Addressing Gaps in Language Access Services through a Patient-Centered Decision-Support Tool

通过以患者为中心的决策支持工具解决语言获取服务中的差距

基本信息

批准号：
10699030
负责人：
WILLIAM Z TAN
金额：
$ 27.36万
依托单位：
TRANSCENDENT INTERNATIONAL, LLC
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-01 至 2024-04-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/10699030
关键词：
Address Administrator Adoption Adverse event Area Attention Authorization documentation Caring Categories Client satisfaction Collaborations Communication Computerized Medical Record Contracts Disparity Educational Materials Electronic Mail Equipment and supply inventories Equity Evaluation Family member Health Health system Hospitals Individual Inpatients Institution Instruction Intake Integrated Delivery Systems Investments Koreans Language Length of Stay Limited English Proficiency Long Island Masks Medical Modeling Monitor Multilingualism Multimedia Municipal Hospitals Notification Nurses Operative Surgical Procedures Outcome Outcome Measure Patient-Focused Outcomes Patients Pattern Persons Phase Policies Population Procedures Process Provider Questionnaires Research Resources Schedule Services Site Social Workers Surveys System Technology Telephone Testing Text Messaging Time Translating United States Vendor Vision Voice Writing authority care costs clinical care cloud based cost dashboard dosage equity, diversity, and inclusion ethnic disparity experience health care settings hospital readmission improved innovation interest invention medical supply operation patient oriented point of care poor health outcome preference product development programs racial disparity readmission rates repository response satisfaction support tools tool verbal

项目摘要

Project Summary Despite policies that mandate language access in healthcare settings, the growing population of individuals with limited English proficiency (LEP) in the United States encounters language barriers in the medical system that negatively impact patient outcomes and cause significant burdens on the health systems that struggle to deliver equitable care. This project will develop and pilot a technology-enabled platform called Latitude as a comprehensive tool that will allow providers to quickly get information about available language services for a particular patient, and seamlessly implement these services into their care plan through a point-of-care tools integrated with the Electronic Medical Record. In addition, a Decision-Support Dashboard will support administrators in managing their language services assets setting parameters that govern personalized language support plans for patients. As part of the product development, we will implement a beta version of Latitude at two inpatient hospital systems following a five-step implementation plan. We will then evaluate the effect of the product on three overarching areas of impact: administrative impact (e.g., daily costs associated with language services), patient experience and satisfaction (e.g., through patient surveys such as HCAHP), and patient outcome metrics (e.g., length of hospital stay and rates of readmission). Particular attention will be paid to the user adoption process in order to ready the system for commercial rollout.

项目概要尽管有政策要求在医疗保健环境中使用语言，但患有语言障碍的人数仍在不断增加美国有限的英语水平 (LEP) 在医疗系统中遇到语言障碍对患者治疗结果产生负面影响，并对难以提供服务的卫生系统造成重大负担公平的照顾。该项目将开发并试点一个名为 Latitude 的技术支持平台，作为综合工具，使提供商能够快速获取有关可用语言服务的信息特定患者，并通过护理点工具将这些服务无缝实施到他们的护理计划中与电子病历集成。此外，决策支持仪表板将支持管理员在管理其语言服务资产时设置管理个性化语言的参数患者支持计划。作为产品开发的一部分，我们将在以下位置实施 Latitude 的测试版：两个住院医院系统遵循五步实施计划。然后我们将评估该方案的效果产品涉及三个总体影响领域：行政影响（例如与语言相关的日常成本）服务）、患者体验和满意度（例如，通过 HCAHP 等患者调查）以及患者结果指标（例如住院时间和再入院率）。将特别关注用户采用流程，以便为系统的商业部署做好准备。