Clinical Practice Network

临床实践网络

• 批准号: 10674008
• 负责人: PETER D STETSON
• 金额: $ 21.74万
• 依托单位: SLOAN-KETTERING INST CAN RESEARCH
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-08-01 至 2027-07-31
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10674008
• 关键词: Acceleration; Administrator; Algorithms; Awareness; Back; Businesses; COVID-19 pandemic; Cancer Center; Caregivers; Caring; Chronic; Clinic; Clinical; Collaborations; Computer Models; Computer software; Continuity of Patient Care; Data; Data Analytics; Data Collection; Data Scientist; Devices; Digital biomarker; Doctor of Philosophy; Education; Electronic Health Record; Ensure; Environment; Equity; Evaluation; Feedback; Foundations; Frontline worker; Future; Health Technology; Health system; Healthcare; Home; Hybrids; Infrastructure; Intervention; Intervention Studies; Investigation; Investments; Knowledge; Laboratories; Leadership; Learning; Location; Long Island; Malignant Neoplasms; Measures; Methods; Mission; Modeling; Monitor; Nature; New Jersey; New York City; Oncology; Outpatients; Patient Education; Patients; Pilot Projects; Process; Public Health Informatics; Quality of Care; Randomized; Recovery; Research; Research Design; Research Infrastructure; Research Methodology; Research Personnel; Resources; Risk; Scientist; Secure; Services; Site; Standardization; Strategic Planning; System; Technology; Testing; Thinking; Translating; Visualization; Work; arm; barrier to care; cancer care; care delivery; clinical practice; comparative; cost; dashboard; data management; data modeling; data standards; design; digital; digital tool; evidence base; experience; health care model; health care quality; health data; implementation science; informatics tool; innovation; insight; model building; multidisciplinary; multimodal data; novel; operation; patient engagement; pragmatic trial; programs; sensor; success; telehealth; therapy design; tool; treatment as usual; trial design; user centered design

PROJECT SUMMARY/ABSTRACT The purpose of the Clinical Practice Network (CPN) of the MATCHES Telehealth Research Center is to provide the environment for conducting and evaluating the Center’s investigations of telehealth-supported cancer care. MSK’s New York City locations and six regional care sites will constitute the CPN. MSK is a high- volume cancer center with a robust infrastructure for delivering telehealth via both synchronous and asynchronous technologies. As such, the CPN also will serve as the Center’s practice innovation and digital innovation hub for implementing and evaluating telehealth, as well as nimbly translating the generated evidence back into clinical practice. The CPN will convene patients, clinicians, staff, and scientists to test and refine equitable telehealth solutions, and novel computational and hybrid practice models, all based on principles of user-centered design. The CPN’s specific aims are 1) to develop and equitably deploy enhanced telehealth tools, 2) to develop and deploy MSK@Home telehealth-supported services in the context of the Center’s Pragmatic Trial, 3) to identify and implement sustainable methods of patient and clinician engagement to refine telehealth-enabled interventions, and 4) to test and refine novel computational, operational, and staffing models for the delivery of telehealth-supported cancer care at home. Led by Peter D. Stetson, MD, MA, with Co-Directors Diane Reidy-Lagunes, MD, and Gilad J. Kuperman, MD, PhD, and support from a multidisciplinary leadership team from across MSK, the CPN will act as the effector arm and feedback sensor for implementing the MSK@Home intervention to be evaluated via our Pragmatic Trial and will perform similar functions across the planned pilot studies. It will orchestrate the deployment of telehealth solutions across the study sites, as well as coordinate data collection and management for the study interventions. The CPN team will establish and monitor the experience of patients, clinicians, and front-line staff through regular review of key success metrics with the Administrative Core’s Patient Engagement Unit and Clinician & Staff Engagement Unit. The CPN team will develop and deploy a novel, standardized common data model for telehealth and patient-generated health data. They will extract, aggregate, and deliver multimodal data insights from the telehealth platform and additional key systems for operational leadership in the CPN to adjust to conditions on the ground, as well as for the data scientists in the Research & Methods Core to develop new digital biomarkers and computational models. The CPN team will manage the process to adjust implementation of the study interventions as a result of change in regulatory and financial requirements and as cancer centers evolve best evidence in the use of telehealth. In collaboration with the Office of Diversity Programs, the CPN will develop proactive monitoring tools, visualizations, and recovery mechanisms to ensure telehealth technology reduces rather than exacerbates the digital divide and other barriers to high-quality healthcare, with a particular focus on at-risk patients.

项目摘要/摘要 远程医疗研究中心的临床实践网络（CPN）的目的是 提供进行和评估中心对远程医疗支持的调查的环境 癌症护理。 MSK的纽约市地点和六个区域护理网站将构成CPN。 MSK是一个高 数量癌症中心具有强大的基础设施，可通过同步和 异步技术。因此，CPN还将作为中心的实践创新和数字化 用于实施和评估远程医疗的创新枢纽，以及细微地翻译生成的 证据回到临床实践中。 CPN将方便患者，临床医生，员工和科学家进行测试和 完善公平的远程医疗解决方案以及新颖的计算和混合实践模型，所有这些都是基于 以用户为中心的设计原理。 CPN的具体目的是1）开发和同样部署增强 远程医疗工具，2）开发和部署MSK@家庭远程医疗服务的服务 中心的务实试验，3）识别和实施可持续的患者和临床参与方法 提炼远程医疗的干预措施，以及4）测试和完善新颖的计算，操作和 在家里提供远程医疗支持的癌症护理的人员配备模型。 由马萨诸塞州医学博士彼得·D·斯泰森（Peter D. 博士学位，以及来自MSK的多学科领导团队的支持，CPN将充当效应器 用于实施MSK@Home的手臂和反馈传感器 干预措施将通过我们的务实评估 试验并将在计划的试点研究中执行类似的功能。 它将策划部署 整个研究网站的远程医疗解决方案，以及协调研究的数据收集和管理 干预措施。 CPN团队将建立和监视患者，临床医生和前线的经验 通过定期审查关键成功指标的工作人员 以及临床医生和员工参与部门。 CPN团队将开发和部署小说，标准化的共同点 远程医疗和患者生成的健康数据的数据模型。他们将提取，汇总和交付 来自远程医疗平台的多模式数据见解和其他关键系统，用于运营领导 适应地面条件的CPN以及研究与方法中的数据科学家 开发新的数字生物标志物和计算模型的核心。 CPN团队将管理该过程 根据监管和财务需求的变化，调整研究干预措施的实施 随着癌症中心在使用远程医疗方面的最佳证据。与多样性办公室合作 程序，CPN将开发主动监视工具，可视化和恢复机制，以确保 远程医疗技术减少而不是加剧数字鸿沟和其他高质量的障碍 医疗保健，特别关注高危患者。