Developing New Approaches to Chronic Disease Care: Collaborative Team Workflow

描述（由申请人提供）：这个K22职业发展建议的总体目标是发展PI，一个博士生培养的生物医学信息学研究员，成为一个独立的研究员。该提案包括职业发展活动和基于社区的生物医学信息学研究的结构化计划。 PI完成了生物医学工程的本科培训，并完成了生物医学信息学的研究生培训。她的生物医学信息学研究生培训是通过NLM资助的培训计划在范德比尔特大学医学院生物医学信息学系。在她的硕士和博士研究期间，PI开发了定性研究的知识和研究技能，用于了解工作流程，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技术，以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设计和实施开发新的范例。为了开始实现其长期职业目标的道路，PI的职业发展建议目标是：1）获得成为生物医学信息学独立研究者所需的知识、技能和经验，2）将我的研究转移到社区环境中并建立成功的社区研究所需的研究关系，3）对跨组织工作流程和技术在协作中的作用进行创新研究，以便为R 01资助提案收集初步数据，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四个领域：卫生系统设计、设计理论和方法、生物医学信息学方法和一般专业发展活动。卫生系统设计职业发展活动将侧重于关于卫生系统结构的正规教育，包括卫生系统设计的创新方法。设计理论和方法将侧重于设计思维原则的教育和设计过程的实践经验。生物医学信息学方法的发展将涉及生物医学信息学的继续教育和网络。一般的专业发展活动将包括与同行建立联系和职业技能建设活动。这些活动为PI的预期社区提供了逻辑基础- 基于生物医学信息学的研究生涯。 拟议的研究计划将PI的研究从学术医疗中心环境转移到社区。基于她以前的研究经验，PI将在最近建立的以社区为基础的合作中对工作流程、信息流和合作障碍进行研究，重点是镰状细胞病护理。拟议的研究将提供有关支持组织间合作所需的信息学组成部分的重要数据，并将为基于社区的研究工具和技术奠定基础，这将有助于今后对其他组织合作进行赠款资助的研究。 总之，拟议的研究解决了一个重要的生物医学信息学的挑战，支持组织间的合作，同时促进PI的职业发展，并为未来的研究提供初步数据。

DESCRIPTION (provided by applicant): 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 my research into the community setting and build the research relationships necessary for successful community-based 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 four areas: health system design, design theory and methods, 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. 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 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.