Learning from Primary Care Meaningful Use Exemplars

向初级保健有意义的使用范例学习

• 批准号: 8642506
• 负责人: STEVEN Mark ORNSTEIN
• 金额: $ 48.72万
• 依托单位: MEDICAL UNIVERSITY OF SOUTH CAROLINA
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-09-01 至 2014-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8642506
• 关键词: Learning; Primary; Care; Meaningful; Use

DESCRIPTION (provided by applicant): This project's objective is to provide policy relevant evaluations to help assure that the Health Information Technology for Economic and Clinical Health (HITECH) Act electronic health records (EHR) meaningful use (MU) incentive program actually improves the quality of healthcare provided to the American public. The focus will be on the planned 2014 clinical quality measure (CQM) set, based on the perspective that CQM are the most important aspect of MU. PPRNet, an AHRQ-sponsored Center for Primary Care Practice-Based Research and Learning, will conduct the evaluations in a diverse cohort of primary care practices that have been working in this area for more than a decade. PPRNet is a unique and experienced national EHR-based practice based research network among more than 200 primary care practices with more than 1200 providers in 41 States. The project has three separate but related Aims that will each inform the development of Stage 3 MU CQM objectives and facilitate their adoption by primary care clinicians. The three aims are to assess current and achievable benchmark performance across twenty-two 2014 CQMs relevant to primary care practice in PPRNet practices, assess the association between the adoption of strategies posited by implementation theories to be associated with high performance on quality and measured performance, and solicit recommendations from the highest performing practices to improve Stage 3 MU CQM objectives. In the aggregate, the findings from these evaluations will help policy makers understand realistic benchmarks for CQM performance, the strategies required by primary care practices to achieve high performance, and how the MU objectives can be improved to yield the greatest impact on quality of healthcare provided to the American public.

描述（由申请人提供）：该项目的目标是提供与政策相关的评估，以帮助确保经济和临床健康的健康信息技术（HITECH）ACT电子健康记录（EHR）有意义的使用（MU）激励计划实际上改善了提供给美国公众提供的医疗保健质量。基于CQM是MU最重要的方面的观点，重点将放在计划的2014年临床质量度量（CQM）设置上。 PPRNET是AHRQ赞助的基于初级保健实践研究和学习的中心，将在多种在该领域工作了十多年的初级保健实践中进行评估。 PPRNET是一个独特且经验丰富的基于国家实践的研究网络，在200多个州的200多个初级保健实践中，有41个州的1200多家提供者。该项目具有三个单独但相关的目标，每个目标都将为3阶段MU CQM目标的发展提供依据，并促进了初级保健临床医生的收养。这三个目的是评估与PPRNET实践中与初级保健实践相关的22个2014 CQM的当前和可实现的基准表现，并评估通过实施理论提出的策略的相关性，这些策略与质量和测量绩效的高绩效相关，并从质量和测量绩效方面相关，并从最高绩效实践中提高3阶段3 MU CQM CQM CQM CQM目的。在总体上，这些评估的发现将帮助决策者了解CQM绩效的现实基准，基础医疗实践所需的策略以实现高性能，以及如何改善MU目标，以对提供给美国公众提供的医疗保健质量产生最大的影响。