利用技术和工作流程优化为与健康相关的社会需求选:大型卫生系统的改进项目
Joint Commission journal on quality and patient safety
|December 13, 2023
概括
通过电子健康记录 (EHR) 标准化与健康相关的社会需求 (HRSN) 查,显著增加了患者查率. 这一举措改善了对健康的关键社会决定因素的数据收集,确定了财务压力和粮食不安全作为普遍需求.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 临床信息学 临床信息学
- 公共卫生 公共卫生
背景情况:
- 在一个大型卫生系统中,不一致的健康相关社会需求 (HRSN) 数据收集阻碍了有效的患者护理.
- 启动了一个项目,以标准化电子健康记录 (EHR) 中的HRSN数据收集,并优化临床工作流程.
研究的目的:
- 通过实施标准化数据收集方法,提高每年HRSN查率.
- 改善在EHR系统中捕捉健康的社会决定因素.
主要方法:
- 一个标准的查问卷是基于问责健康社区模型开发出来的.
- 通过对多个卫生系统的采访,确定了门诊HRSN查的最佳实践.
- 问卷通过患者门户进行了门诊访问,并对住院患者进行了面对面的调查,涉及各种医疗保健工作人员.
主要成果:
- 门诊病人的查率从0.4%增加到15.9% (p < 0.001).
- 住院查率从估计的0%大幅上升至66个百分点 (p < 0.001).
- 金融资源紧张和粮食不安全是最常见的HRSN.
结论:
- 优化临床工作流程和技术支持有效增强了HRSN查和数据收集.
- 关键的成功因素包括领导力支持,集成到现有的工作流程,并标准化EHR数据捕获.
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