Transcript The New Audit Paradigm

Using EPR2020 for Clinical Research
Diana Gumas, Director of Clinical and Clinical Research IT
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Migration of clinical data to EPR2020
(powered by Amalga)
EPR- JHH & JHBMC
EPR2020
Discharge summaries
Operative notes
Clinic Notes
Problems, Allergies, Meds
Lab Results
Radiology Results
Read-Only
Data Discovery
for
Clinical Care
Research
Quality Improvement
Clinical Research
Management System
HDM/Casemix
Patient
Portal
Inpatient & Outpatient
Diagnoses/Procedures
JHCP
Other JHH/JHBMC
Clinical Systems
External Labs
Additional Hospitals
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Multiple Applications –
Including Research Support
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Research App View:
Patients on “My Studies”
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Now drill down to see Clinical Data for the
Research Participant
Clinical detail for the Patient:
Problems, Allergies, Immunizations, Medications
Labs
Documents
Active Research Study enrollment
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Research App View:
Research Lab Results
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Exporting Lab Results Saves Significant
Researcher Hours!
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Researcher App View: Diagnosis
“Find my patients who had a cardiac diagnosis
in the 1st quarter of 2010”
Provides assistance gathering:
•
Preliminary, anonymous data for feasibility, grant
applications and statistical sample-size estimates
•
IRB-approved case-finding--for study enrollment
(mailings, phone solicitation), chart review, and
cohort/case-control studies
•
Research data extracts - monthly/quarterly integrated
extracts from EPR, POE, ORMIS, lab/PDS, billing
systems, vaccination/transfusion/culture data, etc.
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Electronic Patient Record (EPR)
and Research
One major source
of clinical data for JHH/JHBMC
&
Research documentation
• New EPR clinical research note
just for researchers
• Access to scanned consents
Can look at statistics for race,
gender, age, diagnosis description
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Diag Seq 1 - the primary for this encounter.
Notice patient has a pacemaker… so…
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Search patient’s documents for pacemaker
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Future Plans
• My Research Patients’ Outpatient Diagnosis
• My Research Patients’ Procedures
• Alerts for significant events
– Participant admission
– Lab value out of range
• Evaluate Microsoft cohort discovery tool
• Evaluate use of i2b2 with data from EPR2020
• Provide result data to Case Report Forms in Research System
• Interface to Specimen Tracking Tool (caTissue)
• Natural Language Processing to mine documents
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EPR2020 Data Contents
Available today from EPR for JHH & JHBMC - *view-only*
4.4M Patients, 32.6M Visits
16.2M Documents, 8.5M Radiology Reports
78M Lab Tests, 402M Lab Results
1.7M Problems, 2.5M Medications, 159K Allergies, 475K Immunizations
5.8M Inpatient Diagnoses (409K distinct)
In progress:
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Community physician visits and summary documents
Outpatient diagnosis codes & procedures
Images
Improve speed of display
Additional clinical research tools
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