NorthStar Node of the Clinical Trials Network

临床试验网络的 NorthStar 节点

基本信息

批准号：
9902692
负责人：
GAVIN BART
金额：
$ 27.7万
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/9902692
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 Management Drug Use Disorder 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 Care Services Hospitals Inpatients Institutes Integrated Health Care Systems Internal Medicine Medical Medical center Medicine Minnesota Mission Modeling National Institute of Drug Abuse Neurology 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 Service delivery model Services Student Health Services Students Substance Use Disorder System Time Tobacco Training Translational Research Translations United States Universities Wellness Center addiction behavioral health binge drinking burden of illness chronic pain clinical decision support economic cost health care delivery health care model health care service utilization health disparity illicit drug use innovation medical specialties opioid use disorder prescription opioid primary care setting programs readmission rates safety net smoking prevalence success support tools tobacco cessation intervention tool trauma centers treatment program university student

项目摘要

Project summary: 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.

项目摘要：药物使用障碍（SUD）是全球疾病负担的重要促进者。据估计，酒精，烟草和其他药物的年度直接和间接经济成本估计为500美元仅在美国就有十亿美元。估计有2020万美国人需要治疗SUD，但不到5％的人接受专业治疗。美国最常见的医疗保健联系点是门诊的初级保健。明尼苏达州在美国的健康状况中排名第一，其比率之一是在美国获得初级保健。 NIDA临床试验网络提出的北极星节点带来在提供和研究初级保健方面表现出色的医疗保健交付模型。由内部领导具有实践和研究专业知识的医学医生，北极星节点包括：1）两个主要的非营利性综合卫生系统，通过100多个主要的主要专业人士为超过100万个明尼苏达州提供服务护理诊所（HealthPartners和Allina Health）； 2）联邦资格卫生中心（Northpoint Health＆健康中心）； 3）负责管理使用最贫穷，最高医疗保健的责任心组织明尼苏达州人口最多的县（Hennepin Health）的人口； 4）学生健康中心，该中心为20,000多名大学生提供初级和行为护理（明尼苏达大学的学生博因顿卫生服务）； 5）非营利性健康研究所改进研究所（ICSI）改进组织致力于开发和实施质量改进和最佳实践超过45个卫生系统和8,000名医生的协议； 6）明尼苏达大学临床和转化科学研究所。为了实现CTN任务，Northstar节点将开发（1）SUD患者协调的慢性护理疾病管理模型，（2）风险分层工具（3）临床决策支持工具专注于鸦片处方（4）烟草戒烟的综合模型和HIV主要的综合模型护理，以及（5）降低SUD患者或处于危险用户的30天再入院率的有效模型来自住院一般医疗环境。