Communication Processes for Accountable Care Enhancement (C-PACE)

加强责任护理的沟通流程 (C-PACE)

基本信息

批准号：
8525010
负责人：
RUSSELL Charles MAULITZ
金额：
$ 14.58万
依托单位：
STARSHIP HEALTH TECHNOLOGIES
依托单位国家：
美国
项目类别：
财政年份：
2013
资助国家：
美国
起止时间：
2013-08-01 至 2014-07-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8525010
关键词：
Address Age Algorithms American Back Books Brain Businesses Caring Characteristics Chronic Disease Clinical Communication Complex Computers Consult Cost Control Data Development Devices Discipline Effectiveness Electronic Health Record Electronic Mail Event Failure Frail Elderly Geriatrics Hand Head Health Healthcare Healthcare Systems Human Individual Information Technology Investments Link Location Maintenance Market Research Mediating Medical Medical Errors Medical Informatics Medicine Mining Monitor Natural regeneration Outcome Outcomes Research Outpatients Pathway Analysis Patient Preferences Patients Phase Plague Process Provider Published Comment Research Resources Role Science Semantics Shipping Ships Site Social Network Societies Software Tools Solutions Specialist Stream Structure System Tablets Technology Telefacsimile Telemedicine Telephone Testing Third-Party Payer Time User-Computer Interface Work aging population analytical tool base care episode clinical practice commercialization computerized physician order entry cost cost effective data mining data modeling design digital experience health care service organization health information technology health record improved innovation laptop meetings news older patient open source operation patient oriented prototype public health relevance social usability

项目摘要

DESCRIPTION (provided by applicant): The C-PACE Project (Communications Processes for Accountable Care Enhancement) will develop a new and innovative form of social computing that is customized for the care of frail, elderly patients. A successful C-PACE system will improve patient-centered health care, reduce medical errors, and provide the kind of data that CMS, third party payers, Accountable Care Organizations and other health care organizations need in order to monitor clinical outcomes. C-PACE is ideally suited to the aging population toward which it will be initially targeted. These complex patients are constantly shuttled back and forth between providers and venues of care. But the information needed to track and care for such individuals does not necessarily follow them - even, surprisingly, in the era of electroni health records (EHRs). How could such a thing possibly happen in the digital age? The answer is deceptively simple. EHRs sit in silos, geared for billing and designed to document single events of care. They embody information that may describe care episodes and associated costs, but rarely include certain critical thought processes. Such thought processes, including patient preferences, are needed by "down-stream" providers to understand, literally, what needs to happen next. Today, communications about transitions of care, information hand-offs, clinicians' communications to give one another "heads-ups," or to pick each other's brains are key pieces of the care process that are not documented and that, as a result, just get lost. C-PACE is a software tool that captures, in a lasting digital record, these clinical communications about patients that collectively form care coordination. The science behind C-PACE draws from different disciplines of medicine and technology including geriatrics, human factors, medical informatics, social network analysis, and user interface design. Phase I of this interdisciplinary effort will show whether the building of such a system is feasible, by developing and assessing a user-centered C-PACE human- computer interface, an underlying data model, and a data mining capability. C-PACE can rewrite the rule-book by taking what's always been "under the radar" -- care-coordination -- and making it visible, well-supported, and accountable.

描述（由申请人提供）：C-PACE项目（提高责任心护理的通信流程）将开发一种新的创新形式的社交计算形式，该形式是为了照顾脆弱的老年患者而定制的。成功的C-PACE系统将改善以患者为中心的医疗保健，减少医疗错误，并提供CMS，第三方付款人，负责任的护理组织和其他医疗保健组织以监控临床结果所需的数据。 C-pace理想地适合最初针对的老龄化人口。这些复杂的患者在提供者和护理场所之间不断来回穿梭。但是跟踪和关怀此类人所需的信息并不一定会遵循它们 - 即使在Electroni Health Records（EHRS）时代，即使令人惊讶的是。这种事情在数字时代怎么可能发生？答案很简单。 EHRS坐在孤岛中，专门用于计费，并旨在记录单个护理事件。他们体现了可能描述护理事件和相关成本的信息，但很少包含某些批判性思维过程。 “下游”提供商需要从字面上理解接下来需要发生的事情。如今，有关护理过渡，信息交接，临床医生的沟通的沟通，互相交流，或者彼此挑选彼此的大脑是没有记录的护理过程的关键部分，因此，丢失了。 C-PACE是一种软件工具，可以在持久的数字记录中捕获有关共同形成护理协调的患者的这些临床通信。 C-PACE背后的科学借鉴了医学和技术的不同学科，包括老年医学，人为因素，医学信息学，社交网络分析和用户界面设计。这项跨学科工作的第一阶段将通过开发和评估以用户为中心的C-PACE人类计算机接口，基础数据模型和数据挖掘能力来表明该系统的构建是否可行。 C-pace可以通过采取始终“雷达下的东西”（照料协调）来重写规则手册，并使其可见，良好支持和负责。