June 26, 2020: Advances at the Intersection of Digital Health, Electronic Health Records, and Pragmatic Clinical Trials: Keys to Success in the Evolving EHR Environment (Keith Marsolo, PhD; Teresa Zayas-Cabán, PhD; George (Holt) Oliver, MD, PhD; Christopher A. Longhurst, MD, MS; Rachel Richesson, PhD, MPH)

Posted on by Gina Uhlenbrauck

Speakers

Guest Moderator:
Keith Marsolo, PhD
Associate Professor, Population Health Sciences
Duke University

Panel:
Teresa Zayas-Cabán, PhD
Chief Scientist
Office of the National Coordinator for Health Information Technology
Office of the Secretary, DHHS

George (Holt) Oliver, MD, PhD
Vice President Clinical Informatics
Parkland Center for Clinical Innovations

Christopher A. Longhurst, MD, MS
CIO and Associate CMO, Quality/Safety
Professor of Pediatrics and Medicine
UC San Diego Health

Rachel Richesson, PhD, MPH
Associate Professor
Duke University School of Nursing

Topic

Advances at the Intersection of Digital Health, Electronic Health Records, and Pragmatic Clinical Trials: Keys to Success in the Evolving EHR Environment

Keywords

Embedded PCTs; Electronic health records; EHR; Digital health; Data interoperability; Clinical decision support; Information technology

Key Points

  • A defining feature of the 19 NIH Collaboratory embedded pragmatic clinical trials is their use of the EHR, whether for eligibility screening, intervention delivery, and/or outcome assessment.
  • As an example, the ICD-Pieces NIH Collaboratory Trial showed that a standard set of EHR data can be used to identify patients. The study involved a diverse set of health systems, and the study team overcame many IT challenges, including integrating data from 3 different EHR systems.
  • It is possible to implement a system-wide data warehouse, as the University of California has done across its 5 academic medical centers.

Discussion Themes

The vision is to ensure that healthcare systems are able to learn from every patient, at every visit, every time.

A common challenge for trials embedded in healthcare delivery is access to operational IT expertise and the relative priority in those environments. How can we more effectively partner with our IT colleagues in these trials?

The U.S. Department of Health and Human Services released a comprehensive strategy to reduce the regulatory and administrative burden related to the use of health IT, including EHRs. Visit HealthIt.gov for more information.

Tags

#pctGR, @Collaboratory1