This project will assess and expand the knowledge base on culture change in nursing homes (NHs) and explore the potential for NH culture change as a strategy to drive improvement in quality of care and life for individuals living in NHs and in the quality of jobs of those employed by NHs.
North Carolina IMPaCT: Advancing and Spreading Primary Care Transformation
For the IMPaCT project, we will enhance our current efforts by conducting a regional leadership development program that will enhance the effectiveness of the regional medical and quality improvement leaders. We will also enhance our current patient-centered medical home change package to included focused attention on the role of primary care in transitions between care settings.
Carolina Advance Health Evaluation
The purpose of these activities will be to provide technical assistance to TPN and the establishment and monitoring of Carolina Advance Health (CAH). 1) Planning and evaluation of patient satisfaction data. 2) Qualitative evaluation of organization and modification of CAH. 3) Assistance in quality of care evaluation. Principal Investigator: Timothy S Carey, MD, MPH Funding: … Read more »
Analysis of American Physical Therapy Association’s (APTA) National Outcomes Database
Information gathered from these analyses will inform next steps in the continued development and use of the outcomes database and will provide an assessment of the current state of physical therapy practice, the degree of variation in practice for select diagnoses, and how practice relates to clinical practice guidelines and evidence.
Agency for Healthcare Research and Quality Measure Development Contract (QM.D.C)
UNC will assist AIR and our other teamed subcontractors in building infrastructure for AHRQ to support work that connects research and data for purposes of developing and facilitating the use of evidence-based health care quality and efficiency measures.
Reducing Potentially Inappropriate Antibiotic Prescribing by Primary Care Clinicians Working in Long-Term
This supplement extended the period of observation of the intervention in assisted living, to allow for additional data collection and analysis and for the development of materials for training new sites to implement the intervention and disseminate them to appropriate audiences. The goal was to reduce potentially inappropriate antibiotic prescribing. Principal Investigator: Phillip Sloane, M.D.,… Read more »
Transforming Primary Care Practice in North Carolina
The Patient-Centered Medical Home (PCMH) model involves complete primary care practice redesign with the ultimate goal to improve the quality of patient care and reduce cost. Detailed information on the best methods of practice transformation is needed to help the growing number of practices as they plan to go through this process. The overall objective… Read more »
Findings of Bayesian Mixed Treatment Comparison Meta-Analyses: Comparison and Exploration Using Real-World Trial Data and Simulation
he main objectives of this RTI-UNC-CH Evidence-based Practice Center methods project are to contribute to the body of literature on MTC meta-analysis.
Validation of Inverse-Probability of Missing Data Approach for the Inclusion of Laboratory Data in Healthcare Database Research
To construct rich predictive models for the availability of each of the laboratory test results of interest.
Outcomes of Green House Homes Compared to Other Nursing Homes: What Structures and Processes are Associated with Better Outcomes?
The primary aim of this study is to identify the essential components (structures and processes) of care that relate to resident outcomes in various skilled nursing settings, with a special focus on those structures and processes that are reflected in Green House homes(GH).
An Open Source Model for Projecting Physician Shortages in the United States
The question of whether the United States is facing a physician shortage is a hotly contested topic. Some projections have estimated a shortfall of between 85,000-200,000 physicians by 2020 but other analysts have suggested that supply is not the issue, rather it is the distribution of physicians both geographically and between specialties that is most… Read more »
Lung Cancer Surgery: Decisions Against Life Saving Care – The Intervention Center
This American Cancer Society sponsored study is designed to use a health literacy and culturally appropriate communication intervention for patients and electronic data tools for providers to optimize lung cancer surgery treatment for early stage lung cancer for all patients and to reduce the surgical gap between African-American and white lung cancer patients.
An Economic Framework for Evaluating Biomarkers Used to Target CVD Prevention
The team will test a variety of different clinical and policy scenarios and systematically examine the effects of key individual variables on the results.
Family Members Influence Quality and Delivery of Care for Heart Failure Patients
The overall objective here, which is our next step in pursuit of our long-term goal, is to determine whether family accompaniment influences processes of care within the medical visit and use this information to inform intervention development.
Southern Piedmont Beacon Community Project (SPBC Project)
The SPBC Project builds on this community’s current advanced usage and penetration of health information technology (HIT) lo create a learning laboratory for the next generation of community-based HIT-enabled improvements to health and care.