Telemedicine Consultations to Improve Care Quality of Pediatric Hospital-to-Hospital Transfers

项目摘要/摘要 该项目的目标是加强儿科医院远程医疗会诊的实施 转账。该奖项为加强母公司K23(K23HD101550，PI： Rosenthal)试点试验：(目标1)应用质量改进(QI)方法促进成功 实现三个试点试验可行性目标和(目标2)应用干预评估 框架RE-AIM(REACH、有效性、采用、实施、维护)进行混合 方法对试点项目的远程医疗干预进行评价。我们的团队在远程医疗方面有专业知识 干预措施、临床试验、QI、混合方法、评估框架和高级统计分析。 本附录为两名女性早期调查人员的指导培训提供了实践经验。这个 受训人员是霍伊特-奥斯汀博士，他是一名西班牙裔研究员，长期目标是成为一名 出生住院出院后改善母乳喂养结局的系统干预措施。这个 这一补充的主要导师和候选人是罗森塔尔博士，他是K23奖获得者，正在进行研究 作为她的K23指导培训计划的一部分。我们建议建立一个辅导家庭，让 “伟大的”导师是杨博士和布朗博士。杨博士是罗森塔尔博士的K23导师，在 利用健康信息技术进行研究领导力和以患者和家庭为中心的成果研究。 她将指导罗森塔尔博士正在指导霍伊特-奥斯汀博士的研究活动。布朗博士的专业知识是 导师制，增加研究界的包容性和多样性。她将负责罗森塔尔医生的 包容性和文化谦逊的指导技能发展。 我们为霍伊特-奥斯汀博士提出了一个培训计划，以发展(1)QI方法，(2)定性方法， 以及(3)远程保健干预措施的实施和评估。这些技能将为她奠定基础 写下她的K23提案，测试远程健康干预以改善母乳喂养的结果。我们还提议 罗森塔尔博士在(1)包容性团队科学环境和(2)中发展技能的培训计划 在种族和文化上谦逊的指导关系。罗森塔尔博士表现出了强大的导师精神 受训人员来自生物医学科学中代表性不足的群体。然而，她从未得到过指导 在她的指导下。加强辅导技能，重点是辅导任职人数偏低的受训人员 是研究领导力和罗森塔尔博士作为研究人员的成功的一个不可或缺的方面 通过促进公平和包容的文化，支持多元化研究人员的职业发展。 这项提案的完成将提供有价值的数据，这些数据将用于罗森塔尔博士的R01申请。它 将促进两名女性早期调查人员的职业发展，其中一人是西班牙裔。它也将导致 在加州大学戴维斯分校卓越研究指导学院研讨会上传播导师家庭 这一理念旨在为不同的受训人员提供卓越的指导，从而产生广泛和持续的影响。

PROJECT SUMMARY / ABSTRACT The project objective is to enhance the implementation of telemedicine consultations for pediatric hospital transfers. This award provides the necessary support to strengthen the parent K23 (K23HD101550, PI: Rosenthal) pilot trial by: (Aim 1) Applying quality improvement (QI) methods to promote the successful achievement of the three pilot trial feasibility objectives and (Aim 2) applying the intervention evaluation framework RE-AIM (Reach, Effectiveness, Adoption, Implementation, Maintenance) to conduct a mixed methods evaluation of the pilot trial’s telemedicine intervention. Our team has expertise in telemedicine interventions, clinical trials, QI, mixed methods, evaluation frameworks, and advanced statistical analyses. This supplement provides hands-on experiences for mentored training of two women early investigators. The trainee is Dr. Hoyt-Austin, a Hispanic researcher with a long-term goal to be an independent investigator in systems-level interventions to improve breastfeeding outcomes after birth hospitalization discharge. The primary mentor and candidate for this supplement is Dr. Rosenthal, a K23 awardee developing research leadership skills as part of her K23 mentored training plan. We propose a mentoring family, whereby the “grand” mentors are Drs. Young and Brown. Dr. Young is Dr. Rosenthal’s K23 mentor with expertise in research leadership and patient- and family-centered outcomes research using health information technology. She will mentor Dr. Rosenthal is mentoring Dr. Hoyt-Austin’s research activities. Dr. Brown has expertise in mentorship that increases inclusion and diversity in the research community. She will oversee Dr. Rosenthal’s inclusive and culturally humble mentoring skill development. We propose a training plan for Dr. Hoyt-Austin to develop skills in (1) QI methods, (2) qualitative methods, and (3) implementation and evaluation of telehealth interventions. These skills will give her the foundation to write her K23 proposal to test a telehealth intervention to improve breastfeeding outcomes. We also propose a training plan for Dr. Rosenthal to develop skills in (1) inclusive team science environments and (2) racially and culturally humble mentoring relationships. Dr. Rosenthal has demonstrated strong mentorship to trainees from groups underrepresented in the biomedical sciences. However, she has never been mentored in her mentorship. Enhancing mentoring skills, with an emphasis on mentoring trainees from underrepresented groups, is an integral aspect of research leadership and Dr. Rosenthal’s success as an investigator who supports the career development of a diverse research workforce by promoting cultures of equity and inclusion. Completion of this proposal will provide valuable data that will be used in Dr. Rosenthal’s R01 application. It will enhance the career development of two women early investigators, one who is Hispanic. It will also result in a UC Davis Mentoring Academy for Research Excellence workshop to disseminate the mentor family concept to achieve widespread and sustained impact on promiting outstanding mentorship to diverse trainees.