VA HSR&D Center for Health Information and Communication (CHIC)

描述(由申请人提供)： 在21世纪，信息的广度和深度每天都在挑战我们的重点和效率。医疗体系及其提供者也不例外。健康信息是医疗决策的基石，也是患者和临床医生采取行动的基础。患者和临床医生从如此多的来源获得了如此多的信息，以至于许多人遭受着“信息过载”的痛苦，这可能会阻碍决策和行动。解决办法是将卫生信息技术作为一种知识管理工具，将系统与人民联系起来。通过产生有关卫生信息技术的设计和应用的知识，以及开发新的、创新的应用程序和系统，我们可以更好地满足患者和临床医生基于人口和人际关系的需求。“知识层级”框架将数据、信息、知识和智慧描述为通向理解和联系的层级。退伍军人事务部HSR&D健康信息与通信中心(CHIC)以这一框架为基础，建议生成有关新设计工具的实用知识，这些工具整合了疾病预防、诊断、管理和预测等临床领域的数据。此外，CHIC试图确定在护理过渡期间交换的健康信息模式的异同，并测试旨在改善这些过渡期间提供者到提供者移交的干预措施。第三，CHIC将通过改进研究方法，继续推动卫生服务研究转化为有效实践。通过做这些事情，CHIC将同时解决系统之间和人与人之间的信息交换和沟通。这些努力的最终结果将是最大限度地提高患者的安全、改善健康结果和改善医疗保健流程。

DESCRIPTION (provided by applicant): In the 21st century, the breadth and depth of information challenges our focus and efficiency every day. The healthcare system and its providers are no exception. Health information is the cornerstone of medical decisions and is the foundation on which patients and clinicians act. Patients and clinicians have so much information from so many sources that many suffer from "information overload," which may impede decisions and action. The solution is the advancement of health information technology as a knowledge management tool which connects the systems to the people. By generating knowledge about the design and utility of health information technology, as well as developing new, innovative applications and systems, we can better serve both the population-based and the interpersonal needs of patients and clinicians. The "knowledge hierarchy" framework describes data, information, knowledge and wisdom as a hierarchy leading to understanding and connectedness. Leveraging this framework as the basis, the VA HSR&D Center for Health Information and Communication (CHIC) proposes to generate knowledge about the utility of newly designed tools that integrate data in the clinical domains of disease prevention, diagnosis, management and prognostication. Additionally, CHIC seeks to identify similarities and differences in the patterns of health information exchanged during transitions in care and to test interventions aiming to improve provider-to-provider handoffs during these transitions. Thirdly, CHIC will continue to promote the translation of health services research into effective practice by advancing research methods. By doing these things, the CHIC will address both system-to-person and interpersonal information exchange and communication. The end result of these efforts will be maximized patient safety, improved health outcomes and improved healthcare processes.