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Alliance of Chicago Community Health Services EHRS-enabled PBRN of safety net health centers

Alliance of Chicago Community Health Services EHRS-enabled PBRN of safety net health centers Fred Rachman, MD Erin Kaleba, MPH. Alliance Overview. HRSA-funded network of 4 independent, federally qualified Health Centers located on the Near North Side of Chicago Target populations:

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Alliance of Chicago Community Health Services EHRS-enabled PBRN of safety net health centers

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  1. Alliance of Chicago Community Health Services EHRS-enabled PBRN of safety net health centers Fred Rachman, MD Erin Kaleba, MPH

  2. Alliance Overview • HRSA-funded network of 4 independent, federally qualified Health Centers located on the Near North Side of Chicago • Target populations: • Latino, African American, Gay and Lesbian, and Immigrant and Homeless • Services encompass comprehensive Primary Care, Dental, Mental Health and Social Services, Health Education, and Research

  3. Role of HIT “To utilize a fully-functioning EHR as a tool to improve the quality and safety of health care delivered at the individual patient level and population level” 2004-2007 EQUIP Project (AHRQ-funded) • Enhanced availability of Information • Decision support (active and passive) • Performance measurement • Reporting (individual and population) • Support of clinical translational science, research

  4. Alliance Research Infrastructure

  5. Alliance Research Infrastructure • Community-driven research platform • Infrastructure to link urban and rural community sites through common technology platform

  6. Overview Alliance: PBRN Characteristics: 23 safety net health centers across 9 states 91 unique clinical sites 294,000 patients; underserved minority populations Shared technology platform (same EHRS, centralized data warehouse) 8/20/2014

  7. Current Research Projects

  8. Components of Research Infrastructure Technical infrastructure to include: • Enhanced data extraction, analytic capability to capture research data from central HER • Videoconferencing capability to: • link sites for research project communications; • potentially be used for patient recruitment; and • remotely deliver interventions • Mobile device technology for data collection and unique interventions at patient level.

  9. Components of Research Infrastructure Administrative infrastructure would include: • Research advisory board - foundation for involving academic researchers, community clinicians in planning/carrying out research • Data use policy, procedure, and agreement • Templates for patient recruitment, consent • Centralized IRB • Informatics staff

  10. Survey Results • Survey sent to ~20 end user health centers to gauge interest in participating in an infrastructure that supportsnetwork-wide research • Respondents: n=16 • 100% of respondents indicated interest in participating in a research network

  11. Survey Results • HIGHLIGHTS:

  12. Survey Results HIGHLIGHTS:

  13. Survey Results HIGHLIGHTS:

  14. SUMMARY • Commitment to HIT-enabled, community-driven research • Areas of Interest: • Health Disparities • Cost Effectiveness • Testing New Devices • Organizational Process Research • Clinical Effectiveness • Secondary Analysis of Existing Data • Seeking NIH funding to strengthen infrastructure for research • Eager to collaborate with other PBRNs

  15. Thank You Fred Rachman, MD frachman@alliancechicago.org Erin Kaleba ekaleba@alliancechicago.org

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