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A ‘Green Button’ For Using Aggregate Patient Data At The Point Of Care.
- Source :
-
Health Affairs . Jul2014, Vol. 33 Issue 7, p1229-1235. 7p. - Publication Year :
- 2014
-
Abstract
- Randomized controlled trials have traditionally been the gold standard against which all other sources of clinical evidence are measured. However, the cost of conducting these trials can be prohibitive. In addition, evidence from the trials frequently rests on narrow patient-inclusion criteria and thus may not generalize well to real clinical situations. Given the increasing availability of comprehensive clinical data in electronic health records (EHRs), some health system leaders are now advocating for a shift away from traditional trials and toward large-scale retrospective studies, which can use practice-based evidence that is generated as a by-product of clinical processes. Other thought leaders in clinical research suggest that EHRs should be used to lower the cost of trials by integrating point-of-care randomization and data capture into clinical processes. We believe that a successful learning health care system will require both approaches, and we suggest a model that resolves this escalating tension: a “green button” function within EHRs to help clinicians leverage aggregate patient data for decision making at the point of care. Giving clinicians such a tool would support patient care decisions in the absence of gold-standard evidence and would help prioritize clinical questions for which EHR-enabled randomization should be carried out. The privacy rule in the Health Insurance Portability and Accountability Act (HIPAA) of 1996 may require revision to support this novel use of patient data. [ABSTRACT FROM AUTHOR]
- Subjects :
- *CLINICAL medicine research
*SCIENTIFIC observation
*RISK assessment
*ALGORITHMS
*CLINICAL medicine
*COST control
*DECISION support systems
*INFORMATION resources management
*INFORMATION storage & retrieval systems
*MEDICAL databases
*LEARNING strategies
*ONLINE information services
*EVIDENCE-based medicine
*HEALTH Insurance Portability & Accountability Act
*RETROSPECTIVE studies
*ELECTRONIC health records
*INDIVIDUALIZED medicine
Subjects
Details
- Language :
- English
- ISSN :
- 02782715
- Volume :
- 33
- Issue :
- 7
- Database :
- Academic Search Index
- Journal :
- Health Affairs
- Publication Type :
- Academic Journal
- Accession number :
- 96981731
- Full Text :
- https://doi.org/10.1377/hlthaff.2014.0099