Midwest Small Practice Care Transformation Research Alliance

中西部小型实践护理转型研究联盟

• 批准号: 8885363
• 负责人: ABEL N KHO
• 金额: $ 474.14万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2015
• 资助国家: 美国
• 起止时间: 2015-05-01 至 2018-04-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8885363
• 关键词: Midwest; Small; Practice; Care; Transformation

 DESCRIPTION (provided by applicant): Although quality improvement strategies have been shown to improve care around the ABCS of cardiovascular disease (i.e. aspirin prescribing, blood pressure control, cholesterol management, and smoking cessation counseling), most studies of these strategies have been conducted in well-resourced academic institutions or integrated healthcare delivery systems. It is unclear whether these strategies can be effectively implemented in independent primary care practices with more limited resources and less developed quality improvement infrastructure. We propose to bring together the four Regional Extension Centers (RECs) covering Northeastern Illinois including Chicago, Southeastern Wisconsin, and Northwest Indiana, constituting the populous Tri-State corridor along Lake Michigan and collectively serving over 300 primary care practices. Our multi-stakeholder team includes State Departments of Public Health, the American Medical Association, the Alliance of Chicago, Telligen, Illinois' Medicare Quality Improvement Organization and Metastar (the QIO and REC for Wisconsin), to test the feasibility and effectiveness of point of care (POC) strategies (i.e., at the time of a visit) and population-management (PM) strategies (i.e. systems-based approaches to preventive and clinical care,) in EHR-enabled primary care practices. We will evaluate the ability of small practices in our region to implement POC and PM quality improvement strategies to improve the ABCS and implement the open source PopHealth performance measurement software to evaluate performance on the ABCS and enable regional benchmarking. We will conduct a practice-randomized trial to determine whether POC strategies improve ABCS performance measures compared to baseline, and whether adding locally-tailored PM strategies to POC strategies improves performance on the ABCS measures more than POC strategies alone. Finally, we will deploy an open source quality measurement platform (PopHealth) to establish a regional QI benchmarch based on participating practice ABCS measures and enable longitudinal tracking of electronic clinical quality measures (eCQMs) across our region. We will perform a mixed-methods evaluation to examine changes in practices' perceived capacity for quality improvement and whether access to comparative quality data within a region improves the capacity of practices to sustain their quality improvement program around the ABCS and provides a long term framework for practices to implement new QI activities. Our program will create a robust and sustainable quality improvement infrastructure positioned to translate PCOR findings efficiently into primary care practices within a region.

 描述（由申请人提出）：尽管质量改进策略howen toiwn toiwn toiwn toiwn toiprove周围围绕ABCS的sease sease（即阿司匹林处方，血压控制，胆固醇控制，胆固醇管理和吸烟咨询）进行了良好的学术机构或集成的学术咨询医疗保健系统。芝加哥联盟，伊利诺伊州的泰利根联盟（Telligen）的医疗改善组织和Metastar（Qio and Rec Fore Wisconsin）的护理点（POC）策略（即，在访问时，PM）管理（即系统策略（即系统）策略（即系统） - 基于EHR支持的基于EHR的初级保健实践的方法。启用基准测试。我们区域的电子质量量度（ECQM）的纵向跟踪。为了打印新的QI活动，我们的计划将创建以有效地转化为Arion中的初级保健实践的CTUER。