NorthStar Node of the Clinical Trials Network

临床试验网络的 NorthStar 节点

基本信息

批准号：
9471563
负责人：
GAVIN BART
金额：
$ 39.96万
依托单位：
HENNEPIN HEALTHCARE RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2015
资助国家：
美国
起止时间：
2015-09-01 至 2020-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9471563
关键词：
Accreditation Adult Alcohols American Behavioral Caring Chronic Care Chronic Disease Clinic Clinical Clinical Sciences Clinical Trials Network Collaborations Communities Community Outreach Comorbidity County Development Diabetes Mellitus Disease Disease Management Electronic Health Record Federally Qualified Health Center Funding Goals Grant HIV Health Health Maintenance Organizations Health Services Health Status Health system Healthcare Healthcare Systems Home environment Hospitals Inpatients Institutes Internal Medicine Medical Medical center Medicine Minnesota Mission Modeling National Institute of Drug Abuse Neurology Opiates Outpatients Pain management Patient Care Management Patients Pharmaceutical Preparations Physicians Population Prevalence Primary Health Care Protocols documentation Psychiatry Recording of previous events Research Research Training Residencies Risk Risk stratification Schools Science Services Student Health Services Students Substance Use Disorder System Time Tobacco Tobacco Use Cessation Training Translational Research Translations United States Universities Wellness Center Withholding Treatment addiction behavioral health binge drinking burden of illness chronic pain economic cost health care delivery health care service utilization health disparity illicit drug use innovation medical specialties prescription opiate primary care setting programs public health relevance safety net smoking prevalence success support tools tool trauma centers treatment program university student

项目摘要

DESCRIPTION: Substance use disorders (SUD) are significant contributors to the global burden of disease. Annual direct and indirect economic costs of alcohol, tobacco, and other drugs have been estimated at $500 billion in the United States alone. An estimated 20.2 million Americans are in need of treatment for a SUD, yet fewer than 5% receive specialty treatment. The most frequent point of health care contact in the United States is outpatient primary care. Minnesota ranks 1st in the US for health status and has one of the highest rates of access to primary care in the US. The proposed NorthStar node of the NIDA Clinical Trials Network brings together diverse healthcare delivery models that excel in delivery and research of primary care. Led by internal medicine physicians with practice and research expertise in addiction, the NorthStar node includes: 1) two major non-profit integrated health systems serving more than 1 million Minnesotans through over 100 primary care clinics (HealthPartners and Allina Health); 2) a Federally Qualified Health Center (NorthPoint Health & Wellness Center); 3) an accountable care organization managing the poorest and highest healthcare utilizing populations of Minnesota's most populous county (Hennepin Health); 4) a student health center, which provides primary and behavioral care for the more than 20,000 university students (University of Minnesota's Boynton Health Services); 5) the Institute for Clinical Systems Improvement (ICSI), a non-profit health improvement organization dedicated to developing and implementing quality improvement and best-practices protocols across more than 45 health systems and 8,000 physicians; and 6) the University of Minnesota Clinical and Translational Sciences Institute. In fulfillment of the CTN mission, the NorthStar node will develop (1) models of coordinated chronic care disease management of patients with SUD, (2) risk stratification tools for opiate prescription for chronic pain management in primary care, (3) clinical decision support tools focusing on the treatment of opiate use disorders, (4) integrated models of tobacco cessation treatment and HIV primary care, and (5) effective models to reduce 30-day readmission rates for SUD patients or at-risk users discharged from inpatient general medical settings.

描述：药物使用障碍（SUD）是全球疾病燃烧的重要贡献者。仅在美国，据估计，酒精，烟草和其他药物的年度直接和间接经济成本在5000亿美元中。估计有2020万美国人需要治疗SUD，但不到5％的人接受了特殊治疗。美国最常见的医疗保健接触点是门诊初级保健。明尼苏达州在美国的健康状况中排名第一，在美国获得初级保健的率最高。 NIDA临床试验网络拟议的Northstar节点汇集了潜水员的医疗保健提供模型，这些模型在提供和研究初级保健方面表现出色。在内科医生的成瘾方面具有实践和研究专业知识的领导，Northstar节点包括：1）通过100多个初级保健诊所（HealthPartners和Allina Health），两个主要的非营利性综合卫生系统，为超过100万明尼苏达州提供服务； 2）一个有资格的健康中心（Northpoint Health＆Wellness Center）； 3）负责管理明尼苏达州人口最多的县（亨内平健康）的最贫穷和最高医疗保健利用人群的责任心组织； 4）一个学生健康中心，为20,000多名大学生（明尼苏达大学的博因顿健康服务）提供初级和行为护理； 5）临床系统改进研究所（ICSI），这是一个非营利性健康改善组织，致力于在45多个卫生系统和8,000名医生中开发和实施质量改进和最佳实践方案； 6）明尼苏达大学临床与转化科学研究所。在完成CTN任务时，NorthStar节点将开发（1）SUD患者的慢性护理疾病管理模型，（2）风险分层工具，用于优化初级保健中慢性疼痛管理处方的处方，（3）临床决策支持工具的重点是针对优化疾病的治疗方法，（4）降低了subde and Cessing和HIV cessing and of Sud-iv cessing和HIV的率，（4）（4）5）处于住院常规医疗环境中的高危用户。