Cardiovascular Care Disparities: Safety-Net HIT Strategy

心血管护理差异：安全网 HIT 策略

• 批准号: 6890688
• 负责人: T B FERGUSON
• 金额: $ 19.45万
• 依托单位: LSU HEALTH SCIENCES CENTER
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-30 至 2005-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6890688
• 关键词: automated health care system; automated medical record system; behavioral /social science research tag; cardiovascular disorder; cardiovascular disorder prevention; chronic disease /disorder; clinical research; computer assisted patient care; computer system design /evaluation; data management; health care cost /financing; health care quality; health care service availability; health care service evaluation; health care service planning; health care service utilization; health disparity; health services research tag; medically underserved population; patient care management; patient oriented research; patient safety /medical error

DESCRIPTION (provided by the applicant): The delivery of healthcare to the indigent, minority, and disadvantaged populations represents at once Louisiana's greatest burden and its greatest opportunity. The 70-year-old Charity safety-net system, now administratively run as the LSU Health Sciences Center (LSUHSC) Health Care Services Division (HCSD), encompasses an eight-hospital, 360-clinic network that cares for almost 850,000 patients. Despite delivering some of the highest quality care in Louisiana, the only financial option for the HCSD is to improve efficiencies of care. Incorporation of health information technology (HIT) to address errors, quality, and value is critical; importantly, system-wide administrative, financial, laboratory, and telemedicine HIT infrastructure already exists on which to build a clinical data system. We are focusing on cardiovascular disease (CVD) care in this THQIT application. Using the existing clinical partnership between LSUHSC, the HCSD, and the Tulane School of Medicine embodied in the Charity system, we are bringing together the Tulane Department of Health Systems Management (financial outcomes and effectiveness of care), a leading CVD software company (system architecture; clinical and financial data concatenation; ARMUS Corporation), the Louisiana Office of Public Health (LA Healthy People 2010 initiative), and outside expert CVD consultants (longitudinal CVD database design;) for this THQIT Partnership. We will plan the design and implementation of a longitudinal CVD information system (LCIS) platform to address disparities in CVD viewed as a lifelong disease process. We will be able to scientifically validate the impact of this HIT effort on quality improvement, medical and financial effectiveness, and increased value. We can create this LCIS in a setting where all the stakeholders have aligned financial incentives. Moreover, the population's extent of disease will magnify the program's impact on health services and clinical research. Finally, endorsement of this HIT effort by this planning grant will leverage LCIS implementation funding, a step that is critical for the HCSD's survival.

描述（由申请人提供）：向贫困人口、少数族裔和弱势群体提供医疗保健既是路易斯安那州最大的负担，也是最大的机会。 这个已有 70 年历史的慈善安全网系统现在由路易斯安那州立大学健康科学中心 (LSUHSC) 医疗保健服务部 (HCSD) 行政管理，涵盖一个由 8 家医院、360 个诊所组成的网络，为近 850,000 名患者提供护理。 尽管在路易斯安那州提供一些最高质量的护理，但 HCSD 唯一的财务选择是提高护理效率。 纳入健康信息技术 (HIT) 来解决错误、质量和价值至关重要；重要的是，系统范围内的行政、财务、实验室和远程医疗 HIT 基础设施已经存在，可用于构建临床数据系统。 我们在此 THQIT 应用程序中重点关注心血管疾病 (CVD) 护理。 利用 LSUHSC、HCSD 和杜兰医学院之间现有的临床合作伙伴关系（体现在慈善系统中），我们将杜兰大学卫生系统管理部（财务结果和护理有效性）、一家领先的 CVD 软件公司（系统架构；临床和财务数据串联；ARMUS Corporation）、路易斯安那州公共卫生办公室（LA Healthy People 2010 计划）以及外部 CVD 专家顾问（纵向 CVD）数据库设计；）为此 THQIT 合作伙伴关系。 我们将规划设计和实施纵向 CVD 信息系统 (LCIS) 平台，以解决 CVD 被视为终生疾病过程的差异。 我们将能够科学地验证这项 HIT 工作对质量改进、医疗和财务效率以及增加价值的影响。 我们可以在所有利益相关者都协调经济激励的环境中创建这个 LCIS。 此外，人口患病程度将放大该计划对卫生服务和临床研究的影响。 最后，这项规划拨款对 HIT 工作的认可将利用 LCIS 实施资金，这对于 HCSD 的生存至关重要。