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）：该提案旨在测试用于收集、分析和报告录音提供者与患者对话的软件应用程序的可行性。所提出的应用程序可以有效地收集和使用提供者与患者之间的通信数据以进行评估和质量改进。为了评估护理服务的提供者与患者沟​​通方面（无论是出于报销还是培训目的），并充分了解影响患者结果的因素，需要测量现实生活（而非模拟）提供者沟通行为的数据。此外，为了准确评估，这些数据需要基于服务点（在接触期间）直接捕获的通信，而不是通过访问后笔记或医疗记录获得的二手数据。在过去的十年中，人们在衡量通信质量方面取得了重大进展。尽管富有洞察力，但这项工作受到以结构化方式收集和评估现实生活通信数据的困难的限制。记录对话的技术既麻烦又耗时，并且需要大多数临床环境中不具备的专业知识。此外，由于缺乏用于评估录音的现成工具，对捕获的通信数据的分析也很麻烦并且存在广泛的主观性。所提议的应用程序 RECAP（常规遭遇捕获和分析程序）可以解决这种情况。 RECAP 包含两个集成工具：1) 基于智能手机的音频捕获和传输应用程序，以及 2) 基于网络的音频分析和报告应用程序。使用 RECAP，医疗服务提供者将能够轻松、安全地记录患者遭遇的情况，并将生成的录音自动上传到可以分析录音内容的中央位置。然后，分析生成的数据可用于报告单个提供商的结果以进行评估和培训，或汇总结果 对提供者群体的评估或与提供者-患者互动相关的研究。所提议产品的关键创新在于，它为这些数据的收集、分析和报告提供了无缝且简单的流程。如果成功，它将促进更多的活动来分析和改善提供者与患者的沟通。第一阶段包括两个目标：1）开发基于智能手机的音频录制和传输应用程序，与基于网络的音频分析和报告应用程序配合使用，2）评估应用程序在临床环境中记录遭遇和评估的可用性和可接受性并报告提供者的沟通技巧。在第二阶段，我们将通过额外的平台兼容性和附加功能来扩展应用程序功能；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战略。在第三阶段，我们将向用户和集成商授权该产品，进行额外的应用程序改进，并扩展功能以使 RECAP 适用于其他行业。