scholarly journals Caveats for the Use of Operational Electronic Health Record Data in Comparative Effectiveness Research

Medical Care ◽  
2013 ◽  
Vol 51 ◽  
pp. S30-S37 ◽  
Author(s):  
William R. Hersh ◽  
Mark G. Weiner ◽  
Peter J. Embi ◽  
Judith R. Logan ◽  
Philip R.O. Payne ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Comparative Effectiveness Research ◽  
Comparative Effectiveness ◽  
Health Record ◽  
Effectiveness Research ◽  
Electronic Health Record Data ◽  
Record Data ◽  
Electronic Health

scholarly journals The PCORnet Blood Pressure Control Laboratory

2020 ◽  
Vol 13 (3) ◽  
Author(s):  
Mark J. Pletcher ◽  
Valy Fontil ◽  
Thomas Carton ◽  
Kathryn M. Shaw ◽  
Myra Smith ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Electronic Health Record ◽  
Blood Pressure Control ◽  
Comparative Effectiveness ◽  
Pressure Control ◽  
Health Record ◽  
Control Laboratory ◽  
Electronic Health Record Data ◽  
Record Data ◽  
Electronic Health

Background: Uncontrolled blood pressure (BP) is a leading preventable cause of death that remains common in the US population despite the availability of effective medications. New technology and program innovation has high potential to improve BP but may be expensive and burdensome for patients, clinicians, health systems, and payers and may not produce desired results or reduce existing disparities in BP control. Methods and Results: The PCORnet Blood Pressure Control Laboratory is a platform designed to enable national surveillance and facilitate quality improvement and comparative effectiveness research. The platform uses PCORnet, the National Patient-Centered Clinical Research Network, for engagement of health systems and collection of electronic health record data, and the Eureka Research Platform for eConsent and collection of patient-reported outcomes and mHealth data from wearable devices and smartphones. Three demonstration projects are underway: BP track will conduct national surveillance of BP control and related clinical processes by measuring theory-derived pragmatic BP control metrics using electronic health record data, with a focus on tracking disparities over time; BP MAP will conduct a cluster-randomized trial comparing effectiveness of 2 versions of a BP control quality improvement program; BP Home will conduct an individual patient-level randomized trial comparing effectiveness of smartphone-linked versus standard home BP monitoring. Thus far, BP Track has collected electronic health record data from over 826 000 eligible patients with hypertension who completed ≈3.1 million ambulatory visits. Preliminary results demonstrate substantial room for improvement in BP control (<140/90 mm Hg), which was 58% overall, and in the clinical processes relevant for BP control. For example, only 12% of patients with hypertension with a high BP measurement during an ambulatory visit received an order for a new antihypertensive medication. Conclusions: The PCORnet Blood Pressure Control Laboratory is designed to be a reusable platform for efficient surveillance and comparative effectiveness research; results from demonstration projects are forthcoming.

scholarly journals The comparative effectiveness of fourth‐line drugs in resistant hypertension: An application in electronic health record data

2019 ◽  
Vol 28 (9) ◽  
pp. 1267-1277 ◽  
Author(s):  
Sarah‐Jo Sinnott ◽  
Liam Smeeth ◽  
Elizabeth Williamson ◽  
Pablo Perel ◽  
Dorothea Nitsch ◽  
...  
Keyword(s):  
Electronic Health Record ◽  
Resistant Hypertension ◽  
Comparative Effectiveness ◽  
Health Record ◽  
Electronic Health Record Data ◽  
Record Data ◽  
Electronic Health
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