NorthStar Node of the Clinical Trials Network

临床试验网络的 NorthStar 节点

基本信息

批准号：
9408864
负责人：
GAVIN BART
金额：
$ 12.69万
依托单位：
HENNEPIN HEALTHCARE RESEARCH INSTITUTE
依托单位国家：
美国
项目类别：
财政年份：
2017
资助国家：
美国
起止时间：
2017-02-01 至 2018-05-31
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/9408864
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 Disease Management 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 environment Hospitals Inpatients Institutes Internal Medicine Medical Medical center Medicine Minnesota Mission Modeling National Institute of Drug Abuse Neurology Opiates 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 Services Student Health Services Students Substance Use Disorder System Time Tobacco Tobacco Use Cessation Training Translational Research Translations United States Universities Wellness Center Withholding Treatment addiction behavioral health binge drinking burden of illness chronic pain economic cost health care delivery health care service utilization health disparity illicit drug use innovation medical specialties prescription opiate primary care setting programs public health relevance safety net smoking prevalence success support tools tool trauma centers treatment program university student

项目摘要

DESCRIPTION: 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.

描述：药物使用障碍 (SUD) 是造成全球疾病负担的重要因素。据估计，仅在美国，酒精、烟草和其他药物每年造成的直接和间接经济损失就高达 5000 亿美元。需要 SUD 治疗，但只有不到 5% 的人接受专业治疗。在美国，明尼苏达州最常接触的医疗保健点是门诊初级保健，其健康状况在美国排名第一。 NIDA 临床试验网络的拟议北极星节点汇集了在初级保健的提供和研究方面表现出色的各种医疗保健提供模式，这些模式由具有成瘾方面实践和研究专业知识的内科医生领导。 NorthStar 节点包括：1) 两个主要的非营利性综合医疗系统，通过 100 多个初级保健诊所（HealthPartners 和 Allina Health）为超过 100 万明尼苏达人提供服务；2) 一个联邦合格的健康中心 (NorthPoint Health & 3) 一个负责任的护理组织，为明尼苏达州人口最多的县最贫穷和最高的医疗保健利用人口（亨内平健康中心）；4) 一个学生健康中心，为 20,000 多名大学生提供初级和行为护理（明尼苏达大学博因顿健康服务中心） 5) 临床系统改进研究所 (ICSI)，一个非营利性健康改进组织，致力于在超过 45 个健康领域制定和实施质量改进和最佳实践方案系统和 8,000 名医生；6) 明尼苏达大学临床和转化科学研究所为了履行 CTN 使命，NorthStar 节点将开发 (1) SUD 患者慢性病护理协调管理模型，(2) 风险分层。用于初级保健中慢性疼痛管理的阿片类处方工具，(3) 专注于阿片类药物使用障碍治疗的临床决策支持工具，(4) 戒烟治疗和艾滋病毒初级保健的综合模型，以及 (5) 减少艾滋病毒感染的有效模型SUD 患者或从住院普通医疗机构出院的高危用户的 30 天再入院率。