Electronic Health Record Nudges to Improve Quality of Care in Heart Failure

电子健康记录有助于提高心力衰竭的护理质量

基本信息

批准号：
10302106
负责人：
Faraz Shafique Ahmad
金额：
$ 18.92万
依托单位：
NORTHWESTERN UNIVERSITY AT CHICAGO
依托单位国家：
美国
项目类别：
财政年份：
2021
资助国家：
美国
起止时间：
2021-08-06 至 2025-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10302106
关键词：
Accounting Active Learning Adherence Adoption Adult Affect Area Award Behavioral Biometry Blood Pressure Cardiology Caring Characteristics Clinic Clinical Complex Computers Data Analytics Development Dissemination and Implementation Dose Drug Prescriptions EFRAC Educational workshop Electronic Health Record Environment Fatigue Future Goals Guidelines Health Health system Heart Rate Heart failure Hospitalization Intervention K-Series Research Career Programs Knowledge Lead Longevity Measures Medical Medicine Mentors Mentorship Methodology Methods Outcome Patient Care Patient Education Patient Preferences Patient-Focused Outcomes Patients Pharmaceutical Preparations Pharmacists Physicians Pilot Projects Pragmatic clinical trial Primary Health Care Process Public Health Quality of Care Quality of life Randomized Controlled Trials Renal function Research Research Infrastructure Research Personnel Research Project Grants Resources Scientist Site Social Psychology Symptoms Technology Testing Time Titrations Training Training Programs Treatment Failure Universities Work base behavior change behavioral economics biomedical informatics cardiovascular disorder epidemiology career clinical decision support cost data warehouse design digital intervention electronic data evidence base evidence based guidelines feasibility testing feasibility trial follow-up health data health information technology high risk implementation science improved improved outcome individual patient innovation insight mortality next generation older patient patient population pragmatic trial provider behavior provider factors routine care skills success support tools symposium tool training project uptake usability

项目摘要

PROJECT SUMMARY/NARRATIVE This career development award will provide Dr. Faraz Ahmad with the opportunity to become an independent physician-scientist who develops and implements health information technologies that increase the uptake of evidence-based therapies and improve the quality of life and longevity for patients with heart failure. Dr. Ahmad is a practicing heart failure cardiologist and informaticist with a current research focus on the methodology of integrating diverse electronic health data to measure quality of care. This award will provide rigorous training in dissemination and implementation science, clinical decision support, and pragmatic clinical trial methodology that will enable him to design and test digital interventions to improve care quality. The training program includes the development of independent investigator skills required to lead interdisciplinary teams and mentor the next-generation of biomedical informatics and implementation science researchers. He will achieve these career goals through a comprehensive training program that combines intensive mentorship, formal coursework, workshops, conferences, and experiential learning. His primary mentor is Dr. Abel Kho, an expert in biomedical informatics, electronic clinical decision support tools, and quality improvement with an extensive record of mentoring. In addition, Dr. Donald Lloyd-Jones, one of the leaders in cardiovascular epidemiology with an exemplary mentorship record, will serve as a co-mentor and oversee Dr. Ahmad’s training in the essential skills of becoming a productive, independent physician-scientist. Finally, co-mentor Dr. J.D. Smith, an established mentor and implementation science methodologist, will provide expertise in pragmatic trial methodology. The rich resource environment of Northwestern University will facilitate the success of this proposed training and research project and includes: 1) dedicated support from the Department of Medicine and the Center for Health Information Partnerships; 2) an interdisciplinary team of mentors, advisors, and collaborators; 3) extensive skill courses, workshops, and seminars 4) research infrastructure including the world class, integrated Northwestern Medicine Electronic Data Warehouse, data analytics, and biostatistical support; and 5) support from a large, integrated academic health center and the Northwestern Medicine Quality Innovation Center. The overall purpose of the research is to pilot test a set of clinical decision support nudges to push clinicians to increase prescription and titration of evidence-based therapies for patients with heart failure with reduced ejection fraction, a highly morbid, prevalent, and costly condition with enormous gaps in quality of care. Specific Aim One will evaluate barriers to high quality of care for patients with heart failure and identify components of an ideal health information technology tool via a mixed methods approach in primary care and cardiology practices. Specific Aim Two will evaluate a set of nudges developed in a co-design workshop with key stakeholders. Specific Aim Three will test the feasibility of the set of nudges in a pilot feasibility trial.

项目摘要/叙述该职业发展奖将为Faraz Ahmad博士提供成为独立的机会生理科学家，他们开发和实施健康信息技术，以增加吸收循证疗法并改善心力衰竭患者的生活质量和寿命。艾哈迈德博士是一名实践的心力衰竭心脏病专家，并且有信息，目前的研究重点是集成潜水员电子健康数据以衡量护理质量。该奖项将提供严格的培训传播和实施科学，临床决策支持以及务实的临床试验方法这将使他能够设计和测试数字干预措施以提高护理质量。培训计划包括开发领导跨学科团队和导师所需的独立研究者技能生物医学信息和实施科学研究人员的下一代。他会实现这些通过全面的培训计划，将密集的精神训练，正式的培训计划结合在一起课程，讲习班，会议和专家学习。他的主要导师是专家Abel Kho博士在生物医学信息，电子临床决策支持工具以及质量改进方面心理记录。此外，心血管流行病学的领导者之一唐纳德·劳埃德·琼斯（Donald Lloyd-Jones）博士具有示例性的心态记录，将担任院长，并监督艾哈迈德博士在成为一名富有成效，独立的身体科学家的基本技能。最后，史密斯（J.D. Smith）博士既定的心理和实施科学方法学家将在务实试验中提供专业知识方法论。西北大学的丰富资源环境将促进成功的成功拟议的培训和研究项目，包括：1）医学系的专门支持和健康信息合作伙伴中心； 2）由导师，顾问和合作者； 3）广泛的技能课程，讲习班和半货人4）研究基础设施包括世界一流，西北医学综合电子数据仓库，数据分析和生物统计学支持; 5）来自大型综合学术健康中心和西北医学质量的支持创新中心。该研究的总体目的是试点测试一组临床决策支持。推动临床医生增加心脏患者的处方和滴定循证疗法射血分数减少，高度病态，流行和昂贵的状况，差距很大护理质量。特定目标将评估心力衰竭患者的高质量护理障碍通过主要的主要方法方法来识别理想健康信息技术工具的组件护理和心脏病学实践。具体目标两个将评估在共同设计中开发的一组推销与主要利益相关者的研讨会。特定的目标三将测试飞行员中的轻推的可行性可行性试验。