NCCU RCMI Practice Based Equity Research Network (PBERN)

NCCU RCMI 基于实践的股票研究网络 (PBERN)

• 批准号: 10644944
• 负责人: DEEPAK KUMAR
• 金额: $ 119.08万
• 依托单位: NORTH CAROLINA CENTRAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-25 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10644944
• 关键词: Acute; Address; Administrator; Advisory Committees; Area; Awareness; Biometry; COVID-19 pandemic; Cardiovascular system; Caring; Chronic; Clinic; Clinical; Clinical Research; Clinical Services; Communities; Data; Data Analytics; Data Science; Data Storage and Retrieval; Diabetes Mellitus; Disease; Diverse Workforce; Early Intervention; Electronic Health Record; Evaluation; Feasibility Studies; Federally Qualified Health Center; Grant; Health; Health Services Research; Healthcare; Healthcare Systems; Heart Atrium; Home; Infant Mortality; Institution; Kidney Diseases; Measures; Medically Underserved Area; Methodology; Minority-Serving Institution; Mobile Health Units; Names; Neighborhood Health Center; North Carolina; Outcome; Patients; Peer Review; Phase; Pilot Projects; Play; Practice Management; Practice based research; Prevention program; Primary Health Care; Process; Provider; Public Health; Recommendation; Reporting; Research; Research Methodology; Research Personnel; Research Support; Resources; Role; Students; Sum; Surveys; System; Training; Underinsured; Uninsured; United States; Universities; Voice; Vulnerable Populations; Work; base; behavioral/social science; care providers; college; community clinic; community college; community engagement; community intervention; community partnership; cultural competence; data management; data sharing; data warehouse; design; empowered; ethnic minority; ethnic minority population; experience; health disparity; health equity; health inequalities; health management; implementation science; implicit bias; improved; innovation; meetings; member; population health; practice-based research network; programs; racial health disparity; racial minority; research study; sharing platform; skills; social determinants; social science research; successful intervention; support network; underserved community; university student; voucher

ABSTRACT North Carolina (NC) is home to five Practice-Based Research Networks (PBRN) supported and maintained by large academic research centers and healthcare systems with no to very limited engagement with free community clinics and practitioners that care for uninsured patients. NC ranks #32 in the United States for health outcomes and is ranked the fifth-worst state for health care with alarming racial health disparities in infant mortality, diabetes, kidney disease, and many chronic and acute conditions. The North Carolina Central University (NCCU) Research Centers at Minority Institutions (RCMI) has successfully and effectively engaged underserved communities. This proposal aims to establish an RCMI-led Clinical Research Network for Health Equity (CRNHE) to address gaps in clinic-based research and improve health care for uninsured patients. This innovative CRNHE called as NCCU RCMI Practice-Based Equity Research Network (PBERN) will bring together college student health clinic, Federally Qualified Health Centers (FQHCs), free and charitable clinics, and local public health departments, all of which extensively serve uninsured and vulnerable populations. The three specific aims for the UG3 planning phase entail constructing the PBERN. The Administrative core (Admin Core) will oversee and manage the PBERN including formation of a patient/community advisory board and an external advisory committee of providers, craft a charter for the consortium, and memoranda of understanding for partner practices (SA1). The Community Engagement Core (CEC) will aim to integrate voices of the community, patients, and providers through consortium activities and develop community-recommended health awareness and prevention programs using the NCCU mobile health units (SA2). The Clinical Research Implementation Core (CRIC) will provide training in clinical and health services research methods and support consortium members in areas such as biostatistics, data science and survey design (SA3). The CRIC will also partner with commercial population health management platform, to design and plan for electronic health record (EHR) integration (during UH3 phase) across network clinics. During the second (UH3) phase, the CRIC will implement a rigorous and competitive pilot project program (2 pilots for 2-3 years) and offer rapid cycle vouchers (RCV) (3-6 months) for quality improvement and implementation science projects (SA4) and execute plans for EHR integration, data storage and analytics for consortium members to accelerate integrated health services research, and measure and report population health metrics (SA5). The Evaluation and Dissemination Unit (EDU) will continuously assess and work closely with the 2 cores (CRIC, CEC) and RCMI Coordinating Center to develop common metrics and make recommendations to public agencies for successful findings (SA6). In sum, the proposed PBERN will dramatically increase practice-based research that seeks to achieve health care equity among North Carolina’s most vulnerable suffering health disparities.

抽象的 北卡罗来纳州（NC）是五个基于实践的研究网络（PBRN）的所在地。 大型学术研究中心和医疗保健系统，没有与免费的免费参与 照顾未保险患者的社区诊所和从业人员。 NC在美国卫生中排名第32 成果，被评为卫生保健的第五个州，婴儿的种族健康差异令人震惊 死亡率，糖尿病，肾脏疾病以及许多慢性和急性疾病。北卡罗来纳州中央 少数民族机构（RCMI）的大学（NCCU）研究中心已成功有效地参与 服务不足的社区。该建议旨在建立RCMI领导的健康临床研究网络 股权（CRNHE）解决基于临床研究的差距并改善未保险患者的医疗保健。这 创新的Crnhe称为NCCU RCMI实践股票研究网络（PBERN）将聚集在一起 大学学生健康诊所，联邦资格卫生中心（FQHCS），免费和慈善诊所和当地 公共卫生部门，所有这些部门都为无保险和脆弱的人口提供了广泛的服务。三个 UG3计划阶段的具体目的需要构建PBERN。管理核心（管理员核心） 将监督和管理PBER，包括成立患者/社区顾问委员会和外部 提供者的咨询委员会，为财团制作宪章，并为合作伙伴的谅解备忘录 实践（SA1）。社区参与核心（CEC）将旨在整合社区的声音，患者， 和提供者通过集中活动，并提高社区推荐的健康意识和 使用NCCU移动卫生部门（SA2）的预防计划。临床研究实施核心 （CRIC）将提供临床和卫生服务研究方法的培训，并支持财团成员 在生物统计学，数据科学和调查设计（SA3）等领域。 CRIC还将与商业合作 人口健康管理平台，设计和计划电子健康记录（EHR）集成（在 UH3阶段）跨网络诊所。在第二（UH3）阶段，CRIC将实施严格的和 竞争性飞行员项目计划（2个管道2-3年），为快速周期凭证（RCV）（3-6个月）提供 质量改进和实施科学项目（SA4）并执行EHR集成计划，数据 财团成员的存储和分析，以加速综合卫生服务研究和测量 并报告人口健康指标（SA5）。评估和传播单位（EDU）将继续 与2个核心（CRIC，CEC）和RCMI协调中心密切合作，以发展共同 指标并向公共机构提出建议以获得成功的发现（SA6）。总而言之 PBER将大大增加基于实践的研究，该研究旨在实现北方的医疗保健公平 卡罗来纳州最脆弱的健康差异。