Clinical Practice Network

临床实践网络

基本信息

批准号：
10454674
负责人：
PETER D STETSON
金额：
$ 38.32万
依托单位：
SLOAN-KETTERING INST CAN RESEARCH
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：
2022-08-01 至 2027-07-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10454674
关键词：
Administrator Algorithms Awareness Back Biological Markers Businesses COVID-19 pandemic Cancer Center Caregivers Caring Chronic Clinic Clinical Collaborations Computer Models Computer software Continuity of Patient Care Data Data Analytics Data Collection Data Scientist Devices Doctor of Philosophy Electronic Health Record Ensure Environment Evaluation Feedback Foundations Frontline worker Future Health system Healthcare Home Hybrids Infrastructure Intervention Intervention Studies Investigation Investments Knowledge Laboratories Lead Leadership Learning Location Long Island Malignant Neoplasms Measures Methods Mission Modeling Monitor Nature New Jersey New York City Oncology Outpatients Patient Education Patients Pilot Projects Process Public Health Informatics Quality of Care Randomized Recovery Research Research Design Research Infrastructure Research Methodology Research Personnel Resource Informatics Risk Scientist Secure Services Site Standardization Strategic Planning System Technology Testing Thinking Translating Visualization Work arm barrier to care base cancer care care delivery clinical practice comparative cost dashboard data management data modeling data standards design digital evidence base experience health care quality health data implementation science informatics tool innovation insight model building multidisciplinary multimodal data novel operation patient engagement pragmatic trial programs sensor success telehealth therapy design tool treatment as usual trial design user centered design

项目摘要

PROJECT SUMMARY/ABSTRACT The purpose of the Clinical Practice Network (CPN) of the MATCHES Telehealth Research Center is to provide the environment for conducting and evaluating the Center’s investigations of telehealth-supported cancer care. MSK’s New York City locations and six regional care sites will constitute the CPN. MSK is a high- volume cancer center with a robust infrastructure for delivering telehealth via both synchronous and asynchronous technologies. As such, the CPN also will serve as the Center’s practice innovation and digital innovation hub for implementing and evaluating telehealth, as well as nimbly translating the generated evidence back into clinical practice. The CPN will convene patients, clinicians, staff, and scientists to test and refine equitable telehealth solutions, and novel computational and hybrid practice models, all based on principles of user-centered design. The CPN’s specific aims are 1) to develop and equitably deploy enhanced telehealth tools, 2) to develop and deploy MSK@Home telehealth-supported services in the context of the Center’s Pragmatic Trial, 3) to identify and implement sustainable methods of patient and clinician engagement to refine telehealth-enabled interventions, and 4) to test and refine novel computational, operational, and staffing models for the delivery of telehealth-supported cancer care at home. Led by Peter D. Stetson, MD, MA, with Co-Directors Diane Reidy-Lagunes, MD, and Gilad J. Kuperman, MD, PhD, and support from a multidisciplinary leadership team from across MSK, the CPN will act as the effector arm and feedback sensor for implementing the MSK@Home intervention to be evaluated via our Pragmatic Trial and will perform similar functions across the planned pilot studies. It will orchestrate the deployment of telehealth solutions across the study sites, as well as coordinate data collection and management for the study interventions. The CPN team will establish and monitor the experience of patients, clinicians, and front-line staff through regular review of key success metrics with the Administrative Core’s Patient Engagement Unit and Clinician & Staff Engagement Unit. The CPN team will develop and deploy a novel, standardized common data model for telehealth and patient-generated health data. They will extract, aggregate, and deliver multimodal data insights from the telehealth platform and additional key systems for operational leadership in the CPN to adjust to conditions on the ground, as well as for the data scientists in the Research & Methods Core to develop new digital biomarkers and computational models. The CPN team will manage the process to adjust implementation of the study interventions as a result of change in regulatory and financial requirements and as cancer centers evolve best evidence in the use of telehealth. In collaboration with the Office of Diversity Programs, the CPN will develop proactive monitoring tools, visualizations, and recovery mechanisms to ensure telehealth technology reduces rather than exacerbates the digital divide and other barriers to high-quality healthcare, with a particular focus on at-risk patients.

项目概要/摘要 MATCHES 远程医疗研究中心的临床实践网络 (CPN) 的目的是为开展和评估中心对远程医疗支持的调查提供环境 MSK 斯隆纽约市的癌症护理中心和六个区域护理中心将构成 MSK 的高水平护理中心。拥有强大基础设施的大型癌症中心，可通过同步和远程医疗提供远程医疗服务因此，CPN 也将作为该中心的创新和数字化实践。用于实施和评估远程医疗以及灵活翻译生成的创新中心 CPN 将召集患者、新人、工作人员和科学家进行测试和研究。完善公平的远程医疗解决方案以及新颖的计算和混合实践模型，所有这些都基于以用户为中心的设计原则是 CPN 的具体目标是 1) 开发和公平地部署增强型。远程医疗工具，2) 在以下环境中开发和部署 MSK@Home 远程医疗支持的服务中心的务实试验，3) 确定并实施患者和临床医生参与的可持续方法完善远程医疗干预措施，4) 测试和完善新颖的计算、操作和在家提供远程医疗支持的癌症护理的人员配置模式。由 Peter D. Stetson（医学博士、马萨诸塞州）领导，联合董事 Diane Reidy-Lagunes（医学博士）和 Gilad J. Kuperman（医学博士）拥有博士学位，并得到 MSK MSK 斯隆多学科领导团队的支持，CPN 将充当效应器用于实施 MSK@Home 的手臂和反馈传感器通过我们的务实评估干预措施试验并将在计划的试点研究中发挥类似的作用。它将统筹部署跨研究地点的远程医疗解决方案，以及协调研究的数据收集和管理 CPN 团队将建立并监测患者、鸡群和前线人员的经验。与行政核心的患者参与部门定期审查关键成功指标 CPN 团队将开发和部署新颖的标准化通用工具。他们将提取、聚合和提供远程医疗和患者生成的健康数据的数据模型。来自远程医疗平台和其他关键系统的多模式数据洞察，用于运营领导 CPN 以及研究与方法部门的数据科学家需要根据实际情况进行调整 CPN 团队将管理开发新生物标记数字和计算模型的流程。由于监管和财务要求的变化而调整研究干预措施的实施随着癌症中心与多样性办公室合作，发展出使用远程医疗的最佳证据。计划中，CPN 将开发主动监控工具、可视化和恢复机制，以确保远程医疗技术减少而不是加剧数字鸿沟和其他高质量障碍医疗保健，特别关注高危患者。