Thursday, November 21, 2024 11/21/2024

Leveraging Advanced Informatics to Automate Data Collection of Healthcare Associated Infections (HAI) and Other Surgical Performance Measures

Award Number: R01HS024532
ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY
OPDIV: AHRQ
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

Group Awards By:

View Award Abstract

PROJECT ABSTRACT Nearly 50 million people have surgery each year in the United States, approximately one million develop serious complications, and over 150,000 die within 30 days. Health-care-associated infections (HAIs), the most common complications in surgical patients, place a huge burden on patients, their families, the healthcare system, and society. As there is a clinical and economic imperative to decrease surgical complications, efficient and accurate reporting of HAIs is paramount. Unfortunately, the current model of HAI reporting routinely involves data collection that is inaccurate, burdensome and/or expensive. Achieving accurate and efficient automation of data collection for performance measures, including HAIs, will not only support better local surgical quality improvement, but also will accelerate the transition from process to outcome-based measures suitable for value-based purchasing, new models of physician payment, and public reporting. This proposal attempts to address this challenge by leveraging currently available informatics technologies to automate the data collection from electronic health records for HAIs and other surgical performance measures. We hypothesize that, using advanced informatics methods combined with an iterative process that is informed by multidisciplinary input, data from electronic health records can be mined to develop scientifically valid, cost- effective outcome measures which will compare favorably with those derived from ACS NSQIP data, a clinical registry recognized for its rigorous accuracy. We will test and optimize the algorithms at five unique hospitals in four health systems and two electronic health record vendors to begin to determine the scalability of this approach. The American College of Surgeons (ACS), the primary site, has the content expertise, clinical registry and national influence necessary to drive change in the approach to performance measurement in surgery. We have assembled an accomplished team of national leaders in surgical outcome measurement and data (Clifford Ko, MD, MHS), quality improvement and implementation science (Elizabeth Wick, MD, Peter Pronovost, MD, PhD), informatics (Genevieve Melton, MD, Ph.D., Quintiles), and hospital epidemiology (Trish Perl, MD, MPH). Successful completion this work will impact the field in three main ways: 1) make available a strategy to automate five NQF-endorsed performance measures from the EHR; 2) provide essential knowledge about what is required at the hospital level to automate outcome measurement and the scalability of this approach to multiple hospitals, and; 3) accelerate transition from the use of process to outcome measures for value-based purchasing and physician payment models. The proposed research is novel and timely, and is the next important step on the path to making valid surgical performance measures available to all hospitals and clinicians, and ultimately the public.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2023 ( Subtotal = -$59,205 )
2023	2019	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Research on Healthcare Costs, Quality and Outcomes	000	5	9/19/2023	NON-COMPETING CONTINUATION	-$59,205
														Subtotal = -$59,205

Issue Date FY: 2021 ( Subtotal = $0 )
2021	2019	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Research on Healthcare Costs, Quality and Outcomes	000	5	2/10/2021	NON-COMPETING CONTINUATION	$0
2021	2019	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Research on Healthcare Costs, Quality and Outcomes	001	5	8/11/2021	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2019 ( Subtotal = $499,999 )
2019	2019	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Research on Healthcare Costs, Quality and Outcomes	007	5	9/16/2019	NON-COMPETING CONTINUATION	$499,999
2019	2018	AMERICAN COLLEGE OF SURGEONS INC	633 N SAINT CLAIR ST # 2600	CHICAGO	IL	60611	COOK	USA	Research on Healthcare Costs, Quality and Outcomes	004	3	8/28/2019	NON-COMPETING CONTINUATION	-$17,725
2019	2018	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Research on Healthcare Costs, Quality and Outcomes	001	4	8/16/2019	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$427,785
2019	2018	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Research on Healthcare Costs, Quality and Outcomes	006	4	9/12/2019	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$0
2019	2018	AMERICAN COLLEGE OF SURGEONS INC	633 N SAINT CLAIR ST # 2600	CHICAGO	IL	60611	COOK	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	8/16/2019	NON-COMPETING CONTINUATION	-$427,785
2019	2018	REGENTS OF THE UNIVERSITY OF CALIFORNIA, SAN FRANCISCO, THE	1855 FOLSOM ST STE 425	SAN FRANCISCO	CA	94143	SAN FRANCISCO	USA	Research on Healthcare Costs, Quality and Outcomes	005	4	8/28/2019	CHANGE OF GRANTEE / TRAINING INSTITUTION / AWARDING INSTITUTION	$599,426
2019	2017	AMERICAN COLLEGE OF SURGEONS INC	633 N SAINT CLAIR ST # 2600	CHICAGO	IL	60611	COOK	USA	Research on Healthcare Costs, Quality and Outcomes	003	2	8/28/2019	NON-COMPETING CONTINUATION	-$482,507
2019	2016	AMERICAN COLLEGE OF SURGEONS INC	633 N SAINT CLAIR ST # 2600	CHICAGO	IL	60611	COOK	USA	Research on Healthcare Costs, Quality and Outcomes	002	1	8/28/2019	NEW	-$99,194
														Subtotal = $499,999

Issue Date FY: 2018 ( Subtotal = $445,510 )
2018	2018	AMERICAN COLLEGE OF SURGEONS INC	633 N SAINT CLAIR ST # 2600	CHICAGO	IL	60611	COOK	USA	Research on Healthcare Costs, Quality and Outcomes	000	3	9/26/2018	NON-COMPETING CONTINUATION	$445,510
														Subtotal = $445,510

Issue Date FY: 2017 ( Subtotal = $482,507 )
2017	2017	AMERICAN COLLEGE OF SURGEONS INC	633 N SAINT CLAIR ST # 2600	CHICAGO	IL	60611	COOK	USA	Research on Healthcare Costs, Quality and Outcomes	000	2	9/18/2017	NON-COMPETING CONTINUATION	$482,507
														Subtotal = $482,507

Issue Date FY: 2016 ( Subtotal = $498,210 )
2016	2016	AMERICAN COLLEGE OF SURGEONS	633 N SAINT CLAIR STREET	CHICAGO	IL	60611	COOK	USA	Research on Healthcare Costs, Quality and Outcomes	000	1	9/19/2016	NEW	$498,210
														Subtotal = $498,210

Grand Total All Awards = $1,867,021

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Leveraging Advanced Informatics to Automate Data Collection of Healthcare Associated Infections (HAI) and Other Surgical Performance Measures

Award Number: R01HS024532

ORGANIZATION: AGENCY FOR HEALTH CARE RESEARCH AND QUALITY

OPDIV: AHRQ

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer