Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief...
-
Upload
judith-fitzgerald -
Category
Documents
-
view
220 -
download
0
Transcript of Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief...
![Page 1: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/1.jpg)
Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT
Paul Dexter, MD
Chief Medical Information Officer, Wishard Health Services
Regenstrief Institute Scientist
Supported by AHRQ Grant R01 HS19818-01
Dr Dexter has no conflict of interest.
![Page 2: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/2.jpg)
Enhancing health care IT infrastructure
• A learning health system• Coordinated clinical, research, and quality
improvement efforts• Outcomes important to patients• CER, PCOR• Leveraging EHRs and other data sources• Rapid, comprehensive, hypothesis-generating
results
![Page 3: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/3.jpg)
Local opportunities and challenges
• A large health information exchange• Creation of new software• Study enrollment challenges, PBRN• Investigator access to preliminary data• Integration of clinical and genetic research• Capture of patient reported outcomes• Improved support of standards
![Page 4: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/4.jpg)
Specific aimsEnhance existing information technology infrastructure:
• Support providers, caregivers, and researchers by providing new tools for communication and co-management
• Provide de-identified access to the INPC database for CER work
• Capture and store health care outcomes important to patients and their caregivers
Comparative effectiveness clinical trial of medication treatment for behavioral symptoms of Alzheimer’s disease
![Page 5: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/5.jpg)
INPC Data
» 80 hospitals signed up» 46 hospitals “live”• 1,400 interfaces• 12 million individuals• 4 billion structured results
• Also includes:• Laboratories• Radiology centers• Public health• 5 large payors
![Page 6: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/6.jpg)
![Page 7: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/7.jpg)
![Page 8: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/8.jpg)
Record Countas denominator
Realtime
![Page 9: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/9.jpg)
Automated study recruitment
![Page 10: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/10.jpg)
Informatics decision support research
![Page 11: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/11.jpg)
Record Countas denominator
Realtime
Study design tool
![Page 12: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/12.jpg)
Record Countas denominator
Realtime
Study design tool
![Page 13: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/13.jpg)
Integration and enhancements to eMR-ABC
![Page 14: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/14.jpg)
Automated biospecimen tracking
Lab Technician
caTrack
PDA with Scanner
Web Service
Phlebotomist caTissue Application
BioSpecimen Database
caTrack Business
Logic
Scan patient barcode
Scan blood tube
barcode
Scan centrifuge
barcode
Scan blood tube
barcode
Scan box
barcode
Scan aliquot
barcode
![Page 15: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/15.jpg)
De-identified I2b2 queries
![Page 16: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/16.jpg)
I2B2Database
Global IDGlobal ID
De-identification
Staging Server
INPCBiospecimen
Tissue Tracking
myTrackMolecular
Data
INPCBiospecimen
Tissue Tracking
![Page 17: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/17.jpg)
“Vending machine” concepts
Diabetes mellitus
Coronary artery disease
Myocardial infarction
Heart failure
COPD
Asthma
Hypertension
Breast cancer
Prostate cancer
Lung cancer
Colorectal cancer
Ovarian cancer
Esophageal cancer
Stroke
Chronic kidney disease
GI bleeding
HIV/AIDS
Schizophrenia
Hyperlipidemia
Osteoarthritis
Rheumatoid arthritis
Falls
ADHD
Etc….
![Page 18: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/18.jpg)
UIMA/cTAKES open source NLP
![Page 19: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/19.jpg)
Real-time NLP
![Page 20: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/20.jpg)
![Page 21: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/21.jpg)
Integration of LOINC survey instruments
![Page 22: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/22.jpg)
![Page 23: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/23.jpg)
![Page 24: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/24.jpg)
![Page 25: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/25.jpg)
![Page 26: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/26.jpg)
Striving for sustainability
![Page 27: Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.](https://reader034.fdocuments.in/reader034/viewer/2022051316/56649eb15503460f94bb69ce/html5/thumbnails/27.jpg)
Thank you