Smith Matthew J
East Greenwich Spine & Sport, Inc, 1351 S County Tr, Suite 100, East Greenwich, RI 02818(∗).
PM R. 2014 Nov;6(11):1048-53. doi: 10.1016/j.pmrj.2014.10.001. Epub 2014 Oct 5.
On June 15, 2012, the Centers for Medicare and Medicaid Services (CMS) announced the 107 recipients of the Healthcare Innovation Awards (HCIA). The 107 awardees received a total of $874,074,900 in funding, with a projected 3-year savings of $1,863,119,104. A word frequency calculator was used to perform a content analysis on the document that announced the projects receiving funding in the 2012 HCIA program. Results were tabulated and categorized to look for prevailing themes and trends. The words generated by the word frequency calculator were grouped into common roots and tabulated to better understand how CMS was rewarding value. Some of the most common words were "manage," "community," "coordinate," "team," "system" and "integrate." Additionally, the job positions that the projects propose to create were tabulated and grouped into categories. Physicians, including physiatrists, were not often mentioned, whereas nursing and nonclinical positions were frequently listed. This content analysis showed that the concepts emphasized in the HCIA projects parallel fundamental physiatric principles. The findings may help physiatrists understand how reform is unfolding, prepare for the evolving health care landscape, and recognize future opportunities.
2012年6月15日，医疗保险和医疗补助服务中心（CMS）宣布了107位医疗创新奖（HCIA）获得者。这107位获奖者共获得了8.740749亿美元的资金，预计三年可节省18.63119104亿美元。使用词频计算器对宣布2012年HCIA项目中获得资金的项目的文件进行了内容分析。对结果进行列表和分类，以寻找主要主题和趋势。词频计算器生成的单词被归为共同词根并列表，以便更好地理解CMS如何奖励价值。一些最常见的词是“管理”“社区”“协调”“团队”“系统”和“整合”。此外，还列出了项目提议设立的工作岗位并进行分类。包括物理治疗医师在内的医生很少被提及，而护理和非临床岗位则经常被列出。这项内容分析表明，HCIA项目中强调的概念与基本的物理治疗原则相似。这些发现可能有助于物理治疗医师了解改革的进展情况，为不断变化的医疗保健格局做好准备，并认识到未来的机会。
