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HSR&D Study


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IMA 04-372
 
 
Academic Collaboration
Denise M. Hynes PhD MPH BSN
Edward Hines, Jr. VA Hospital, Hines
Hines, IL
Funding Period: October 2004 - May 2008

BACKGROUND/RATIONALE:
To bring academic experts in the area of informatics to work to with the VA Information Resource Center (VIReC) in support of evidenced-based and implementation research.

OBJECTIVE(S):
Development of informatics tools and strategies for evidenced-based and implementation research

Training of VIReC staff so that VA investigators working in the areas of evidence-based practice and implementation research can receive adequate support from VIReC

METHODS:
1. Consultation and Dissemination of knowledge about use of electronic health records in research
2. Consultation and dissemination about use of online analytical processing (OLAP) and other novel data mining tools with VA Data
3. Development of a conceptual framework of a risk-adjustment model that can be used in real time on the VA data warehouses or databases

FINDINGS/RESULTS:
No results at this time.

IMPACT:
Planned Impacts:

Educating VIReC staff how to do their own DSS data queries that can allow for assessment and monitoring of patient cohorts within a clinical practice group and then to share this process with VA researchers

Develop a guidance document on how to use electronic health record (EHR) technologies for implementation research purposes that can be disseminated to the research community

Develop a seminar or course on the application of the EHR or linked EHR systems in evidence-based and implementation research to train VIReC staff and investigators in this area

Prepare and disseminate a technical report that discusses conceptual framework for developing real-time risk adjustment for data marts and warehouses and evaluate several risk adjustment models to be used for specific applications (e.g., Hierarchical Condition Categories for cost analysis and Modified Charlson Comorbidity Index for comparing outcomes of inpatient surgery)

Educate VIReC staff in concepts and methods of risk adjustment so that VIReC staff can more effectively advocate research interests in the development of risk adjustment methods for national or local VA data marts and

PUBLICATIONS:
None at this time.


DRA: Health Services and Systems
DRE: Technology Development and Assessment
Keywords: Decision support
MeSH Terms: none