Development and Validation of a Scorecard of Neonatal Intensive Care Quality

新生儿重症监护质量记分卡的开发和验证

• 批准号: 7907780
• 负责人: Jochen Profit
• 金额: $ 13.64万
• 依托单位: BAYLOR COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-09-30 至 2012-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7907780
• 关键词: Affect; Agreement; Attitude; Benchmarking; Biometry; Child; Clinical; Clinical Research; Complement; Data; Data Collection; Databases; Development; Discipline; Effectiveness; Ensure; Evaluation; Expert Opinion; Face; Foundations; Funding; Goals; Health Personnel; Health Policy; Health Services Research; Health system; Healthcare; Infant; Institution; Intervention; Life; Low Birth Weight Infant; Measurement; Measures; Medical; Medicine; Mentored Patient-Oriented Research Career Development Award; Mentors; Mentorship; Methodology; Methods; Mission; Neonatal; Neonatal Intensive Care; Neonatal Intensive Care Units; Neonatology; Patient Care; Patients; Performance; Policies; Provider; Publishing; Quality Indicator; Quality of Care; Questionnaires; Research; Research Personnel; Research Training; Safety; Sampling; Survey Methodology; Surveys; Time; Training; Validation; Variant; Weight; career; case-based; clinical practice; comparative; cost; design; health care quality; improved; interest; method development; patient oriented; patient safety; preference; response; success

DESCRIPTION (provided by applicant): My research agenda seeks to develop a scorecard of neonatal intensive care unit (NICU) quality. Background: Interest in comparative quality measurement and evaluation has grown considerably because of recognition of the widespread variation in clinical practice, increased availability of evidence about medical effectiveness, and increasing concerns about the cost and quality of healthcare. In other fields of medicine, scorecards of performance have improved the quality of healthcare institutions, providers, and patient care. Specific Aims: I seek a K23 award to develop into an independent investigator and to become expert in the measurement of the quality of neonatal healthcare. Specifically, I propose to develop a scorecard of neonatal intensive care quality for very low birthweight infants (less than 1500 grams). Aim 1: To select measures for inclusion in the scorecard of NICU quality of care Aim 2: To construct a scorecard and rank NICUs according to their performance Aim 3: To evaluate NICU rankings in response to alternative methods of scorecard construction as well as their stability over time. Aim 4: To validate the scorecard Methods: The development of the scorecard will employ primary data collection (expert panels and surveys) and analysis of a research level clinical database. A multi-disciplinary mentoring committee whose expertise spans the relevant disciplines of quality assessment and improvement (Drs. Petersen and Kallen) as well as neonatology and health services research (Drs. Gould and Zupancic) will guide the progress of the research agenda. In addition, I have scientific advisors with expertise in neonatology (Dr. Stark), patient safety and survey methodology (Dr. Thomas), and biostatistics (Dr. Pietz). Their mentorship, as well as a focused training and research plan facilitated by a K23 award, will develop my expertise in neonatal quality research by providing crucial content and methodological training. Conclusion: The educational and research agenda are designed to complement my previous training in neonatology and health services research, and will enable me to achieve my goal of developing an independent career in patient-oriented clinical research while furthering the NICHD's mission of ensuring that all children have the chance to achieve their full potential for healthy and productive lives.

描述（由申请人提供）：我的研究议程试图开发新生儿重症监护室（NICU）质量的记分卡。背景：由于认识到临床实践的广泛差异，增加有关医疗有效性的证据以及对医疗保健成本和质量的担忧，人们对比较质量测量和评估的兴趣已经大大增加了。在其他医学领域，绩效记分卡已经提高了医疗机构，提供者和患者护理的质量。具体目的：我寻求K23奖，以发展为独立研究者，并成为衡量新生儿医疗保健质量的专家。具体而言，我建议为非常低的出生体重婴儿（少于1500克）开发新生儿重症监护质量的记分卡。目标1：选择纳入NICU护理质量的记分卡目标2：根据其绩效目标构建记分卡并对NICUS进行排名。3：评估NICU排名，以响应得分构建的替代方法以及随着时间的推移的稳定性。目标4：验证记分卡方法：记分卡的发展将采用主要数据收集（专家小组和调查）和研究水平临床数据库的分析。一个多学科指导委员会的专业知识涵盖了质量评估和改进的相关学科（Petersen和Kallen博士）以及新生儿学和健康服务研究（Drs。Gouldand Zupancic）将指导研究议程的进步。此外，我还拥有具有新生儿学专业知识的科学顾问（Stark博士），患者安全和调查方法学（Thomas博士）和Biostatistics（Pietz博士）。他们的指导以及由K23奖促进的重点培训和研究计划，将通过提供重要的内容和方法培训来发展我在新生儿质量研究方面的专业知识。结论：教育和研究议程旨在补充我先前在新生儿和卫生服务研究方面的培训，并使我能够实现我在​​以患者为导向的临床研究领域发展独立职业的目标，同时促进NICHD的使命，以确保所有儿童都能确保所有儿童都有机会实现健康和富有成效的生活。