Implementation of Digital Mental Health Tools in Ambulatory Care Coordination

数字心理健康工具在门诊护理协调中的实施

• 批准号: 10390349
• 负责人: Andrea Kass Graham
• 金额: $ 36.18万
• 依托单位: NORTHWESTERN UNIVERSITY AT CHICAGO
• 依托单位国家: 美国
• 财政年份: 2021
• 资助国家: 美国
• 起止时间: 2021-09-01 至 2026-06-30
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/10390349
• 关键词: Implementation; Digital; Mental; Health; Tools

Care coordination services have been developed to provide safer and more effective care for patients who have difficulty managing their healthcare. The role of care managers (CMs) working in care coordination is intended to take a holistic view of patients and to improve healthcare system efficiency, yet there remain several gaps in the efficiency of this work. CMs often struggle to find resources for their patients, particularly in the realm of depression management. Resources are limited, waitlists for services are long, and many patients are hesitant to seek mental health care. Our research group has developed a productive partnership with the Ambulatory Care Coordination service at Northwestern Medicine – a large integrated delivery system of more than 3,500 physicians, serving 1 million patients. Currently CMs, primarily nurses by training, provide remote coordination services to patients who typically have multiple physical and mental health conditions. They report abundant challenges in supporting patients with depression. A digital mental health intervention packaged within a patient management system for depression would fill the need for depression management resources and fit into CM work. The overarching aim of the proposed project is to adapt and implement a digital mental health intervention to improve access to and coordination of mental health services in Ambulatory Care Coordination. Specifically, this study aims to: 1) adapt a digital mental health platform and service model to address implementation barriers within care coordination, 2) develop and subsequently optimize a multicomponent implementation strategy, and 3) conduct a randomized rollout effectiveness-implementation trial of the digital mental health platform and a sustainment pilot period in the 4 regional teams of the Ambulatory Care Coordination service. Data gathered throughout this project will be used to develop an implementation guide, capable of being used by other for healthcare systems as they expand their mental health service offerings to provide holistic support for patients.

护理协调服务的开发旨在为以下患者提供更安全、更有效的护理： 管理他们的医疗保健有困难 护理经理 (CM) 在护理协调方面的作用是 旨在全面了解患者并提高医疗保健系统的效率，但仍然存在 这项工作的效率存在一些差距，CM 常常很难为患者找到资源，特别是在 抑郁症管理领域的资源有限，服务等候名单很长，而且患者很多。 犹豫是否寻求心理健康护理 我们的研究小组与以下机构建立了富有成效的合作伙伴关系。 西北医学中心的门诊护理协调服务——一个包含更多内容的大型综合服务系统 目前，超过 3,500 名医生为 100 万患者提供远程服务，其中主要是经过培训的护士。 他们报告说，为通常患有多种身心健康问题的患者提供协调服务。 支持抑郁症患者面临的巨大挑战。数字心理健康干预措施。 抑郁症患者管理系统将满足抑郁症管理资源的需求 并适应 CM 工作 拟议项目的总体目标是适应和实施数字思维。 健康干预，以改善流动护理中精神卫生服务的获取和协调 具体而言，本研究旨在：1）调整数字心理健康平台和服务模式 解决护理协调中的实施障碍，2) 开发并随后优化 多组件实施策略，以及 3) 进行随机部署有效性实施 数字心理健康平台的试用以及在 4 个区域团队中的可持续发展试点 门诊护理协调服务将用于开发整个项目中收集的数据。 实施指南，能够被医疗保健系统中的其他人在扩大心理范围时使用 健康服务产品，为患者提供全面支持。