RECAP - Application for capture and analysis of provider-patient encounters

RECAP - 用于捕获和分析提供者与患者的接触的应用程序

• 批准号: 8589522
• 负责人: David Farrell
• 金额: $ 18.66万
• 依托单位: PEOPLE DESIGNS, INC.
• 依托单位国家: 美国
• 财政年份: 2013
• 资助国家: 美国
• 起止时间: 2013-08-15 至 2015-07-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8589522
• 关键词: Address; Administrator; Affect; Back; Caring; Client satisfaction; Clinic; Clinical; Code; Collection; Communication; Computer software; Data; Data Analyses; Data Reporting; Effectiveness; Evaluation; Feedback; Hand; Healthcare; Individual; Industry; Internet; Intervention; Licensing; Life; Location; Measures; Medical Records; Methods; Online Systems; Outcome; Patients; Performance; Phase; Process; Provider; Public Health; Quality of Care; Reporting; Research; Scheme; Secure; Services; Simulate; Solutions; Structure; System; Technology; Testing; Time; Training; Visit; Work; base; behavior change; care delivery; commercialization; communication behavior; cost effectiveness; improved; innovation; programs; prototype; public health relevance; rural area; scale up; skills; tool; usability

DESCRIPTION (provided by applicant): This proposal aims to test the feasibility of a software application for the collection, analysis, and reporting of audio-recorded provider-patient conversations. The proposed application makes it possible to efficiently collect and use provider-patient communication data for evaluation and quality improvement. In order to assess the provider-patient communication aspect of care delivery, whether for reimbursement or training purposes, and to fully understand the factors that affect patient outcomes, data are needed that measure real- life (not simulated) provider communication behavior. Additionally, to be accurately evaluated, these data need to be based on direct capture of communication at the point of service (during the encounter), not second-hand through post-visit notes or medical records. In the last ten years, a significant push has been made to measure the quality of communication. Though insightful, the work has been limited by the difficulty of collecting and evaluating real-life communication data in a structured way. The technology for recording conversations is cumbersome and time consuming, and it requires expertise not found in most clinical settings. Furthermore, with the absence of off-the-shelf tools for evaluating the recordings, analysis of communication data which is captured is also cumbersome and open to wide subjectivity. The proposed application, RECAP (Routine Encounter Capture and Analysis Program), addresses this condition. RECAP consists of two integrated tools: 1) a smartphone-based audio capture and delivery application, and 2) a web-based audio analysis and reporting application. Using RECAP, providers will be able to easily and securely audio record patient encounters, with resulting recordings being automatically uploaded to a central location where the content of the recordings can be analyzed. Data generated from analysis can then be used to report individual provider results for evaluation and training purposes or aggregate results for evaluation of provider groups or for research related to provider-patient interaction. The key innovation of the proposed product is that it provides a seamless and easy process for the collection, analysis, and reporting of these data. If successful, it will facilitate much greater activity to analyze and improve provider-patient communication. Phase I includes two aims: 1) develop a smartphone-based audio recording and delivery application paired with a web-based audio analysis and reporting application, and 2) evaluate usability and acceptability of the applications for recording encounters in a clinical setting and for evaluating and reporting on provider communication skills. In Phase II, we will expand application functionality with additional platform compatibility and additional functionality; test effectiveness and cost effectiveness compared to alternative methods; and, further develop commercialization strategies. In Phase III, we will license the product to users and integrators, carry out additiona application improvements, and expand features to make RECAP applicable to other industries.

描述（由申请人提供）：该提案旨在测试软件申请在收集，分析和报告音频录制的提供者患者对话的可行性。拟议的应用程序使有效地收集和使用提供商的与患者通信数据进行评估和质量改进成为可能。为了评估护理提供的提供者与患者的交流方面，无论是用于报销或培训目的，并充分理解影响患者结果的因素，需要数据来衡量现实生活（不是模拟）提供者的通信行为。此外，要准确评估，这些数据需要基于在服务点上直接捕获通信（在相遇期间），而不是通过访问后的注释或医疗记录进行二手捕获。在过去的十年中，已经大力推动了衡量沟通质量的努力。尽管有见地，但这项工作受到了以结构化的方式收集和评估现实交流数据的困难。录制对话的技术是繁琐且耗时的，它需要在大多数临床环境中找不到专业知识。此外，由于缺乏评估记录的现成工具，捕获的通信数据的分析也很麻烦，并且具有广泛的主观性。提出的应用程序Recap（常规遇到捕获和分析程序）解决了此条件。回顾由两个集成工具组成：1）基于智能手机的音频捕获和交付应用程序，以及2）基于网络的音频分析和报告应用程序。使用RECAP，提供商将能够轻松，安全地记录记录患者的遇到，并将结果自动上传到可以分析录音内容的中心位置。然后，可以使用分析产生的数据来报告单个提供者的结果，以进行评估和培训目的或汇总结果 评估提供商群体或与提供者相互作用相关的研究。提出的产品的关键创新是，它为这些数据的收集，分析和报告提供了一个无缝且简单的过程。如果成功的话，它将有助于分析和改善提供者与患者交流的更多活动。第一阶段包括两个目的：1）开发基于智能手机的音频记录和交付应用程序与基于Web的音频分析和报告应用程序配对，以及2）评估在临床环境中录制相遇以及评估和报告提供者通信技能的可用性和可接受性。在第二阶段，我们将扩展应用程序功能，并具有其他平台兼容性和其他功能。与替代方法相比，测试有效性和成本效益；并进一步制定商业化策略。在第三阶段，我们将向用户和集成商许可该产品，进行加法应用程序改进，并扩展功能以使回顾适用于其他行业。