RE: Procrastination aka AMIA-CRI deadline Sept 25
More specifically (than my earlier message), how about a panel on your #1 (I2b2 - PCORI ontology CDM work with Harvard and Pitt). Thanks, Shawn. From: Russ Waitman [mailto:rwait...@kumc.edu] Sent: Wednesday, September 10, 2014 2:50 PM To: GPC-DEV@LISTSERV.KUMC.EDU Cc: Vincent Leonardo; Klann, Jeffrey G.; Murphy, Shawn N.; Becich, Michael J (bec...@pitt.edu) Subject: Procrastination aka AMIA-CRI deadline Sept 25 I've been too consumed with 6 month evaluation, data sharing agreements, and figuring out if we are on track so I missed the call yesterday. I am on the AMIA-CRI scientific program committee and was thinking: can people exchange their thoughts on this email thread proposed panels or abstracts either based on work within the GPC or with other key partners at CDRNs PPRNs? So far here, I know that Vince Leonardo and Dan Connolly have been working with Alex on the i2b2-R integration work to also support population health so Vince is working on at least an abstract for a poster. I could imagine we'd also have other things or could wait: - I2b2 - PCORI ontology CDM work with Harvard and Pitt - Babel and observations - LEK to information patient experience and data sharing What are other people thinking? Russ Waitman, PhD Director of Medical Informatics Assistant Vice Chancellor for Enterprise Analytics Associate Professor, Department of Internal Medicine University of Kansas Medical Center, Kansas City, Kansas 913-945-7087 (office) rwait...@kumc.edumailto:rwait...@kumc.edu http://www.kumc.edu/ea-mi/ http://informatics.kumc.eduhttp://informatics.kumc.edu/ http://informatics.gpcnetwork.org - a PCORNet collaborative The information in this e-mail is intended only for the person to whom it is addressed. If you believe this e-mail was sent to you in error and the e-mail contains patient information, please contact the Partners Compliance HelpLine at http://www.partners.org/complianceline . If the e-mail was sent to you in error but does not contain patient information, please contact the sender and properly dispose of the e-mail. ___ Gpc-dev mailing list Gpc-dev@listserv.kumc.edu http://listserv.kumc.edu/mailman/listinfo/gpc-dev
RE: GPC Dev notes for 9/9/2014
Hi all, In reviewing the notes I realized that I never responded to the first question for Cerner around integrating research into the clinical workflow. From a Cerner perspective, we have a few solutions that do this, including PowerTrials, Discovere, and our new OnCore interface that works with PowerTrials. PowerTrials is a solution for entering protocols and recruiting patients for a study, and includes an indicator in the banner bar of each patient's chart who is on a trial, to alert all clinicians that encounter that individual's chart. PT allows researchers to manage accrual, recruit patients for studies, and includes a Clinical Research tab in the primary chart that is dedicated to the available clinical trials at the institution as well as gives providers the ability to check what trials a patient might be eligible for. Eligibility screenings are built into the Cerner Millennium system via Discern Rules that can be designed to logically evaluate the inclusion/exclusion criteria for a study within a patient's chart, or across the entire patient population. The newest development with PowerTrials, since it is not a full CTMS within Millennium, is our OnCore interface, which we have established with our alpha client and are now prepared to implement more broadly. We've been working closely with Forte to establish that relationship, and one of our folks, Ryan Moog, is actually at Forte today discussing the next steps for improving that interface and making the implementation more repeatable across clients. Let me know if I need to update the notes and re-send the pdf. Thanks, Nate Apathy Program Manager, Cerner Research -Original Message- From: gpc-dev-boun...@listserv.kumc.edu [mailto:gpc-dev-boun...@listserv.kumc.edu] On Behalf Of Hickman, Hubert B Sent: Tuesday, September 09, 2014 2:19 PM To: gpc-dev@listserv.kumc.edu Subject: GPC Dev notes for 9/9/2014 Enclosed please find notes for today's meeting. ToDo/Followups noted in boldface, per Dan's request. Hubert Hickman Applications Sr. Analyst huhick...@nebraskamed.com (402) 559-4838 The Nebraska Medical Center E-mail Confidentiality Disclaimer The information in this e-mail may be privileged and confidential, intended only for the use of the addressee(s) above. Any unauthorized use or disclosure of this information is prohibited. If you have received this e-mail by mistake, please delete it and immediately contact the sender. CONFIDENTIALITY NOTICE This message and any included attachments are from Cerner Corporation and are intended only for the addressee. The information contained in this message is confidential and may constitute inside or non-public information under international, federal, or state securities laws. Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful. If you are not the addressee, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Cerner's corporate offices in Kansas City, Missouri, U.S.A at (+1) (816)221-1024. ___ Gpc-dev mailing list Gpc-dev@listserv.kumc.edu http://listserv.kumc.edu/mailman/listinfo/gpc-dev
RE: GPC Dev notes for 9/9/2014
Hi Nate, Very helpful. What portions of this are used at CMH today or over the next year or two? Really look forward to working with you on how much of this Cerner capability and corresponding Epic capability we can understand how to use across our network for our PCORI goals, Russ -Original Message- From: gpc-dev-boun...@listserv.kumc.edu [mailto:gpc-dev-boun...@listserv.kumc.edu] On Behalf Of Apathy,Nate Sent: Thursday, September 11, 2014 8:54 AM To: Hickman, Hubert B; gpc-dev@listserv.kumc.edu Subject: RE: GPC Dev notes for 9/9/2014 Hi all, In reviewing the notes I realized that I never responded to the first question for Cerner around integrating research into the clinical workflow. From a Cerner perspective, we have a few solutions that do this, including PowerTrials, Discovere, and our new OnCore interface that works with PowerTrials. PowerTrials is a solution for entering protocols and recruiting patients for a study, and includes an indicator in the banner bar of each patient's chart who is on a trial, to alert all clinicians that encounter that individual's chart. PT allows researchers to manage accrual, recruit patients for studies, and includes a Clinical Research tab in the primary chart that is dedicated to the available clinical trials at the institution as well as gives providers the ability to check what trials a patient might be eligible for. Eligibility screenings are built into the Cerner Millennium system via Discern Rules that can be designed to logically evaluate the inclusion/exclusion criteria for a study within a patient's chart, or across the entire patient population. The newest development with PowerTrials, since it is not a full CTMS within Millennium, is our OnCore interface, which we have established with our alpha client and are now prepared to implement more broadly. We've been working closely with Forte to establish that relationship, and one of our folks, Ryan Moog, is actually at Forte today discussing the next steps for improving that interface and making the implementation more repeatable across clients. Let me know if I need to update the notes and re-send the pdf. Thanks, Nate Apathy Program Manager, Cerner Research -Original Message- From: gpc-dev-boun...@listserv.kumc.edu [mailto:gpc-dev-boun...@listserv.kumc.edu] On Behalf Of Hickman, Hubert B Sent: Tuesday, September 09, 2014 2:19 PM To: gpc-dev@listserv.kumc.edu Subject: GPC Dev notes for 9/9/2014 Enclosed please find notes for today's meeting. ToDo/Followups noted in boldface, per Dan's request. Hubert Hickman Applications Sr. Analyst huhick...@nebraskamed.com (402) 559-4838 The Nebraska Medical Center E-mail Confidentiality Disclaimer The information in this e-mail may be privileged and confidential, intended only for the use of the addressee(s) above. Any unauthorized use or disclosure of this information is prohibited. If you have received this e-mail by mistake, please delete it and immediately contact the sender. CONFIDENTIALITY NOTICE This message and any included attachments are from Cerner Corporation and are intended only for the addressee. The information contained in this message is confidential and may constitute inside or non-public information under international, federal, or state securities laws. Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful. If you are not the addressee, please promptly delete this message and notify the sender of the delivery error by e-mail or you may call Cerner's corporate offices in Kansas City, Missouri, U.S.A at (+1) (816)221-1024. ___ Gpc-dev mailing list Gpc-dev@listserv.kumc.edu http://listserv.kumc.edu/mailman/listinfo/gpc-dev ___ Gpc-dev mailing list Gpc-dev@listserv.kumc.edu http://listserv.kumc.edu/mailman/listinfo/gpc-dev
Re: [gpc-informatics] #109: represent PCORI CDM terminology as i2b2 metadata
#109: represent PCORI CDM terminology as i2b2 metadata --+--- Reporter: rwaitman | Owner: ngraham Type: enhancement | Status: assigned Priority: major | Milestone: initial-data-domains Component: data-sharing | Resolution: Keywords:| Blocked By: 89 Blocking: 145, 146 | --+--- Changes (by dconnolly): * owner: dconnolly = ngraham * status: accepted = assigned Comment: Nathan and I started loading the SCILHS stuff (Version 1.4 - 8/19/14) in hopes of double-checking that we're in sync, but we didn't finish. Nathan, over to you; let me know when you've done the next bit. -- Ticket URL: http://informatics.gpcnetwork.org/trac/Project/ticket/109#comment:19 gpc-informatics http://informatics.gpcnetwork.org/ Greater Plains Network - Informatics ___ Gpc-dev mailing list Gpc-dev@listserv.kumc.edu http://listserv.kumc.edu/mailman/listinfo/gpc-dev
San Antonio catchment area
We are still in progress of determining whether UTMed clinics have an official catchment area. The geography of our CTRC catchment area includes 38 counties, covering 45,970 square miles including long distance oncology care. Counties served: 1. Atascosa 2. Bandera 3. Bee 4. Bexar 5. Brooks 6. Cameron 7. Comal 8. Dimmit 9. Duval 10. Edwards 11. Frio 12. Gillespie 13. Guadalupe 14. Hidalgo 15. Jim Wells 16. Jim Hogg 17. Karnes 18. Kennedy 19. Kendall 20. Kerr 21. Kinney 22. Kleberg 23. La Salle 24. Live Oak 25. Maverick 26. McMullen 27. Medina 28. Nueces 29. Real 30. San Patricio 31. Starr 32. Uvalde 33. Val Verde 34. Webb 35. Willacy 36. Wilson 37. Zapata 38. Zavala Angela Bos Clinical Informatics Research Division Department of Epidemiology and Biostatistics UT Health Science Center at San Antonio Phone: (210) 562-4074 ___ Gpc-dev mailing list Gpc-dev@listserv.kumc.edu http://listserv.kumc.edu/mailman/listinfo/gpc-dev
RE: Embed research within healthcare systems
Hi Russ, Dan mentioned to me earlier that this thread was intended for these discussions, so I copied over our thread from the notes chain here for easier retrieval in the archive. So far, CMH is implementing Discovere and has been using PowerTrials to track an adverse-event study for the past couple of years. Discovere is slated to be fully live by the end of the year, at which point they will most likely be adding several studies (with a focus on 1y longitudinal studies). The biggest EHR integration point for Discovere is that there is an Integrated Data Capture (IDC) function that allows study designers to map data elements in Cerner to data elements in Discovere for automatic population of values that are recorded in the Cerner chart, to reduce duplication and manual data entry. I think as we flesh these functionalities out further, we'll definitely find some common points of functionality to leverage for PCORI! Thanks, Nate Apathy Program Manager, Cerner Research -Original Message- From: Russ Waitman [mailto:rwait...@kumc.edu] Sent: Thursday, September 11, 2014 9:59 AM To: Apathy,Nate; Hickman, Hubert B; gpc-dev@listserv.kumc.edu Subject: RE: GPC Dev notes for 9/9/2014 Hi Nate, Very helpful. What portions of this are used at CMH today or over the next year or two? Really look forward to working with you on how much of this Cerner capability and corresponding Epic capability we can understand how to use across our network for our PCORI goals, Russ -Original Message- From: gpc-dev-boun...@listserv.kumc.edumailto:gpc-dev-boun...@listserv.kumc.edu [mailto:gpc-dev-boun...@listserv.kumc.edu] On Behalf Of Apathy,Nate Sent: Thursday, September 11, 2014 8:54 AM To: Hickman, Hubert B; gpc-dev@listserv.kumc.edumailto:gpc-dev@listserv.kumc.edu Subject: RE: GPC Dev notes for 9/9/2014 Hi all, In reviewing the notes I realized that I never responded to the first question for Cerner around integrating research into the clinical workflow. From a Cerner perspective, we have a few solutions that do this, including PowerTrials, Discovere, and our new OnCore interface that works with PowerTrials. PowerTrials is a solution for entering protocols and recruiting patients for a study, and includes an indicator in the banner bar of each patient's chart who is on a trial, to alert all clinicians that encounter that individual's chart. PT allows researchers to manage accrual, recruit patients for studies, and includes a Clinical Research tab in the primary chart that is dedicated to the available clinical trials at the institution as well as gives providers the ability to check what trials a patient might be eligible for. Eligibility screenings are built into the Cerner Millennium system via Discern Rules that can be designed to logically evaluate the inclusion/exclusion criteria for a study within a patient's chart, or across the entire patient population. The newest development with PowerTrials, since it is not a full CTMS within Millennium, is our OnCore interface, which we have established with our alpha client and are now prepared to implement more broadly. We've been working closely with Forte to establish that relationship, and one of our folks, Ryan Moog, is actually at Forte today discussing the next steps for improving that interface and making the implementation more repeatable across clients. Let me know if I need to update the notes and re-send the pdf. Thanks, Nate Apathy Program Manager, Cerner Research From: gpc-dev-boun...@listserv.kumc.edu [mailto:gpc-dev-boun...@listserv.kumc.edu] On Behalf Of Dan Connolly Sent: Monday, September 08, 2014 5:49 PM To: gpc-dev@listserv.kumc.edu Cc: John Steinmetz Subject: Embed research within healthcare systems In a KUMC GPC planning meeting today, we realized we'd like to identify leading sites for embedding research withing healthcare systems. Who has a well-trodden path to getting changes deployed in your EMR and clinical workflow? Care to give an example or two? What was the nature of the change, and about how long did it take to plan and execute? The deadlines are a ways out, but my (very limited) experience suggests that getting changed deployed in a production EMR should be planned well over 6 months in advance. Embed research within healthcare systems Jun-15 5.2 Randomize patients and/or sites for participation in clinical trials Lead sites: Mar-15 All sites: Aug-15 5.4 -- Dan CONFIDENTIALITY NOTICE This message and any included attachments are from Cerner Corporation and are intended only for the addressee. The information contained in this message is confidential and may constitute inside or non-public information under international, federal, or state securities laws. Unauthorized forwarding, printing, copying, distribution, or use of such information is strictly prohibited and may be unlawful. If you are not the addressee, please
Re: Embed research within healthcare systems
At Minnesota, the cancer center had OnCore prior to going enterprize wide with it. At the time the cancer center used it initially, OnCore did not have the potential for integrating data with Epic. Currently, most data capture for clinical trials is done using case report forms in Oncore - rather than Epic For BMT - there are smart forms and templated notes built in Epic at point of care with the goal to flow data from Epic to Clarity to the cancer center database. This has been a 2 year project and reports of the data are not yet available. Changing the Epic build for an RCT protocol may not be the highest priority for the health system, given all the clinical documentation issues they need to address. Building structured notes or flowsheets may be doable, but then it requires an Epic builder. If the data are not part of routine required data, then it still will require research staff to enter the data. It may be easier to build a PCORI database initially. Beacon - now includes staging and staging data should be capture in Epic going forward, now can that data be in Clarity and AHC-IE Josh, our CTMS project manager notes that the CTMS Implementation roadmap includes some data integration with EPIC based on a combination of need and technical capabilities. The integration items at a high level include: Demographic data pulled from EPIC to OnCore for registering clinical trial subjects, sending basic protocol information to EPIC, sending basic subject data to EPIC to indicate that subject is on a specific protocol and sending the OnCore billing grid to EPIC. The capability does exist, and was successfully tested when working at the Masonic Cancer Center, for us to also bring in lab data from HL7 data sources into OnCore electronic case report forms. This functionality is not currently on the CTMS Implementation roadmap. Fairview has trained some staff in research on setting up the basic research protocol components in EPIC which will be needed for the OnCore integration to work. The OnCore vendor has been working on plans to expand the EPIC integration capabilities. Yale is leading the way on much of this work. I hope to learn more during the conference this week. Bonnie L. Westra, PhD, RN, FAAN, FACMI Associate Professor, University of Minnesota, School of Nursing Institute for Health Informatics Director, Center for Nursing Informatics Location - WDH 6-155 P - 612-625-4470, Fax - 612-625-7091 email - westr...@umn.edu Mail - WDH 5-140, 308 Harvard St SE, Minneapolis, MN 55455 On Thu, Sep 11, 2014 at 3:39 PM, Apathy,Nate nate.apa...@cerner.com wrote: Hi Russ, Dan mentioned to me earlier that this thread was intended for these discussions, so I copied over our thread from the “notes” chain here for easier retrieval in the archive. So far, CMH is implementing Discovere and has been using PowerTrials to track an adverse-event study for the past couple of years. Discovere is slated to be fully live by the end of the year, at which point they will most likely be adding several studies (with a focus on 1y longitudinal studies). The biggest EHR integration point for Discovere is that there is an Integrated Data Capture (IDC) function that allows study designers to map data elements in Cerner to data elements in Discovere for automatic population of values that are recorded in the Cerner chart, to reduce duplication and manual data entry. I think as we flesh these functionalities out further, we'll definitely find some common points of functionality to leverage for PCORI! Thanks, Nate Apathy Program Manager, Cerner Research -Original Message- From: Russ Waitman [mailto:rwait...@kumc.edu] Sent: Thursday, September 11, 2014 9:59 AM To: Apathy,Nate; Hickman, Hubert B; gpc-dev@listserv.kumc.edu Subject: RE: GPC Dev notes for 9/9/2014 Hi Nate, Very helpful. What portions of this are used at CMH today or over the next year or two? Really look forward to working with you on how much of this Cerner capability and corresponding Epic capability we can understand how to use across our network for our PCORI goals, Russ -Original Message- From: gpc-dev-boun...@listserv.kumc.edu [ mailto:gpc-dev-boun...@listserv.kumc.edu gpc-dev-boun...@listserv.kumc.edu] On Behalf Of Apathy,Nate Sent: Thursday, September 11, 2014 8:54 AM To: Hickman, Hubert B; gpc-dev@listserv.kumc.edu Subject: RE: GPC Dev notes for 9/9/2014 Hi all, In reviewing the notes I realized that I never responded to the first question for Cerner around integrating research into the clinical workflow. From a Cerner perspective, we have a few solutions that do this, including PowerTrials, Discovere, and our new OnCore interface that works with PowerTrials. PowerTrials is a solution for entering protocols and recruiting patients for a study, and includes an indicator in the banner bar of each patient's chart who is on a
RE: [gpc-informatics] #32: data elements for breast cancer cohort characterization
Yes, this is very helpful. I'm not sure what the Sep 19 meeting refers to, though. -- Dan From: gpc-dev-boun...@listserv.kumc.edu [gpc-dev-boun...@listserv.kumc.edu] on behalf of Chrischilles, Elizabeth A [e-chrischil...@uiowa.edu] Sent: Thursday, September 11, 2014 6:14 PM To: gpc-dev@listserv.kumc.edu Subject: RE: [gpc-informatics] #32: data elements for breast cancer cohort characterization I don't know if this is the best way to reply, but the answer is no. We need to decide the final inclusion/exclusion criteria at the Sep 19 meeting. Presently one criterion we have not tested is whether we can identify breast cancer surgery (we currently say to be included must have had primary surgery for breast cancer in a GPC medical center). Perhaps Tim Metcalfe can help identify whether there is an appropriate tumor registry variable for this. -Original Message- From: GPC Informatics [mailto:d...@madmode.com] Sent: Thursday, September 11, 2014 4:43 PM To: tmcma...@kumc.edu; jsteinm...@kumc.edu; dconno...@kumc.edu; rwait...@kumc.edu; Shireman, Theresa Cc: campb...@unmc.edu; Chrischilles, Elizabeth A; j...@kumc.edu; bpoll...@uthscsa.edu; bo...@uthscsa.edu; b...@uthscsa.edu Subject: Re: [gpc-informatics] #32: data elements for breast cancer cohort characterization #32: data elements for breast cancer cohort characterization ---+ ---+--- Reporter: tmcmahon | Owner: jsteinmetz Type: design-issue | Status: assigned Priority: major | Milestone: initial- Component: data-stds | data-domains Keywords: breast-cancer-cohort methods-core | Resolution: Blocking: 119| Blocked By: 23 ---+ ---+--- Changes (by dconnolly): * owner: tmcmahon = jsteinmetz Comment: JS to ask Theresa if we have a query that's good enough for cohort characterization. -- Ticket URL: http://informatics.gpcnetwork.org/trac/Project/ticket/32#comment:28 gpc-informatics http://informatics.gpcnetwork.org/ Greater Plains Network - Informatics ___ Gpc-dev mailing list Gpc-dev@listserv.kumc.edu http://listserv.kumc.edu/mailman/listinfo/gpc-dev ___ Gpc-dev mailing list Gpc-dev@listserv.kumc.edu http://listserv.kumc.edu/mailman/listinfo/gpc-dev
