Development, Usability Testing, and Effectiveness Evaluation of the Wraparou

项目总结 此第二阶段小型企业技术转让(STTR)项目的目的是完成开发 并评估总结式团队监控系统(Wrap-TMS)的可用性和有效性，这是一个网络- 基于电子行为健康信息系统(EBHIS)，适用于实施最广泛的护理 协调模式在儿童行为健康中的概括过程。概括的过程是 只有明确的、基于研究的、个性化的护理协调程序，才能为这些儿童和青年及其 家人。现在，Wraparound每年在美国近1000个地点为100,000多名年轻人实施。 然而，尽管卫生保健更加重视利用卫生信息技术来改善 效率、服务质量和责任，到目前为止，还没有灵活的、可在本地配置的EBHIS 为环绕式设计。此外，尽管环论现在被认为是“以证据为基础的”， 现实世界中的实施往往不符合保真度标准和/或使用客观数据来指导 管理、监督和临床决策。这种系统的可用性将支持效率， 实施质量和保真度，以及结果，为青年参加总结。在我们的第一阶段STTR中 项目，我们成功地指定、开发、编程并建立了可行性、实用性、可靠性、 以及Wrap-TMS的商业化潜力。WRAP-TMS现在具有数据输入功能， 管理所需的全部数据和信息元素的管理和基本报告 为患有严重情绪和行为障碍(SEBD)的青少年提供综合护理协调倡议。在灯光下 关于我们在第一阶段的成功，随后与联邦机构的伙伴关系，以及几个感兴趣的人的询问 国家和20多个提供者和管理型护理组织，在此第二阶段STTR中，我们将：(1)完成 根据第一阶段反馈进行修订，并扩大信息管理和报告能力 WRAP-TMS，包括“拖放”报告、程序级汇总报告、临床警报和治疗 来自功能评估以及成本和服务跟踪的建议；(2)开发和测试支持 WRAP-TMS传播技术，包括WRAP-TMS用户手册、质量保证和支持 桌面模型、基于Web的Wrap-TMS培训课程、互操作性框架基础设施和触摸屏 平板电脑和智能手机的屏幕应用程序；(3)通过基于实验室的迭代学习和可用性测试 系统及其在线用户手册的测试和错误跟踪，以及与真实世界端的现场测试 用户；以及(4)进行随机对照有效性研究，比较n=20名环绕式促进者 他们使用Wrap-TMS服务于n=80个家庭到20个非用户工作人员服务于80个家庭的从业者， 执行情况和青年/家庭成果。

PROJECT SUMMARY The purpose of this Phase II Small Business Technology Transfer (STTR) project is to complete development and evaluate usability and effectiveness of the Wraparound Team Monitoring System (Wrap-TMS), a web- based, electronic behavioral health information system (EBHIS) for the most widely implemented care coordination model in children's behavioral health, the wraparound process. The wraparound process is the only defined, research-based, individualized care coordination process for these children and youth and their families. Wraparound is now implemented for over 100,000 youths annually in nearly 1,000 sites in the U.S. However, despite increased emphasis in health care on use of health information technology to improve efficiency, service quality, and accountability, to date no flexible, locally configurable EBHIS has been developed for wraparound. Moreover, though wraparound is now considered "evidence-based," implementation in the real world often fails to conform to standards of fidelity and/or use objective data to guide management, supervision, and clinical decision making. Availability of such a system will support efficiency, implementation quality and fidelity, and outcomes for youths enrolled in wraparound. In our Phase I STTR project, we successfully specified, developed, programmed, and established the feasibility, utility, reliability, and commercialization potential of Wrap-TMS. Wrap-TMS now features functionality for data entry, management, and basic reporting for the full array of data and information elements needed to manage an integrated care coordination initiative for youths with serious emotional and behavioral disorder (SEBD). In light of our success in Phase I, subsequent partnerships with federal agencies, and inquiries of interest from several states and over 20 provider and managed care organizations, in this Phase II STTR we will: (1) Complete revisions based on Phase I feedback, and expand the information management and reporting capacities of Wrap-TMS, including "Drag and Drop" reporting, program-level aggregate reports, clinical alerts and treatment recommendations from functional assessments, and costs and service tracking; (2) Develop and test support technologies for Wrap-TMS dissemination, including Wrap-TMS User's Manual, quality assurance and support desk models, web-based Wrap-TMS training curriculum, interoperability frameworking infrastructure, and touch screen apps for tablets and smart phones; (3) Continue iterative learnability and usability testing, via lab-based testing and bug tracking of the system and its online user's manual, as well as live tests with real-world end users; and (4) Conduct a randomized controlled effectiveness study comparing n=20 wraparound facilitators who use Wrap-TMS serving n=80 families to 20 non-user staff serving 80 families on practitioner, implementation, and youth/family outcomes.