Improving Video Visit Adoption by Surgeons

项目总结/摘要 博士Chad Ellimoottil是一名外科专家，其长期职业目标是通过以下方式改善患者的预后： 促进采用视频访问。目前的研究表明，手术视频访问可以1）减少 农村患者的旅行负担，2）减少患者和护理人员的医疗费用，3）增加患者 不影响护理质量。尽管有这些优势，但只有不到1%的外科医生使用 视频访问研究计划：本提案直接响应AHRQ的特别强调通知， 支持职业发展赠款（K 08），重点是卫生信息技术的实施（而不是- HS-13-011）。它利用了在卫生经济学、实施科学和远程医疗方面具有专业知识的导师 了解货币和非货币障碍对手术视频访视的作用 采用以及如何通过旨在推动行为改变的干预措施来缓解这些障碍。 本研究的目的有三：1）评价付费改革对外科医生使用视频访视的影响 患者; 2）定义手术视频访问采用的非金钱障碍; 3）设计和试点 实施干预，以促进视频访问的采用。候选人：博士Ellimoottil是助理教授 在密歇根大学泌尿外科，在那里他完成了为期两年的卫生服务研究奖学金。博士 Ellimoottil通过他的虚拟诊所，他的临床，行政和远程医疗研究经验， 参与密歇根医学的虚拟护理团队，以及他领导远程医疗研究合作的角色。 职业发展计划：Ellimoottil博士的职业发展计划建立在他的培训和职业生涯的基础上 经验：1）学习先进的定量方法（与研究目标1相关）; 2）学习调查 设计和定性方法（与研究目标2相关），以及3）学习实施原则 与采用远程保健有关的科学（与研究目标3有关）。导师团队：主要导师大卫博士 米勒是密歇根医学的首席临床官。他目前是R 01资助的首席研究员 与医疗服务改革有关。共同导师Sarah Krein博士在调查设计方面有20年的经验， 定性方法和实施科学。共同导师Andy Ryan博士是一位健康经济学家， 在先进的定量方法，包括计量经济学的专业知识。Ellimoottil博士的顾问委员会包括 两名国家认可的远程医疗专家（Rashid Bashshur和Judd霍兰德博士）和一名由R 01资助的 执行科学专家（Ted Skolarus博士）。这项研究将有利于患者，从业人员， 决策者通过制定循证方法来推动远程保健的采用。它将 产生培训，研究经验，和必要的初步数据博士Ellimoottil进行 有效性-实施混合试验，评估HIS的临床和实施结局 建议实施干预。首要目标是推动视频访问的采用， 改善接受外科护理的患者的医疗保健可及性、体验和结果。

PROJECT SUMMARY/ABSTRACT Dr. Chad Ellimoottil is a surgical specialist whose long-term career goal is to improve patient outcomes through fostering the adoption of video visits. Current research demonstrates that surgical video visits can 1) reduce travel burdens for rural patients, 2) reduce medical costs for patients and caregivers, and 3) increase patient satisfaction without compromising quality of care. Despite these advantages, less than 1% of surgeons use video visits. Research plan: This proposal directly responds to AHRQ’s Special Emphasis Notice which intends to support career development grants (K08) focusing on health information technology implementation (NOT- HS-13-011). It leverages mentors with expertise in health economics, implementation science, and telehealth to generate an understanding of the role of monetary and non-monetary barriers on surgical video visit adoption and how these barriers can be mitigated through interventions designed to drive behavior change. This proposal has three research aims: 1) Evaluate the impact of payment reform on video visit use by surgical patients; 2) Define non-monetary barriers to surgical video visit adoption; 3) Design and pilot an implementation intervention to facilitate video visit adoption. Candidate: Dr. Ellimoottil is Assistant Professor of Urology at the University of Michigan, where he completed a two-year health services research fellowship. Dr. Ellimoottil has clinical, administrative, and research experience with telehealth through his virtual clinic, his participation in Michigan Medicine's Virtual Care team, and his role leading a telehealth research collaboration. Career development plan: Dr. Ellimoottil's career development plan builds upon his training and career experience to: 1) To learn advanced quantitative methods (linked to Research Aim 1); 2) To learn survey design and qualitative methods (linked to Research Aim 2), and 3) To learn principles of implementation science relevant to telehealth adoption (linked to Research Aim 3). Mentorship team: Primary mentor Dr. David Miller is a Chief Clinical Officer at Michigan Medicine. He is currently a principal investigator on an R01 grant related to healthcare delivery reform. Co-mentor Dr. Sarah Krein has 20 years of experience in survey design, qualitative methods, and implementation science. Co-mentor Dr. Andy Ryan is a health economist with expertise in advanced quantitative methods, including econometrics. Dr. Ellimoottil’s advisory board includes two nationally recognized telehealth experts (Drs. Rashid Bashshur and Judd Hollander) and an R01-funded implementation science expert (Dr. Ted Skolarus). This study will benefit patients, practitioners, and policymakers through the development of evidence-based methods to advance telehealth adoption. It will produce the training, research experience, and preliminary data necessary for Dr. Ellimoottil to conduct an effectiveness-implementation hybrid trial assessing the clinical and implementation outcomes from his proposed implementation intervention. The overarching goal is to advance video visit adoption in order to improve healthcare access, experience, and outcomes for patients undergoing surgical care.