IMPROVEMENTS & INNOVATIONS IN END OF LIFE CARE

改进

• 批准号: 6401056
• 负责人: DORCAS JOANNE LYNN
• 金额: $ 3.2万
• 依托单位: RAND CORPORATION
• 依托单位国家: 美国
• 财政年份: 2001
• 资助国家: 美国
• 起止时间: 2001-01-01 至 2001-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6401056
• 关键词: age difference; behavioral /social science research tag; chronic disease /disorder; disabling disease; extended care facility; health care cost /financing; health care facility; health care quality; health care service; health care service evaluation; health services research tag; meeting /conference /symposium; quality of life; racial /ethnic difference; terminal patient care; travel

The RAND/Institute for Health Improvement Initiative to Improve Quality at the End of Life will host a National Congress on Qualitative Improvement in End of Life Care on February 11-13,2001 in Atlanta, Georgia. Americans are now likely to live for months of years with the diseases that will eventually kill them, such as advanced heart and lung disease, stroke, dementia, and many cancers. Many of these individuals are disabled during this period and tend to experience episodes of serious complications, with death occurring at an unpredictable time somewhere along the way. Our present acute care-centered delivery and payment systems are not designed to meet the unique needs of these individuals in a coordinated-or compassionate manner. Despite these challenges improvements in the care delivered to this population are being made in a number of settings. However, word of these improvements has mostly been spread anecdotally and has been disseminated through non- traditional vehicles, rather than in the mainstream medial and public health literature. This lack of an intellectual "home" for the field has prevented the wider adoption of quality improvement techniques. The RAND/IHI Initiative, along with other committed organizations, is working to surmount these barriers. The three-fold purpose of the National Congress is to: 1) Widely disseminate information about what we and others have learned about best practices and research findings related to quality improvement in end of life care and create a series of opportunities for new insights and learning, even at the conference; 2) Use the dynamic of the conference to provide the basis for collaboration and information sharing related to clinical care within and between participating provider organizations, ensuring rapid dissemination of insights learned in the participants' work after the conference; and 3) Formally launch the new RAND/Institute for Healthcare Improvement Initiative to Improve Quality at the End of Life, which is dedicated to supporting the innovation and evaluation practice that is essential to creating a care system that people coming to the end of life can depend on. The intended short-term outcome of the conference will be to increase participants' knowledge about proven best practices and research findings that they can apply to making rapid, measurable improvements in the care that they deliver to patients who are at or near the end of life. In addition, we hope to help participants shift from mere curiosity about quality improvement to a real motivation, readiness, and confidence that they can return to their practice sites ready to become engaged in the process themselves. The Congress will include a combination of activities to meet the needs of participants with varying learning styles, including large-groups lecture style learning (plenary sessions), small group teaching (breakout sessions), one-one discussion and information support (storyboards), and small group interaction (lunch discussion tables).

兰德/健康改善研究所在生命结束时提高质量的主动权将于2月11日至13日在乔治亚州的亚特兰大举办一场全国性的定性改善大会。现在，美国人可能会生存几个月的疾病，这些疾病最终会杀死它们，例如晚期心脏和肺部疾病，中风，痴呆症和许多癌症。在此期间，其中许多人都是残疾人，并且倾向于经历严重的并发症的发作，死亡发生在不可预测的时间。我们目前以急诊为中心的交付和支付系统并非旨在以协调或富有同情心的方式满足这些人的独特需求。尽管在许多环境中都在进行了这些人群的护理方面有这些挑战。但是，这些改进的消息大多是轶事传播的，并且已经通过非传统车辆传播，而不是在主流的内侧和公共卫生文献中传播。缺乏该领域的智力“家”，这阻止了更广泛的质量改进技术的采用。兰德/IHI倡议以及其他坚定的组织正在努力克服这些障碍。国民代表大会的三重目的是：1）广泛传播有关我们和其他人对最佳实践和研究结果的了解与质量改善生命终结有关的信息，并为新见解和学习创造一系列机会，即使在会议上； 2）使用会议的动态为与参与提供者组织内部和参与提供者之间的临床护理相关的协作和信息共享提供基础，以确保会议结束后参与者工作中学到的见解的快速传播； 3）正式启动新的RAND/医疗保健改进研究所，以提高生命的尽头质量，该计划致力于支持创新和评估实践，这对于创建一个人生生命尽头的护理系统至关重要依靠。会议的预期短期结果将是增加参与者对可靠的最佳实践和研究发现的了解，这些研究结果可以应用于他们提供给他们的护理的快速，可衡量的改善。此外，我们希望帮助参与者从对质量提高的好奇心转变为真正的动力，准备和信心，他们可以返回准备自己参与该过程的练习场所。国会将包括各种活动的组合，以满足具有不同学习风格的参与者的需求，包括大型的演讲风格学习（全体会议），小组教学（分组讨论），一对一的讨论和信息支持（故事板），和小组互动（午餐讨论表）。