Direct extraction and use of electronic health record (EHR) data is a long-term and multifaceted endeavor that includes design, development, implementation and evaluation of methods and tools for semi-automating tasks in the research data collection process, including, but not limited to, medical record abstraction (MRA). A systematic mapping of study data elements was used to measure the coverage of the Health Level Seven (HL7®) Fast Healthcare Interoperability Resources (FHIR®) standard for a federally sponsored, pragmatic cardiovascular randomized controlled trial (RCT) targeting adults. We evaluated site-level implementations of the HL7® FHIR® standard to investigate study- and site-level differences that could affect coverage and offer insight into the feasibility of a FHIR-based eSource solution for multicenter clinical research.
Download full-text PDF |
Source |
|---|---|
| http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9137245 | PMC |
| http://dx.doi.org/10.3233/SHTI210188 | DOI Listing |
Publication Analysis
Top Keywords
Similar Publications
Early CER Strategies to Recruit Black 80+ year olds in the SuperAging Research Initiative.
Alzheimers Dement
December 2024
Healthy Aging & Alzheimer’s Research Care (HAARC) Center, Healthy Aging & Alzheimer’s Research Care (HAARC) Center, The University of Chicago, Chicago, IL, USA
Background: Community engaged research (CER) has been critical for increasing diversity in Alzheimer’s studies. However, the effectiveness of CER for engaging a diverse population of ‘SuperAgers,’ has been largely unstudied. SuperAgers are individuals age 80+ with superior episodic memory.
View Article and Find Full Text PDFAdapting Implementation Strategies to Context: Moving an Evidence‐Based Dementia Care Program into PACE.
Alzheimers Dement
December 2024
University of Pennsylvania, Philadelphia, PA, USA
Background: Systematic approaches are essential for adapting and tailoring implementation strategies to specific dementia care settings if we are to move evidence‐based practice into ‘real world’ care that reaches most persons living with dementia. Care of Persons with Dementia in their Environments (COPE) is an evidence‐based dementia care program that provides families with skills to maximize functional abilities and quality of life of persons with dementia and reduce difficulties managing day‐to‐day care challenges for family caregivers. The COPE in PACE study was a national non‐inferiority trial that involved the implementation of COPE in Programs of All‐Inclusive Care of the Elderly (PACE)‐ which provide support for nursing home eligible Medicaid and Medicare enrollees (NCT04165213).
View Article and Find Full Text PDFBackground: Non-pharmacological interventions (NPIs) are preferred alternatives to using antipsychotic medications to manage disruptive behaviors in nursing home (NH) residents living with dementia. However, the implementation of these interventions is often complex in the NH environment. In this qualitative analysis of data from an embedded pragmatic clinical trial (ePCT) of a personalized music intervention, we describe NH-level implementation barriers and facilitators.
View Article and Find Full Text PDFImplementing brief behavioral treatment for insomnia in Department of Veterans Affairs Primary Care Mental Health Integration clinics: Reach outcomes from a hybrid type 3 effectiveness-implementation trial.
Psychol Serv
January 2025
Center for Health Equity Research and Promotion, Department of Veterans Affairs Pittsburgh Healthcare System.
Chronic insomnia is one of the most common health problems among veterans and can significantly impact health, function, and quality of life. Brief behavioral treatment for insomnia (BBTI), an adaptation of cognitive behavioral therapy for insomnia (CBT-I), was developed to help increase access to care outside of specialty settings. However, training providers alone is rarely sufficient, and implementation strategies are needed for successful uptake, adoption, and sustainable delivery of care.
View Article and Find Full Text PDFImproving colonoscopy quality in the national VA healthcare system.
Contemp Clin Trials
December 2024
San Francisco VA Medical Center, United States of America; Department of Medicine, University of California, San Francisco, CA, United States of America; Measurement Science Quality Enhancement Research Initiative, San Francisco VA Healthcare System, United States of America. Electronic address:
Background: Colorectal cancer (CRC) prevention is a Veterans Affairs (VA) priority. Colonoscopy quality, especially adenoma detection rate (ADR), is critical for effective screening. Our research indicates considerable variation in ADR among VA providers.
View Article and Find Full Text PDFWant AI Summaries of new PubMed Abstracts delivered to your In-box?
Enter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!