The Center of Excellence in Promoting LHS Operations and Research at Einstein/Montefiore (EXPLORE)

爱因斯坦/蒙蒂菲奥里促进 LHS 运营和研究的卓越中心（探索）

• 批准号: 10263937
• 负责人: PAUL R MARANTZ
• 金额: $ 56.96万
• 依托单位: ALBERT EINSTEIN COLLEGE OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-30 至 2023-09-29
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10263937
• 关键词: Center; Excellence; Promoting; LHS; Operations

The “learning health system” (LHS) model represents a relatively new, highly promising, and paradigm-shifting approach to the delivery of health care. A LHS is characterized by its capacity to continuously study every health care interaction to generate objective evidence and actionable knowledge, engage stakeholders, and develop targeted processes to improve outcomes. The LHS requires development of infrastructure where science, informatics, incentives and culture are aligned, and advances in Health Information Technology (HIT) facilitate the generation of new evidence as an integral byproduct of care delivery. Realizing this vision also requires dramatic transformation of many existing drivers of healthcare delivery and scholarly pursuit, in particular the creation of an appropriate workforce of well trained, diverse investigators who will become leaders in LHS research and operations. Our proposed Center of Excellence in Promoting LHS Operations and Research at Einstein/Montefiore (EXPLORE) is a collaboration between the Albert Einstein College of Medicine and Montefiore Health System (MHS), a large, integrated, accountable-care-oriented academic medical center that serves the Bronx and New York's Lower Hudson Valley region. We will leverage the efforts of MHS to deliver high quality services to a largely minority, socioeconomically disadvantaged community, while at the same time responding to the financial and service delivery imperatives of accountable care. Our proposed program will engage and build upon a strong education and training infrastructure at Einstein and an innovative informatics and value-based care delivery infrastructure at MHS. We will leverage the educational and research support resources of Einstein's Institute for Clinical and Translational Research (ICTR), the home our Clinical and Translational Science Award (CTSA), including didactic components of its Masters in Clinical Research and its AHRQ/PCORI- sponsored R25 patient-centered outcomes research coursework, the informatics infrastructure of the Center for Health Data Innovations, and the resources of Montefiore's Network Performance Group (responsible for quality of care, operational excellence, and patient safety at MHS), to create a novel career development program in LHS research. We will identify the most talented, motivated, and multidisciplinary clinicians and other faculty to enroll, equip them with the knowledge and skills to conduct, implement, and disseminate high quality and actionable LHS research, and provide them a sustainable career path as LHS research leaders. Our Scholars and mentors will contribute to a national LHS Research Collaborative, with Einstein-Montefiore's contribution driven by the expertise within and experience gleaned from our unique institutional program and resources. This will be accomplished through curriculum sharing and cross-institutional education; inter-institutional PI/PD and Scholar-Mentor interactions, including cross-institutional mentoring when feasible and appropriate; research cooperation, including dissemination of research findings and multi-center research initiatives; and sharing PCOR/CER methodological advances. !

“学习卫生系统”（LHS）模型代表了一个相对新的，高度有希望的和范式的变化 提供医疗保健的方法。 LHS的特征是其能力不断研究 卫生保健互动以产生客观的证据和可行的知识，吸引利益相关者以及 开发了有针对性的过程以改善结果。 LHS需要开发基础设施 科学，信息，激励措施和文化是一致的，健康信息技术的进步（HIT） 促进新证据作为护理提供的积分副产品。也意识到这个愿景 需要对许多现有医疗保健交付和科学追求的驱动因素进行巨大转变 尤其是创造一个适当的训练有素，多元化调查员的劳动力 LHS研究和运营领导者。我们提出的卓越促进LHS运营的卓越中心 爱因斯坦/蒙特菲奥尔（Explore）的研究是阿尔伯特·爱因斯坦学院的合作 医学和蒙特菲奥尔卫生系统（MHS），一个大型，综合，面向责任的学术 为布朗克斯和纽约下哈德逊山谷地区提供服务的医疗中心。我们将利用努力 MHS的高质量服务，向少数人，社会经济困扰的社区， 同时应对责任护理的财务和服务交付需求。我们的 拟议的计划将在爱因斯坦的强大教育和培训基础设施中参与和建立 MHS的创新信息和基于价值的护理提供基础设施。我们将利用教育 研究支持爱因斯坦临床与转化研究所（ICTR）的资源，家庭 我们的临床和转化科学奖（CTSA），包括其临床硕士学位的教学成分 研究及其AHRQ/PCORI-赞助R25以患者为中心的结果研究课程， 健康数据创新中心的信息基础设施以及蒙特菲奥尔的资源 网络绩效组（负责护理质量，卓越运营和患者安全 MHS），在LHS研究中创建一个新颖的职业发展计划。我们将确定最有才华的 有动力，多学科的临床医生和其他教职员工来入学，为他们配备知识和技能 进行，实施和传播高质量和可操作的LHS研究，并为他们提供 LHS研究领导者的可持续职业道路。我们的学者和导师将为国家LHS做出贡献 研究合作，爱因斯坦·蒙特菲奥尔（Einstein-Montefiore 从我们独特的机构计划和资源中收集。这将通过课程完成 共享和跨机构教育；机构间PI/PD和学者互动，包括 可行和适当的跨机构心理；研究合作，包括传播 研究结果和多中心研究计划；并共享PCOR/CER学方法进步。 呢