LeaRRN: the Learning Health Systems Rehabilitation Research Network

LeaRRN：学习健康系统康复研究网络

基本信息

批准号：
10623263
负责人：
LINDA J. RESNIK
金额：
$ 124.5万
依托单位：
BROWN UNIVERSITY
依托单位国家：
美国
项目类别：
财政年份：
2020
资助国家：
美国
起止时间：
2020-06-01 至 2025-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10623263
关键词：
Address Administrator Adoption Boston Caring Clinic Collaborations Communities Competence Data Data Science Electronic Health Record Ensure Evidence based practice Faculty Funding Health Services Research Health system Healthcare Healthcare Systems Incubators Informatics Infrastructure Knowledge Lead Leadership Learning Mentors Methodology Mission Modeling Needs Assessment Outcome Patients Performance Pilot Projects Policy Maker Process Provider Quality of Care Rehabilitation Outcome Rehabilitation therapy Research Research Ethics Research Methodology Research Personnel Research Support Resources Science System Time Training Universities care delivery cost design effective intervention evidence base experience foster care health organization implementation science improved innovation interest knowledge repository next generation patient oriented payment pressure rehabilitation research rehabilitation service rehabilitative care scale up sound systems research technique development

项目摘要

PROJECT SUMMARY Given the growing complexity of healthcare, continued problems related to quality and cost, and a widely- recognized 17-year evidence to practice gap, there is an urgent need for a rehabilitation resource center that supports the conduct of learning health systems (LHS) rehabilitation research and develops LHS researchers to advance the field of rehabilitation care. Brown University, the University of Pittsburgh (Pitt) and Boston University (BU), together with health system/health organization partners, are combining expertise and resources to create LeaRRN: the Learning Health Systems Rehabilitation Research Network. LeaRRN’s mission is to improve the quality, outcomes and value of rehabilitation care by fostering stakeholder-partnered research within and across LHSs. LeaRRN will build upon a well-established infrastructure and collaborative relationships at Brown, Pitt, and BU; faculty expertise in health services research, implementation science, stakeholder engagement, and informatics; and established and emerging partnerships with a diverse group of LHSs. LeaRRN’s overarching objective is to establish a national resource network to advance stakeholder- partnered, rehabilitation LHS research to improve quality of care, demonstrate value, and enhance patient and system outcomes. LeaRRN will include training to promote seven core LHS research competencies, including (1) using a system science approach, (2) asking meaningful questions, (3) applying appropriate research methods, (4) capitalizing on informatics, (5) championing research ethics, (6) optimizing quality improvement and implementation science, and (7) engagement, leadership and research management. LeaRNN will also support research innovation by convening health system stakeholders to identify priority topics to address through mentored collaborations (i.e., LHS Scholar opportunities and pilot studies). Finally, through techniques development, we will assess the needs of the rehabilitation research community, prioritize and design our resources and activities to respond to those needs, and evaluate our impact. LeaRRN’s specific aims are to: 1) create a LHS Innovation Hub that partners researchers with healthcare systems and engages stakeholders, including patients, providers, administrators, payers, and policymakers, to develop rehabilitation-focused LHS research questions; 2) provide funding and methodological/technical support for LHS Scholars and Pilot Study Awardees to transform research ideas into full-scale studies conducted in real-world practice; and 3) develop a knowledge repository, tailor LHS resources for rehabilitation and disseminate materials to advance best practices in rehabilitation LHS research. LeaRRN will serve as a resource and incubator for rehabilitation researchers interested in LHS research. The knowledge repository, investigative experience, collaborations, and evidence generated by LeaRRN will transform the delivery, quality, and outcomes of rehabilitation care.

项目概要鉴于医疗保健日益复杂，与质量和成本相关的持续问题以及广泛的认识到 17 年实践差距的证据，迫切需要一个康复资源中心支持学习健康系统 (LHS) 康复研究的开展并培养 LHS 研究人员推动康复护理领域的发展，包括布朗大学、匹兹堡大学（Pitt）和波士顿大学。大学 (BU) 与卫生系统/卫生组织合作伙伴一起，将专业知识与创建 LeaRRN 的资源：LeaRRN 的学习健康系统康复研究网络。使命是通过促进利益相关者合作来提高康复护理的质量、结果和价值 LeaRRN 内部和跨 LHS 的研究将建立在完善的基础设施和协作基础上。布朗大学、皮特大学和波士顿大学的关系；教师在健康服务研究、实施科学、利益相关者的参与和信息学；以及与不同群体建立和正在建立的伙伴关系； LeaRRN 的首要目标是建立一个国家资源网络，以促进利益相关者的发展。合作的康复 LHS 研究旨在提高护理质量、展示价值并增强患者和 LeaRRN 将包括促进七项核心 LHS 研究能力的培训，包括 (1) 使用系统科学方法，(2) 提出有意义的问题，(3) 应用适当的研究方法，(4) 利用信息学，(5) 倡导研究道德，(6) 优化质量改进和实施科学，(7) 参与、领导力和研究管理。通过召集卫生系统利益相关者确定要解决的优先主题来支持研究创新通过指导合作（即 LHS 学者机会和试点研究）最后，通过技术。发展，我们将评估康复研究界的需求，确定优先顺序并设计我们的响应这些需求的资源和活动，并评估我们的影响，LeaRRN 的具体目标是：1) 创建一个 LHS 创新中心，使研究人员与医疗保健系统合作并吸引利益相关者，包括患者、提供者、管理人员、付款人和政策制定者，开发以康复为重点的 LHS 研究问题；2) 为 LHS 学者和试点研究提供资金和方法/技术支持获奖者将研究想法转化为在现实世界实践中进行的全面研究；3）开发一个知识库、定制 LHS 康复资源并传播材料以取得最佳进展 LeaRRN 将作为康复的资源和孵化器。对 LHS 研究感兴趣的研究人员。知识库、研究经验、合作、 LeaRRN 生成的证据将改变康复护理的提供、质量和结果。

项目成果

期刊论文数量（6）

专著数量（0）

科研奖励数量（0）

会议论文数量（0）

专利数量（0）

Telerehabilitation in the Age of COVID-19: An Opportunity for Learning Health System Research.

COVID-19 时代的远程康复：学习卫生系统研究的机会。

DOI：
发表时间：
2020
期刊：
影响因子：
3.2
作者：
Prvu Bettger, Janet;Resnik, Linda J
通讯作者：
Resnik, Linda J

Association of Physical Therapy Treatment Frequency in the Acute Care Hospital With Improving Functional Status and Discharging Home.

急症护理医院的物理治疗频率与改善功能状态和出院回家的关系。

DOI：
发表时间：
2022-06-01
期刊：
影响因子：
3
作者：
Johnson, Joshua K;Rothberg, Michael B;Adams, Kellie;Lapin, Brittany;Keeney, Tamra;Stilphen, Mary;Bethoux, Francois;Freburger, Janet K
通讯作者：
Freburger, Janet K

Rapid Changes in the Provision of Rehabilitation Care in Post-Acute and Long-Term Care Settings During the COVID-19 Pandemic.

COVID-19 大流行期间急性后和长期护理机构中康复护理服务的快速变化。

DOI：
发表时间：
2021
期刊：
影响因子：
7.6
作者：
Reddy, Ann;Resnik, Linda;Freburger, Janet;Ciolek, Daniel E;Gifford, David R;Whitten, Margarite J;Baier, Rosa R
通讯作者：
Baier, Rosa R

Advancing Rehabilitation Practice Using Embedded Learning Health System Researchers.

利用嵌入式学习健康系统研究人员推进康复实践。

DOI：
发表时间：
2021
期刊：
影响因子：
3.2
作者：
Johnson, Joshua K;Stilphen, Mary;Young, Daniel L;Friedman, Michael;Marcus, Robin L;Noren, Christopher S;Zeleznik, Hallie;Freburger, Janet K
通讯作者：
Freburger, Janet K

Differences in Home Health Services and Outcomes Between Traditional Medicare and Medicare Advantage.

传统医疗保险和医疗保险优势之间的家庭健康服务和结果的差异。