温哥华社区分析工具（VCAT）：使加拿大不列颠哥伦比亚省社区健康中心的高绩效初级保健基本要素实现运作的软件。

The Vancouver Community Analytics Tool (VCAT): Software Enabling Operationalization of the Building Blocks of High-Performing Primary Care at Community Health Centers in British Columbia, Canada.

机构信息

Vancouver Coastal Health (VCH), Vancouver, Canada.

Department of Public Health, Amsterdam University Medical Center, Amsterdam, The Netherlands.

出版信息

Perm J. 2020 Dec;25:1. doi: 10.7812/TPP/20.050.

DOI:10.7812/TPP/20.050

PMID:33635763

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8803262/

Abstract

BACKGROUND

Community health centers (CHCs) in British Columbia, Canada, are using a data-driven approach to enable functions related to the design, organization, management, delivery, and evaluation of primary health care services for complex populations.

METHODS

Descriptive study leveraging case studies from 4 CHCs in Vancouver, Canada, to provide an overview and examples of the functions and outputs of the Vancouver Community Analytics Tool (VCAT). Quantitative data were derived from electronic medical record data and regional emergency department data. Data were analyzed and reported by the VCAT software.

RESULTS

VCAT is a health system modeling, analytics, and reporting application suite that enables operationalization of the Ten Building Blocks of High-Performing Primary Care framework via 1) creation of a virtual patient record, 2) modeling and measurement of epidemiological profiles, 3) population management and quality improvement, 4) measurement and assessment of biopsychosocial complexity, 5) empanelment, and 6) design and optimization of team-based care. The software captures data on patient pathways and service operations for over 300 service sites, including community health centers, detox centers, and emergency departments. The software integrates data on service utilization and myriad other variables for over 750,000 individuals.

DISCUSSION

Using case studies, the article describes how the software helps solve practical clinical, organizational, and performance issues facing CHCs.

CONCLUSIONS

VCAT models, analyzes, and visualizes the complexity profiles and service utilization patterns of complex populations, thereby enabling system administrators and clinicians to improve system performance and quality of care. The software represents a significant advance for health services research and is transforming the organization, delivery, and evaluation of primary health care services.

摘要

背景

加拿大不列颠哥伦比亚省的社区卫生中心（CHC）正在采用数据驱动的方法，使相关功能能够为复杂人群设计、组织、管理、提供和评估初级卫生保健服务。

方法

利用来自加拿大温哥华的 4 个 CHC 的案例研究进行描述性研究，提供温哥华社区分析工具（VCAT）的功能和产出概述和示例。定量数据来自电子病历数据和区域急诊部数据。数据由 VCAT 软件进行分析和报告。

结果

VCAT 是一个健康系统建模、分析和报告应用程序套件，通过以下方式实现高绩效初级保健的十个构建模块的运作化：1）创建虚拟患者记录，2）建模和测量流行病学概况，3）人群管理和质量改进，4）测量和评估生物心理社会复杂性，5）注册，6）设计和优化基于团队的护理。该软件可捕获超过 300 个服务站点（包括社区卫生中心、戒毒中心和急诊部）的患者路径和服务运营数据。该软件整合了超过 750,000 个人的服务利用和无数其他变量的数据。