SAGE-Kids: Measuring Quality of Pediatric Care

SAGE-Kids：衡量儿科护理质量

• 批准号: 7628131
• 负责人: EDWARD L BASSIN
• 金额: --
• 依托单位: PROFSOFT
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-05-15 至 2009-12-14
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7628131
• 关键词: Accountability; Address; Admission activity; Adolescent; Adopted; Adoption; Adult; Advocate; Ambulatory Care; Attention; Cardiology; Caring; Case Mixes; Child; Childhood; Classification; Client; Clinical; Collection; Communities; Computer software; Consult; Consultations; Data; Data Collection; Data Quality; Databases; Development; Diagnostic tests; Electronics; Ensure; Environment; Evaluation; Eye; Future; Gastroenterology; General Practitioners; Goals; Grant; Guidelines; Health; Health Planning; Health system; Healthcare; Hematology; Individual; Industry; Information Systems; Inpatients; Licensing; Marketing; Measurement; Measures; Medical Records; Methods; Movement; Operative Surgical Procedures; Outcome; Output; Paper; Pediatrics; Performance; Pharmaceutical Preparations; Phase; Physicians; Physicians' Offices; Prevalence; Preventive; Process; Process Measure; Pulmonology; Quality Indicator; Quality of Care; Records; Reporting; Research; Research Institute; Research Methodology; Research Personnel; Services; Small Business Innovation Research Grant; Solutions; Source; Specialist; System; Test Result; Testing; Therapeutic procedure; United States National Institutes of Health; Variant; Work; administrative database; base; behavioral health; cost; design; improved; interest; preference; programs; public health relevance; satisfaction; tool

DESCRIPTION (provided by applicant): It has been become commonplace in the last few years for health plans to determine the quality of care provided by their physicians by evaluating the contents of electronic claims data records. Physician-ordered services contained in the records are compared with those recommended in established guidelines of care for particular ailments, and physicians are informed of their compliance with these guidelines in an effort to improve treatment practices. This approach has proved itself very successful in the adult health arena, with a variety of organizations constructing sets of "indicators" or "measures" to rate care quality. Each measure is essentially a set of standards that apply a specific ailment, and can be implemented in software to evaluate the total number of case of the ailment and its compliance rate. But such an approach has not yet gained widespread use in the pediatric community. This is largely due to the lack of available measure sets specific to the conditions of children and adolescents. To help rectify this situation a set of forty to fifty measures will be developed covering a wide variety of pediatric conditions. An expert panel of pediatric generalists and specialists will be consulted in conjunction with established treatment guidelines to ensure correct and effective measure development. This set will be thoroughly tested on actual claims data to ensure optimal measure performance. The panel will be informed of the results of the testing and the process will be iterated until the set is honed to a level sufficient to provide accurate evaluation of pediatric care quality when using real claims data. Various methods of reporting the results of measure compliance to physicians will next be developed in consultation with industry leaders in health care. Once this is completed the measure set along with the software required to properly operate it will be marketed under software license. PUBLIC HEALTH RELEVANCE: This project is relevant to the current public need for improvement in pediatric health care. It is furthermore relevant to the National Institutes of Health's call for closing the gap between research and practice.

描述（由申请人提供）：在过去的几年中，健康计划在过去几年中一直很普遍，可以通过评估电子索赔数据记录的内容来确定其医生提供的护理质量。将记录中包含的医师命令的服务与针对特定疾病的既定护理指南中建议的服务进行了比较，并将医生得知其遵守这些准则，以改善治疗方法。这种方法在成人健康领域证明了自己非常成功，各种组织构建了一组“指标”或“措施”以评估护理质量。每个度量本质上都是应用特定疾病的一组标准，可以在软件中实施以评估疾病的总数及其合规率。 但是，这种方法尚未在小儿社区中广泛使用。这主要是由于缺乏针对儿童和青少年条件的可用度量集。为了帮助纠正这种情况，将制定一组40至五十个措施，涵盖各种儿科条件。将与既定的治疗指南一起咨询小儿通才和专家专家小组，以确保正确有效的措施开发。该集合将在实际索赔数据上进行彻底测试，以确保最佳的度量绩效。该小组将被告知测试结果，并将其迭代为止，直到使用真实索赔数据时，将集合磨练到足以对小儿护理质量进行准确评估的水平。接下来，将与医疗保健行业领导者协商，报告对医生的措施依从性结果的各种方法。一旦完成了措施集，以及正确操作所需的软件将在软件许可下进行销售。公共卫生相关性：该项目与当前公众对儿科医疗保健改善的需求有关。此外，这与美国国立卫生研究院呼吁缩小研究和实践之间的差距有关。