Background Despite recommendations for monitoring patients with chronic and high-risk conditions, gaps still remain. These gaps are exacerbated in outpatient care, where patients and clinicians face challenges related to care coordination, multiple electronic health records, and extensive follow-up. In addition, low-income and racial/ethnic minority populations that are disproportionately cared for in safety net settings are particularly at risk to lapses in monitoring. Methods We aim to implement and evaluate a health information technology platform developed using systems engineering methodologies. The implementation is situated in a clinic that monitors patients with head and neck cancer within a large, urban, publicly funded hospital. Our study will evaluate the time it takes for patients to progress through key treatment milestones prior to and after implementation of the tool. We will use models controlling for secular trend to estimate the effect of the tool on improving timely and successful completion of guideline-based care processes. Discussion This protocol details the evaluation of the effectiveness of a human-centered health information technology intervention on improving timely delivery of care for high-risk populations. Other settings, including those that face challenges related to limited resources to devote to safety programs and fragmented health information technology, may benefit from this approach. Trial registration ClinicalTrials.gov, NCT03546322. "Customized Registry Tool for Tracking Adherence to Clinical Guidelines for Head and Neck Cancers." Registered 1 June 2018.

中文翻译：

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用于跟踪头颈癌临床指南遵守情况的定制注册工具：试点研究方案。


背景 尽管建议监测患有慢性和高危疾病的患者，但差距仍然存在。这些差距在门诊护理中更加严重，患者和临床医生面临着护理协调、多个电子健康记录和广泛随访相关的挑战。此外，在安全网环境中受到过度照顾的低收入和种族/族裔少数群体尤其面临监测失误的风险。方法我们的目标是实施和评估使用系统工程方法开发的健康信息技术平台。该实施位于一家大型城市公立医院内监测头颈癌患者的诊所。我们的研究将评估患者在实施该工具之前和之后完成关键治疗里程碑所需的时间。我们将使用控制长期趋势的模型来估计该工具对改进及时和成功完成基于指南的护理流程的效果。讨论 该协议详细介绍了以人为本的卫生信息技术干预措施对改善高危人群及时护理服务的有效性的评估。其他环境，包括那些面临与安全计划资源有限和卫生信息技术分散相关挑战的环境，可能会从这种方法中受益。试验注册 ClinicalTrials.gov，NCT03546322。 “用于跟踪头颈癌临床指南遵守情况的定制注册工具。” 2018 年 6 月 1 日注册。