IT Systems for Rural Indian Clinic Health Care

印度农村诊所医疗保健 IT 系统

• 批准号: 6950672
• 负责人: SUSAN L DAHL
• 金额: $ 50万
• 依托单位: CALIFORNIA RURAL INDIAN HEALTH BOARD
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-09-20 至 2007-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6950672
• 关键词: Native Americans; automated medical record system; behavioral /social science research tag; biomedical automation; clinical research; community health services; computer assisted medical decision making; computer assisted patient care; cooperative study; health care personnel performance; health care quality; health services research tag; hospital utilization; human subject; medically underserved population; patient care management; patient safety /medical error; rural area

DESCRIPTION (provided by the applicant): The California Rural Indian Health Board (CRIHB) and its Indian owned and operated Tribal Health Programs (THP) have made it their goal to contribute to the improvement of the health status of American Indians and Alaska Natives (AIAN) in California. With this project, Information Technology Systems for Rural Indian Clinic Healthcare (ITS-RICH) three separate endeavors in health services research, clinic redesign and electronic practice management will become integrated into a single coordinated effort to reduce hospitalizations that are preventable through improvement in quality of care and reduction in medical and medication errors. CRIHB is partnering with three of its rural THP who have implemented electronic practice management to now implement electronic health records with clinical decision support systems. The IT systems that result will be used in conjunction with local hospitals to support the review of all hospitalizations for their preventability, to detect and track THP medical and medication errors, and to detect and track THP performance of clinical care according to standardized performance guidelines. The long-term healthcare goals of the ITS-RICH Project are: 1) to improve healthcare performance of THP clinics according to GPRA performance standards; 2) To reduce medical errors of users of THP clinics; 3) To reduce medication errors of users of THP clinics; and 4) To reduce preventable hospitalizations of users of THP clinics. To make progress towards these goals the project has four Specific Aims: 1) Integrate Electronic Health Record with Electronic Practice Management in clinic operations that include clinical decision support systems; 2) See that individual patient care systems are in place to identify and track changes in clinical performance according to standards, medical and medication errors, and hospitalizations of THP users; 3) See that the individual patient care data are integrated, reported and used for population health analyses; and 4) See that the population health analyses are reported and used for quality improvement of individual patient care.

描述（由申请人提供）：加州农村印第安人健康委员会 (CRIHB) 及其印第安人拥有和经营的部落健康计划 (THP) 的目标是为改善美洲印第安人和阿拉斯加原住民的健康状况做出贡献（ AIAN）在加利福尼亚州。通过该项目，印度农村诊所医疗保健信息技术系统 (ITS-RICH) 在卫生服务研究、诊所重新设计和电子实践管理方面的三项独立工作将整合为一项协调一致的工作，以减少住院治疗，而住院治疗是可以通过提高医疗服务质量来预防的。护理并减少医疗和用药错误。 CRIHB 正在与其三个已实施电子实践管理的农村 THP 合作，现在通过临床决策支持系统实施电子健康记录。由此产生的 IT 系统将与当地医院结合使用，支持对所有住院治疗的可预防性进行审查，检测和跟踪 THP 医疗和用药错误，并根据标准化绩效指南检测和跟踪 THP 临床护理绩效。 ITS-RICH 项目的长期医疗保健目标是： 1) 根据 GPRA 提高 THP 诊所的医疗保健绩效 绩效标准； 2) 减少THP诊所使用者的医疗失误； 3）减少THP诊所使用者的用药失误； 4) 减少 THP 诊所用户本可预防的住院治疗。为了实现这些目标，该项目有四个具体目标： 1) 将电子健康记录与电子实践管理集成到临床运营中，包括临床决策支持系统； 2) 确保个体患者护理系统到位，根据 THP 用户的标准、医疗和用药错误以及住院情况来识别和跟踪临床表现的变化； 3) 确保个体患者护理数据得到整合、报告并用于人口健康分析； 4) 确保人口健康分析得到报告并用于改善个体患者护理的质量。