Recovery Outcome Management System (ROMS)

恢复结果管理系统 (ROMS)

• 批准号: 7217081
• 负责人: LINDA L TOCHE-MANLEY
• 金额: $ 4.95万
• 依托单位: POLARIS HEALTH DIRECTIONS, INC.
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-01 至 2007-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7217081
• 关键词: adult human (21+); behavioral /social science research tag; caregivers; clinical research; computer assisted medical decision making; computer system design /evaluation; computer system hardware; human subject; human therapy evaluation; medical records; mental health information system; outcomes research; patient care management; physicians; prognosis; psychiatric patient care; psychometrics; psychotherapy; questionnaires

DESCRIPTION (provided by applicant): The ROMS system will help healthcare providers to offer high quality, cost-effective, evidence-based care for SPMI and dually diagnosed consumers. Specifically, ROMS will provide: In depth treatment planning: ROMS will provide clinicians with reliable information on consumer strengths, functioning and symptomology as well as critical "signs" or "behaviors" requiring immediate attention at the beginning of treatment. Treatment management: Based on consumer responses over time, clinicians will evaluate a consumer' s progress in relation to a predicted course and level of risk for hospitalization, so that treatment strategies can be altered as necessary to avoid adverse outcomes. Continual refinement of its ability to evaluate "what works for whom" as its database of consumer strengths, symptoms, behaviors and risk factors grows, creating the first "learning system" for the treatment of SPMI consumers. ROMS is designed for easy integration into office practices, and offers numerous features to overcome obstacles to reliable self-report by SPMI consumers. Consumers and their caregivers complete questionnaires using a PC, or handheld device (e.g., PDA). Reports indicating the consumer's condition and progress are immediately available to clinicians. Clinician ratings relating to level of care and clinical risk/severity are displayed on a separate report, suitable for clinical case documentation and use by case managers. Phase II research includes the collection of longitudinal data from 300 SPMI consumers. Hierarchical linear modeling will be used with this dataset to develop algorithms for the prediction of treatment response and risk for hospitalization.

描述（由申请人提供）：ROMS 系统将帮助医疗保健提供者为 SPMI 和双重诊断的消费者提供高质量、经济高效、基于证据的护理。具体来说，ROMS 将提供： 深入的治疗计划：ROMS 将为临床医生提供有关消费者优势、功能和症状学以及在治疗开始时需要立即关注的关键“体征”或“行为”的可靠信息。治疗管理：根据消费者一段时间内的反应，临床医生将评估消费者相对于预测病程和住院风险水平的进展，以便根据需要改变治疗策略，以避免不良结果。随着消费者优势、症状、行为和风险因素数据库的不断增长，其评估“什么对谁有效”的能力不断完善，为 SPMI 消费者的治疗创建了第一个“学习系统”。 ROMS 旨在轻松集成到办公实践中，并提供众多功能来克服 SPMI 消费者实现可靠自我报告的障碍。消费者及其护理人员使用 PC 或手持设备（例如 PDA）完成调查问卷。临床医生可以立即获得表明消费者状况和进展的报告。与护理水平和临床风险/严重程度相关的临床医生评级显示在单独的报告中，适合临床病例记录和病例管理者使用。第二阶段研究包括收集 300 名 SPMI 消费者的纵向数据。该数据集将使用分层线性模型来开发预测治疗反应和住院风险的算法。