NCCU RCMI Practice Based Equity Research Network (PBERN)

NCCU RCMI 基于实践的股票研究网络 (PBERN)

• 批准号: 10710061
• 负责人: Joan East
• 金额: $ 86.49万
• 依托单位: NORTH CAROLINA CENTRAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2022
• 资助国家: 美国
• 起止时间: 2022-09-25 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10710061
• 关键词: Acceleration; Acute; Address; Administrator; Advisory Committees; Area; Asthma; Awareness; Behavioral Sciences; Biometry; COVID-19 pandemic; Cardiovascular Diseases; Caring; Chronic; Clinic; Clinical; Clinical Research; Clinical Services; Communities; Data; Data Analytics; Data Science; Data Storage and Retrieval; Diabetes Mellitus; Disease; Diverse Workforce; Early Intervention; Electronic Health Record; Equitable healthcare; Equity; Evaluation; Feasibility Studies; Federally Qualified Health Center; Grant; Health; Health Services Research; Healthcare; Healthcare Systems; Heart Atrium; Home; Infant Mortality; Institution; Institutional Practice; Kidney Diseases; Malignant Neoplasms; Measures; Medically Underserved Area; Methodology; Minority-Serving Institution; Mobile Health Units; Names; Neighborhood Health Center; North Carolina; Outcome; Patients; Peer Review; Phase; Pilot Projects; Play; Practice Management; Practice based research; Premature Birth; Prevention program; Primary Care; Process; Provider; Public Health; Recommendation; Reporting; Research; Research Methodology; Research Personnel; Research Support; Resources; Role; Specific qualifier value; Students; Surveys; System; Training; Underinsured; Uninsured; United States; Universities; Voice; Vulnerable Populations; Work; care fragmentation; care providers; care systems; college; community clinic; community engagement; community intervention; community partnership; cultural competence; data management; data sharing; data warehouse; design; empowerment; ethnic minority; ethnic minority population; experience; health disparity; health equity; health inequalities; health management; implementation science; implicit bias; improved; innovation; longitudinal care; meetings; member; poor health outcome; population health; practice-based research network; primary care practice; primary care provider; programs; racial health disparity; racial minority; racial minority population; research study; sharing platform; skills; social health determinants; social science research; successful intervention; support network; underserved community; university student; voucher

ABSTRACT North Carolina (NC) is home to five Practice-Based Research Networks (PBRN) supported and maintained by large academic research centers and healthcare systems with no to very limited engagement with free community clinics and practitioners that care for uninsured patients. NC ranks #32 in the United States for health outcomes and is ranked the fifth-worst state for health care with alarming racial health disparities in infant mortality, diabetes, kidney disease, and many chronic and acute conditions. The North Carolina Central University (NCCU) Research Centers at Minority Institutions (RCMI) has successfully and effectively engaged underserved communities. This proposal aims to establish an RCMI-led Clinical Research Network for Health Equity (CRNHE) to address gaps in clinic-based research and improve health care for uninsured patients. This innovative CRNHE called as NCCU RCMI Practice-Based Equity Research Network (PBERN) will bring together college student health clinic, Federally Qualified Health Centers (FQHCs), free and charitable clinics, and local public health departments, all of which extensively serve uninsured and vulnerable populations. The three specific aims for the UG3 planning phase entail constructing the PBERN. The Administrative core (Admin Core) will oversee and manage the PBERN including formation of a patient/community advisory board and an external advisory committee of providers, craft a charter for the consortium, and memoranda of understanding for partner practices (SA1). The Community Engagement Core (CEC) will aim to integrate voices of the community, patients, and providers through consortium activities and develop community-recommended health awareness and prevention programs using the NCCU mobile health units (SA2). The Clinical Research Implementation Core (CRIC) will provide training in clinical and health services research methods and support consortium members in areas such as biostatistics, data science and survey design (SA3). The CRIC will also partner with commercial population health management platform, to design and plan for electronic health record (EHR) integration (during UH3 phase) across network clinics. During the second (UH3) phase, the CRIC will implement a rigorous and competitive pilot project program (2 pilots for 2-3 years) and offer rapid cycle vouchers (RCV) (3-6 months) for quality improvement and implementation science projects (SA4) and execute plans for EHR integration, data storage and analytics for consortium members to accelerate integrated health services research, and measure and report population health metrics (SA5). The Evaluation and Dissemination Unit (EDU) will continuously assess and work closely with the 2 cores (CRIC, CEC) and RCMI Coordinating Center to develop common metrics and make recommendations to public agencies for successful findings (SA6). In sum, the proposed PBERN will dramatically increase practice-based research that seeks to achieve health care equity among North Carolina’s most vulnerable suffering health disparities.

抽象的 北卡罗来纳州 (NC) 拥有五个基于实践的研究网络 (PBRN)，由以下机构支持和维护： 大型学术研究中心和医疗保健系统，免费参与的程度非常有限 北卡罗来纳州为未参保患者提供护理的社区诊所和从业人员在美国健康方面排名第 32 位。 结果，被列为医疗保健最差的第五个州，婴儿的种族健康差异令人震惊 死亡率、糖尿病、肾脏疾病以及许多慢性和急性疾病。 大学（NCCU）少数民族机构研究中心（RCMI）已成功有效地参与 该提案旨在建立一个由 RCMI 领导的健康临床研究网络。 公平 (CRNHE) 旨在解决临床研究的差距并改善未参保患者的医疗保健。 被称为 NCCU RCMI 基于实践的股权研究网络 (PBERN) 的创新 CRNHE 将汇集 大学生健康诊所、联邦合格健康中心 (FQHC)、免费和慈善诊所以及当地 公共卫生部门，所有这些部门主要为未参保和弱势群体服务。 UG3 规划阶段的具体目标包括构建 PBERN 管理核心（Admin Core）。 将监督和管理 PBERN，包括组建患者/社区咨询委员会和外部 提供商咨询委员会，为联盟制定章程，为合作伙伴制定谅解备忘录 社区参与核心（CEC）旨在整合社区、患者、 和提供者通过联盟活动培养社区推荐的健康意识和 使用 NCCU 移动医疗单位 (SA2) 的预防计划。 （CRIC）将提供临床和卫生服务研究方法方面的培训并支持联盟成员 CRIC 还将在生物统计学、数据科学和调查设计 (SA3) 等领域与商业机构合作。 人口健康管理平台，设计和规划电子健康记录（EHR）集成（期间 UH3 阶段）跨网络诊所 在第二（UH3）阶段，CRIC 将实施严格的、 竞争性试点项目计划（2 个试点，为期 2-3 年），并提供快速周期代金券 (RCV)（3-6 个月） 质量改进实施和科学项目 (SA4) 并执行 EHR 集成、数据计划 为联盟成员提供存储和分析，以加速综合卫生服务研究和测量 评估和传播部门 (EDU) 将持续报告人口健康指标 (SA5)。 评估并与 2 个核心（CRIC、CEC）和 RCMI 协调中心密切合作，制定共同的 指标并向公共机构提出成功调查结果的建议（SA6）。 PBERN 将大幅增加基于实践的研究，旨在实现北方地区的医疗保健公平 卡罗来纳州最弱势群体面临着健康差距。