Patient Centered Quality Reporting

以患者为中心的质量报告

• 批准号: 8726852
• 负责人: DANA B MUKAMEL
• 金额: $ 31.79万
• 依托单位: UNIVERSITY OF CALIFORNIA-IRVINE
• 依托单位国家: 美国
• 财政年份: 2012
• 资助国家: 美国
• 起止时间: 2012-09-30 至 2016-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/8726852
• 关键词: Patient; Centered; Quality; Reporting; Patient; Centered; Quality; Reporting

DESCRIPTION (provided by applicant): Quality report cards have become an important component of the American health care system in recent decades. The Centers for Medicare and Medicaid Services (CMS) publishes several web based report cards, including the Nursing Home Compare (NHC). It offers patients and their families' information about staffing, deficiencies, and 19 clinical quality measures (QMs). The objectives of these reports are to inform consumers' choice and improve quality of care. The evidence about their success in achieving these goals is mixed. Studies to-date suggests that many report cards are not widely used or not used at all. This is not surprising given both the complexity of the information and the fact that nursing home choices are typically made under both time constraints and in emotionally stressful situations, typically when the elder has to be discharged from the hospital. The objective of the proposed project is to develop and test a new e-coaching approach designed to take advantage of web technology and decision support software in order to facilitate and enhance access to and use of NHC. The Specific Aims of the project are: 1) To develop a consumer friendly web-based interface between NHC and an e-coaching/decision-aid tool. 2) To test its effectiveness through a randomized control trial. The project will be conducted at the University of California, Irvine Medical Center and will include medical and surgical patients identified by the attending as likely to be discharged to a nursing home. In year 1 we will develop a decision-aid tool, pilot test it with patients and families and build a web application that will integrate and interact with the NHC data guided by users' response to queries. In year 2 we will test the application we developed in the treatment group. The control group will continue with the usual discharge practice. Both groups will be surveyed. In year 3 survey data, data about the use patterns of the application, and data about the quality of nursing home destination facilities will be analyzed to test the study hypotheses. The lessons learned from this study will have direct application to improving the use of NHC by consumers. They may also be relevant to other report cards in the "Compare" series, Home Care Compare in particular.

描述（由申请人提供）：质量成绩单已成为近几十年来美国医疗保健系统的重要组成部分。医疗保险和医疗补助服务中心（CMS）出版了几张基于Web的成绩单，包括疗养院比较（NHC）。它为患者及其家人提供有关人员配备，缺陷和19项临床质量指标（QMS）的信息。这些报告的目标是为消费者的选择和改善护理质量提供信息。他们在实现这些目标方面取得成功的证据混杂。 待定的研究表明，许多成绩单根本不使用或根本不使用。鉴于信息的复杂性和疗养院选择通常在时间限制和情感压力很大的情况下，通常是在长老必须从医院出院时，这也就不足为奇了。 拟议项目的目的是开发和测试一种旨在利用Web技术和决策支持软件的新电子教练方法，以促进和增强对NHC的访问和使用。 该项目的具体目的是：1）在NHC和E-Coaching/Deciest-AID工具之间开发基于消费者的网络界面。 2）通过随机对照试验测试其有效性。 该项目将在加利福尼亚大学尔湾医学中心进行，包括由参加的医疗和外科患者诊断为疗养院。在一年中 1我们将开发一个决策工具，试点与患者和家庭进行测试，并构建一个网络应用程序，该应用程序将与用户对查询的响应为指导的NHC数据集成和互动。在第二年，我们将测试我们在治疗组中开发的应用。对照组将继续进行通常的排放练习。两组将进行调查。在第三年的调查数据中，将分析有关应用程序使用模式的数据以及有关疗养院目的地设施质量的数据，以检验研究假设。 从这项研究中学到的经验教训将直接应用于改善消费者对NHC的使用。它们也可能与“比较”系列中的其他成绩单有关，特别是比较。