My research agenda seeks to develop a scorecard of neonatal intensive care unit (NICU) quality. Background: Interest in comparative quality measurement and evaluation has grown considerably because of recognition of the widespread variation in clinical practice, increased availability of evidence about medical effectiveness, and increasing concerns about the cost and quality of healthcare. In other fields of medicine, scorecards of performance have improved the quality of healthcare institutions, providers, and patient care.
Specific Aims : I seek a K23 award to develop into an independent investigator and to become expert in the measurement of the quality of neonatal healthcare. Specifically, I propose to develop a scorecard of neonatal intensive care quality for very low birthweight infants (less than 1500 grams).
Aim 1 : To select measures for inclusion in the scorecard of NICU quality of care Aim 2: To construct a scorecard and rank NICUs according to their performance Aim 3: To evaluate NICU rankings in response to alternative methods of scorecard construction as well as their stability over time.
Aim 4 : To validate the scorecard Methods: The development of the scorecard will employ primary data collection (expert panels and surveys) and analysis of a research level clinical database. A multi-disciplinary mentoring committee whose expertise spans the relevant disciplines of quality assessment and improvement (Drs. Petersen and Kallen) as well as neonatology and health services research (Drs. Gould and Zupancic) will guide the progress of the research agenda. In addition, I have scientific advisors with expertise in neonatology (Dr. Stark), patient safety and survey methodology (Dr. Thomas), and biostatistics (Dr. Pietz). Their mentorship, as well as a focused training and research plan facilitated by a K23 award, will develop my expertise in neonatal quality research by providing crucial content and methodological training. Conclusion: The educational and research agenda are designed to complement my previous training in neonatology and health services research, and will enable me to achieve my goal of developing an independent career in patient-oriented clinical research while furthering the NICHD's mission of ensuring that all children have the chance to achieve their full potential for healthy and productive lives. ? ? ?
|Profit, Jochen; Lee, Henry C; Sharek, Paul J et al. (2016) Comparing NICU teamwork and safety climate across two commonly used survey instruments. BMJ Qual Saf 25:954-961|
|Profit, Jochen; Gould, Jeffrey B; Bennett, Mihoko et al. (2016) The Association of Level of Care With NICU Quality. Pediatrics 137:e20144210|
|Sexton, J Bryan; Sharek, Paul J; Thomas, Eric J et al. (2014) Exposure to Leadership WalkRounds in neonatal intensive care units is associated with a better patient safety culture and less caregiver burnout. BMJ Qual Saf 23:814-22|
|Profit, Jochen; Sharek, Paul J; Amspoker, Amber B et al. (2014) Burnout in the NICU setting and its relation to safety culture. BMJ Qual Saf 23:806-13|
|Profit, Jochen; Kowalkowski, Marc A; Zupancic, John A F et al. (2014) Baby-MONITOR: a composite indicator of NICU quality. Pediatrics 134:74-82|
|Profit, Jochen; Zupancic, John A F; Gould, Jeffrey B et al. (2013) Correlation of neonatal intensive care unit performance across multiple measures of quality of care. JAMA Pediatr 167:47-54|
|Petersen, Laura A; Simpson, Kate; Pietz, Kenneth et al. (2013) Effects of individual physician-level and practice-level financial incentives on hypertension care: a randomized trial. JAMA 310:1042-50|
|Profit, Jochen; Gould, Jeffrey B; Draper, David et al. (2013) Variations in definitions of mortality have little influence on neonatal intensive care unit performance ratings. J Pediatr 162:50-5.e2|
|Woodard, LeChauncy D; Landrum, Cassie R; Urech, Tracy H et al. (2012) Treating chronically ill people with diabetes mellitus with limited life expectancy: implications for performance measurement. J Am Geriatr Soc 60:193-201|
|Profit, Jochen; Etchegaray, Jason; Petersen, Laura A et al. (2012) Neonatal intensive care unit safety culture varies widely. Arch Dis Child Fetal Neonatal Ed 97:F120-6|
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