Development and evaluation of patient medical summary from health information exchange to improve dental care

通过健康信息交换开发和评估患者医疗摘要以改善牙科护理

基本信息

批准号：
10344183
负责人：
Thankam P Thyvalikakath
金额：
$ 56.59万
依托单位：
INDIANA UNIV-PURDUE UNIV AT INDIANAPOLIS
依托单位国家：
美国
项目类别：
财政年份：
2022
资助国家：
美国
起止时间：
2022-04-01 至 2026-03-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10344183
关键词：
Address Adverse event Affect Architecture COVID-19 pandemic Caring Chronic Disease Clinical Communication Communities Community Health Consult Custom Dental Dental Care Dental General Practice Dental Group Practice Dental Hygienists Dental Records Dental Schools Dentistry Dentists Development Disease Electronic Health Record Evaluation Fast Healthcare Interoperability Resources Focus Groups Foundations Goals Health Indiana Interview Medical Medical History Medicine Methods Oral Oral health Outcome Patient Care Patients Pharmaceutical Preparations Physicians Physicians&apos Offices Population Preventive Protocols documentation Provider Questionnaires Recording of previous events Reporting Research Design Risk Scanning Service delivery model Specialist Study Subject System Time Update Vaccination Vendor base care coordination care costs care delivery design disease transmission effectiveness evaluation health care delivery health care service organization health management improved informant information organization innovation patient population patient safety population health practice setting prevent primary outcome prototype response screening success technology development usability user centered design

项目摘要

Project Summary To avoid potential harm and improve dental treatment success, dental clinicians (DCs) must obtain an up-to- date medical and medication history of their patients. Recent studies have reported discrepancies with patient- reported medical histories in electronic dental records (EDRs), and inconsistencies in physicians’ responses to DCs’ medical consults leading to delayed dental care. Large healthcare organizations (HCO) such as dental schools and health management organizations implemented integrated medical-dental electronic health record (EHR) (integrated EHR-EDR) to improve communication and referral between medical and dental professionals. However, deploying such systems alone will not resolve the current barriers because the relevant patient-specific information may be fragmented across different HCOs, stored in various EHR sections. Besides, most dental professionals are not credentialed with HCOs to have access to an integrated EHR-EDR system. The emergence of community and vendor-supported health information exchanges (HIEs) and the development of technologies and standards to exchange and display pertinent information is an opportunity for DCs to establish an integrated care delivery model regardless of their practice setting. The long-term goal is to improve communication and referrals between dental clinicians and medical professionals to improve patient care and promote screening and preventive management of chronic diseases. This proposal aims to develop and evaluate a usable patient medical summary (PMS) imported from the state- wide community Indiana Health Information Exchange (IHIE) that updates a dental clinician about their patients’ medical history and can be used even in solo- and small group dental practice settings. The central hypothesis is that the PMS will have a higher percentage of complete and up-to-date medical information, which will reduce the average time required to assess a dental patient case and determined by DCs to be clinically useful. The three specific aims are: 1) Validate the relevance and timeliness of information items that contribute to the PMS to assess a patients’ medical status; 2) develop prototypes that integrate the PMS with an EDR through user-centered design methods; 3) evaluate the effectiveness and efficiency of the PMS with general and specialist dentists. The two primary outcomes are a Fast Healthcare Interoperability Resources (FHIR)-based PMS application and a reconfigured Consolidated Clinical Document Architecture (C-CDA) that reduce dental clinicians’ reliance on patients and physicians’ office for information and reduce patients’ burden to share information with DCs. The proposed study will lay the foundation for an interprofessional dental- medical care delivery that enhances dental and overall care among the US population, promotes preventive management, and reduces dental care costs.

项目概要为了避免潜在的伤害并提高牙科治疗的成功率，牙科主教 (DC) 必须获得最新的证书最近的研究报告了患者的医疗和用药史的差异。电子牙科记录 (EDR) 中报告的病史以及医生的反应不一致 DC 的医疗咨询导致牙科护理等大型医疗机构 (HCO) 的延误。学校和卫生管理机构实施医疗牙科一体化电子健康记录 (EHR)（集成 EHR-EDR）以改善医疗和牙科之间的沟通和转诊然而，仅部署此类系统并不能解决当前的障碍，因为相关的患者特定信息可能分散在不同的 HCO 中，存储在不同的 EHR 中此外，大多数牙科专业人员都没有获得 HCO 的资格来访问综合的。 EHR-EDR 系统的出现。社区和供应商支持的健康信息交换 (HIE) 开发用于交换和显示相关信息的技术和标准是一个无论其实践环境如何，DC 都有机会建立综合护理服务模式。长期目标是改善牙科参议员和医学界之间的沟通和转介专业人员改善患者护理并促进慢性病的筛查和预防管理。该提案旨在开发和评估从国家导入的可用患者医疗摘要（PMS）广泛的社区印第安纳州健康信息交换 (IHIE)，为牙科临床医生提供最新的信息患者的病史，甚至可以在单独和小组牙科诊所环境中使用。假设 PMS 将拥有更高比例的完整且最新的医疗信息，这将减少评估牙科患者病例所需的平均时间，并由 DC 确定为临床上有用的三个具体目标是： 1) 验证信息项的相关性和及时性。 2) 开发将 PMS 集成的原型通过以用户为中心的设计方法进行 EDR；3）评估 PMS 的有效性和效率普通牙医和专科牙医的两个主要成果是快速医疗保健互操作性资源。基于 (FHIR) 的 PMS 应用程序和重新配置的统一临床文档架构 (C-CDA) 减少牙科圣人对患者和医生办公室获取信息的依赖，并减轻患者的负担与 DC 共享信息。拟议的研究将为跨专业牙科奠定基础。提供医疗服务，加强美国人口的牙科和整体护理，促进预防管理，并降低牙科护理成本。