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.
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Building the Electronic Data Infrastructure: Lessons from Indiana PROSPECT Paul Dexter, MD Chief Medical Information Officer, Wishard Health Services Regenstrief.
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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.
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
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
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
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