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The Center's research focuses on four main areas to:
VNSNY’s commitment to providing high-quality care requires that patient managers and clinicians have timely access to accurate, complete patient information as the patient progresses through the care process. The Center’s Division of Outcomes, Informatics and Evaluation, launched in 1996, supports VNSNY’s quality improvement efforts through research, evaluation, and the management of a state-of-the art patient information system. The Outcomes Group ensures that appropriate patient data is accurately collected, analyzes patient data, stores this information in a data warehouse, and generates customized reports to track trends and changes in patient progress over time.
Outcomes researchers, working hand in hand with patient managers and other VNSNY staff, evaluate new clinical, business and workforce programs and initiatives and measure their impact on quality and patient health outcomes. The Outcomes Group is currently assessing how the use of remote monitors in patients’ homes affects patient care and health outcomes.
Much of what the Outcomes team has learned is already in practice at VNSNY: They have developed statistical models to predict which patients are at risk for hospitalization, for example, and the capacity for nurses to get automatic email notification when new patients are deemed to be at risk. The researchers have also created an analytic tool to predict whether new home care patients will be discharged from home care or need referrals to other VNSNY programs. An internal website, developed by the Outcomes team to give appropriate VNSNY staff access to patient information and quickly create customized reports, has become integral to VNSNY practice.
VNSNY is devoted to home care excellence based on solid evidence. The Center’s Outcomes Group–with a capability that is unique in the home care field–provides that evidence, making it the underpinning of quality improvement efforts and new initiatives and programs at VNSNY.
In VNSNY’s service regions and across the U.S., young children, adults, older persons and their families are learning how to live with complicated chronic health conditions, such as diabetes, cancer, heart disease and hypertension, that can be treated effectively at home. Often, these conditions require significant lifestyle changes and adherence to complicated medical regimens. In collaboration with national experts and VNSNY clinicians, the Center’s staff is testing ways to help our patients and their families manage their chronic conditions in order to stabilize their health, prevent unnecessary hospitalizations and improve the quality of their lives.
We seek to foster equitable and cost-effective policies for home and community-based care by analyzing, understanding, and disseminating information on how the government pays for, measures and regulates post-acute and long-term care. Our studies aim to show how public policies influence access to services, and the use, costs, and outcomes of care.
The Center works with communities to assess their preparedness for a growing elderly population and to help them plan for “elder-friendly” communities that support residents’ ability to remain in the community as they age.
The Center’s researchers collaborated with the “Aging in Place Initiative” of the United Hospital Fund to develop a set of indicators that can be used by “Naturally Occurring Retirement Community Supportive Services Programs”(NORC-SSP’s) to identify health risks among residents aged 60-plus. The Center’s researchers administered a survey to residents being served by the New York City NORC-SSP’s to identify health risks. Over the course of this three-year study, the research team has built a database and system to administer the questionnaire to residents of all 54 New York State NORC’s. The data are now being analyzed to identify and prioritize health risks so that practice guidelines and evidence-based interventions can be implemented to diminish these risks. The Center’s researchers will re-administer the full survey to measure any changes from the initial findings during the final phase of the study, which ends in 2010.