CMS 州立创新模型计划与提升医疗实践的健康信息技术和护理管理能力。
The CMS State Innovation Models Initiative and Improved Health Information Technology and Care Management Capabilities of Physician Practices.
机构信息
University of California, Berkeley, CA, USA.
University of California, San Francisco, CA, USA.
出版信息
Med Care Res Rev. 2021 Aug;78(4):350-360. doi: 10.1177/1077558719901217. Epub 2020 Jan 22.
The Centers for Medicare and Medicaid Services' (CMS) State Innovation Models (SIMs) initiative funded 17 states to implement health care payment and delivery system reforms to improve health system performance. Whether SIM improved health information technology (HIT) and care management capabilities of physician practices, however, remains unclear. National surveys of physician practices ( = 2,722) from 2012 to 2013 and 2017 to 2018 were linked. Multivariable regression estimated differential adoption of 10 HIT functions and chronic care management processes (CMPs) based on SIM award status (SIM Round 1, SIM Round 2, or non-SIM). HIT and CMP capabilities improved equally for practices in SIM Round 1 (5.3 vs. 6.8 capabilities, < .001), SIM Round 2 (4.7 vs. 7.0 capabilities, < .001), and non-SIM (4.2 vs. 6.3 capabilities, < .001) states. The CMS SIM Initiative did not accelerate the adoption of ten foundational physician practice capabilities beyond national trends.
医疗保险和医疗补助服务中心（CMS）的州创新模式（SIM）计划资助了 17 个州，以实施医疗保健支付和交付系统改革，以改善卫生系统绩效。然而，SIM 是否提高了医生实践的健康信息技术（HIT）和护理管理能力尚不清楚。对 2012 年至 2013 年和 2017 年至 2018 年的医生实践（=2722）进行了全国性调查，并进行了链接。基于 SIM 奖励状态（SIM 第 1 轮、SIM 第 2 轮或非 SIM），使用多变量回归估计了 10 种 HIT 功能和慢性病管理流程（CMP）的差异采用情况。SIM 第 1 轮（5.3 项与 6.8 项功能， <.001）、SIM 第 2 轮（4.7 项与 7.0 项功能， <.001）和非 SIM（4.2 项与 6.3 项功能， <.001）州的医生实践 HIT 和 CMP 能力同样有所提高。CMS SIM 计划并没有加速采用十个基础医生实践能力，超出了国家趋势。
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