侧重于[五个]领域： 设计，设计理论和方法，[基于社区的参与式研究（CBPR）]， 生物医学信息学方法和一般专业发展活动。健康 系统设计职业发展活动将侧重于正规教育的结构， 卫生系统，包括卫生系统设计的创新方法。设计理论和 方法将侧重于教育的原则，设计思维和动手的经验， 设计流程[The CBPR将提供必要的CBPR理论培训和知识， 方法和应用]。生物医学信息学方法的发展将包括继续 生物医学信息学的教育和网络。一般专业发展活动 将涉及与同龄人建立联系和职业技能培养活动。这些活动提供了 PI预期的基于社区的生物医学信息学研究的逻辑基础 事业 拟议的研究计划将PI的研究从学术医学中心转移 设置到社区。基于她之前的研究经验，PI将进行一项研究 工作流程，信息流，以及在最近建立的社区中协作的障碍- 基于合作，重点关注镰状细胞病护理。[The PI将与合作伙伴合作， 社区建立一个强大的基于社区的信息学研究方法 挑战。]拟议的研究将提供有关信息学的重要数据 支持组织间协作所需的组成部分，并将为 以社区为基础的研究工具和技术，将促进未来的赠款资助的研究， 其他组织合作。 总之，拟议的研究解决了一个重要的生物医学信息学 在促进PI职业生涯的同时支持组织间合作的挑战 为今后的研究提供初步数据。

PROJECT SUMMARY The overall goal of this K22 career development proposal is to develop the PI, a PhD trained researcher in biomedical informatics, into an independent researcher. The proposal contains both career development activities and a structured plan of community-based biomedical informatics research. The PI completed undergraduate training in biomedical engineering and completed graduate training in biomedical informatics. Her biomedical informatics graduate training was through the NLM-funded training program in the Vanderbilt University School of Medicine Department of Biomedical Informatics. During her masters and doctoral research, the PI developed knowledge and research skills in qualitative research applied to understanding workflow, information flow, and the role of health information technology in healthcare delivery. The PI's long-term career goals are to develop techniques to rapidly characterize existing work practices and to develop new paradigms for patient- and provider-centric HIT design and implementation. To begin the path towards achieving her long-term career goals, the PI's goals for this career development proposal are: 1) to gain the knowledge, skills, and experience needed to become an independent investigator in biomedical informatics, 2) to move [her] research into the community setting and build the research relationships necessary for successful community-based [informatics] research, 3) to conduct innovative research on cross- organizational workflow and the role of technology in collaboration in order to gather preliminary data for R01 funding proposals, and 4) to obtain independent research funding. The career development activities in this proposal focus on [five] areas: health system design, design theory and methods, [community-based participatory research (CBPR)], biomedical informatics methods, and general professional development activities. The health system design career development activities will focus on formal education on the structure of the health system, including innovative approaches health system design. Design theory and methods will focus on education in principles of design thinking and hands on experiences with design processes. [The CBPR will provide necessary training and knowledge on CBPR theory, methods, and application.] Biomedical informatics methods development will involve continuing education and networking in biomedical informatics. General professional development activities will involve networking with peers and career skill-building activities. These activities provide a logical foundation for the PI's intended community-based biomedical informatics research career. The proposed research plan moves the PI's research from the academic medical center setting to the community. Building on her prior research experiences, the PI will conduct a study of workflow, information flow, and barriers to collaboration in a recently established community- based collaboration focused on sickle cell disease care. [The PI will work with partners in the community to establish a robust community-based research approach to informatics challenges.] The proposed research will provide important data regarding informatics components needed to support inter-organizational collaboration and will build a foundation of community-based research tools and techniques that will facilitate future grant-funded studies of other organizational collaborations. In summary, the proposed research addresses an important biomedical informatics challenge in supporting inter-organizational collaboration while facilitating the PI's career development and providing preliminary data for future research.