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：
10463825
负责人：
Faraz Shafique Ahmad
金额：
$ 18.82万
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/10463825
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 Dose Drug Prescriptions EFRAC Educational workshop Electronic Health Record Environment Fatigue 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 dissemination science electronic data evidence base evidence based guidelines feasibility testing feasibility trial follow-up future implementation health data health information technology high risk implementation science improved improved outcome individual patient innovation insight mortality next generation older patient patient population pilot test 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.

项目概要/叙述该职业发展奖将为 Faraz Ahmad 博士提供成为独立人士的机会开发和实施健康信息技术以增加对疾病的吸收的医师科学家艾哈迈德博士表示，循证疗法可改善心力衰竭患者的生活质量并延长其寿命。是一位执业心力衰竭心脏病学家和信息学家，目前的研究重点是方法论该奖项将整合不同的电子健康数据来衡量护理质量。传播和科学、临床决策支持和实用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。包括培养领导跨学科团队和导师所需的独立调查员技能下一代生物医学信息学和实施科学研究人员他将实现这些。通过综合培训计划实现职业目标，该计划结合了强化指导、正式培训和他的主要导师是专家 Abel Kho 博士。在生物医学信息学、电子临床决策支持工具和质量改进方面具有广泛的应用此外，心血管流行病学领域的领导者之一唐纳德·劳埃德·琼斯博士也有指导记录。拥有模范指导记录的艾哈迈德博士将担任联合导师并监督艾哈迈德博士的培训最后，共同导师 J.D. Smith 博士是一位高效、独立的医师科学家。建立实施和指导科学方法学家，将提供务实试验的专业知识西北大学丰富的资源环境将促进这一项目的成功。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中心；2) 一个由导师、顾问和人员组成的跨学科团队； 3) 广泛的技能课程、讲习班和研讨会 4) 研究基础设施，包括世界一流的集成西北医学电子数据仓库、数据分析和生物统计支持；5) 来自大型综合学术健康中心和西北医学质量中心的支持创新中心。该研究的总体目的是试点测试一套临床决策支持推动措施。推动增加心脏病患者的循证治疗处方和滴定射血分数降低的失败是一种高度病态、普遍且昂贵的疾病，并且在治疗方面存在巨大差距具体目标一将评估心力衰竭患者获得高质量护理的障碍通过初级阶段的混合方法确定理想的卫生信息技术工具的组成部分具体目标二将评估协同设计中开发的一系列推动措施。与主要利益相关者举行的研讨会具体目标三将测试试点中一系列推动措施的可行性。可行性试验。