Defragmenting Care for Patients at Increased Risk of Hospitalization: A Conference on Comprehensive Care

对住院风险增加的患者进行整理护理：综合护理会议

• 批准号: 10673492
• 负责人: DAVID O MELTZER
• 金额: $ 5万
• 依托单位: UNIVERSITY OF CHICAGO
• 依托单位国家: 美国
• 财政年份: 2023
• 资助国家: 美国
• 起止时间: 2023-04-01 至 2024-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10673492
• 关键词: Defragmenting; Care; Patients; Increased; Risk

Project Summary/Abstract This application requests support for a novel 1-year dissemination and implementationconference grant in which the University of Chicago Comprehensive Care Program (CCP) research team will engage ~50 healthcare leaders and clinicians and social service providers in a hybrid in-person/virtual 1-day conference in Chicago and monthly virtual sessions for the duration of the project period. The conference will focus on sharing dissemination tools and implementation frameworks for evidence-based care delivery models that increase relational continuity across inpatient and outpatient settings for patients at increased risk of hospitalization and explicitly address both complex medical and social needs. This focus is motivated by evidence that greater continuity of care can improve outcomes for patients at increased risk of hospitalization. This evidence includes studies of our Comprehensive Care Program (CCP) that find that providing patients at increased risk of hospitalization access to care from the same doctor in and out of the hospital can reduce hospitalization and improve health outcomes. As a result of these positive findings, interest in implementing similar comprehensive care models has grown, with several community and academic medical centers across the U.S. and internationally adapting CCP in their settings with our guidance. This proposal builds on several years of successfully facilitating relevant learning collaboratives that have engaged a diverse set of healthcare providers and health system types through virtual meetings in the context of COVID-19, including a recent Comprehensive Care Grand Rounds virtual meeting series. Participants in those meetings have expressed significant interest in building a community around “comprehensive care” with in-an person convening opportunity to share implementation best practices and evaluation methods. We propose 3 specific aims for this conference grant: Aim 1: To hold a conference in Fall 2023 that convenes stakeholders who have implemented or are interested in implementing models of care that defragment care for patients at increased risk of hospitalization. Aim 2: Through conference presentations and interactive workshops, to share tools and frameworks for how to successfully implement and evaluate comprehensive care models in a range of health care settings to support the dissemination of evidence-based comprehensive care models and the development of research to evaluate these models at other sites. Aim 3: To create and share deliverables for participants to continue to participate in dialogue and knowledge sharing throughout the course of the year following the conference, including through a web-based forum to facilitate relationship-building amongst participates and to house recordings fromthe conference workshops and presentation and implementation and evaluation resources.

项目摘要/摘要 本申请要求支持一项新颖的1年传播和实施会议赠款，其中 芝加哥大学综合护理计划（CCP）研究团队将参与约50个医疗保健 在芝加哥举行的混合面对面/虚拟1天会议的领导者，临床医生和社会服务提供商 在项目期间期间，每月虚拟会议。会议将着重分享传播 基于证据的护理交付模型的工具和实施框架，以增加关系连续性 在住院和门诊环境中，患者的住院风险增加并明确解决 复杂的医疗和社会需求。这种重点是由证据表明更大的护理连续性可以 改善住院风险增加的患者的预后。这些证据包括对我们的研究 综合护理计划（CCP）发现，为患者提供住院风险增加的患者 从同一位医生进出医院可以减少住院并改善健康状况。 由于这些积极的发现，在实施类似的综合护理模型方面有趣的结果已经增长， 在美国的几个社区和学术医疗中心以及国际上的CCP适应 在我们的指导下进行设置。该建议建立在几年成功支持相关学习的基础上 通过Virtual参与各种医疗保健提供者和卫生系统类型的协作 在Covid-19的背景下的会议，包括最近的全面护理大轮虚拟会议 系列。参加这些会议的参与者对建立社区的兴趣很大 与一个人召集的机会“综合护理”，分享实施最佳实践和 评估方法。 我们提出了3个针对此次会议赠款的特定目标： 目标1：在2023年秋季举行会议，召集实施或有兴趣的利益相关者 在实施护理模型中，以增加住院风险增加的患者护理。 目标2：通过会议演示和互动研讨会，共享有关如何的工具和框架 在一系列医疗保健环境中成功实施和评估综合护理模型以支持 传播基于证据的综合护理模型和研究的发展 这些模型在其他站点。 目标3：创建和共享可交付成果，供参与者继续参加对话和知识 在会议之后的整个课程中分享，包括通过基于网络的论坛 促进参与者之间建立关系，并在会议研讨会上建立记录 演示，实施和评估资源。