142nd APHA Annual Meeting and Exposition

Annual Meeting Recordings are now available for purchase

307688
Art of analytics: Balancing electronic data and human knowledge for appropriate clinical decision making

142nd APHA Annual Meeting and Exposition (November 15 - November 19, 2014): http://www.apha.org/events-and-meetings/annual
Monday, November 17, 2014 : 8:30 AM - 8:50 AM

Adam Baus, MA, MPH , School of Public Health, West Virginia University School of Public Health, Office of Health Services Research | West Virginia Clinical and Translational Science Institute, Morgantown, WV
Mary Swim, BA , Social and Behavioral Health Sciences, West Virginia University School of Public Health - Office of Health Services Research, Morgantown, WV
Cecil Pollard, MA , School of Public Health, West Virginia University School of Public Health, Office of Health Services Research, Morgantown, WV
Jill Cochran, PhD, RN-BC, FNP , Clinical Science Department, West Virginia School of Osteopathic Medicine - Robert C. Byrd Clinic, Lewisburg, WV
Emma White, RN , Roane County Family Health Care, Spencer
Mary Leonard, RN , Camden Family Health, Camden-on-Gauley, WV
Electronic health records serve diverse purposes. While designed principally for documenting individual patient care, electronic health records offer the potential for organizational-wide surveillance, data sharing across care sites, ongoing reporting of complex metrics tied to quality improvement and reimbursement, and practice based research. Each of these extensions naturally support data-driven public health efforts and the national effort in achieving the triple aim of improving patient care, improving population health, and reducing health care costs. The analytics potential of electronic health records is especially promising given the complexities of medical care and the need for timely clinical decision support to physicians, nurses, and the care team. The need for certified electronic health records has become increasingly clear, and federal funding for the purchase and implementation of these systems supports that notion. What is not receiving sufficient attention, however, is the need for a heightened level of data maturity in primary care. Health analytics is generally equated with specialized software, run only by trained individuals with specialized skill sets. Likewise, health analytics is often equated with “big data,” “data warehouses,” and enterprise systems automating the handling and synthesis of health care data. This focus on software overshadows essential considerations of one’s knowledge, skill, and ability to carefully consider and interpret results from electronic health records, validate the results presented, and apply those data to patient care. The West Virginia University School of Public Health Office of Health Services Research has worked for more than a decade with state-wide primary care centers in fostering an enhanced level of data maturity. Efforts begin with attention to the quality of the data stored in electronic health records and extend to the application of those data in selecting appropriate targets for change, reliably measuring change over time, and asking research questions of the data. This work is helping to provide the foundation for West Virginia’s first Practice Based Research Network which has recently been registered with the Agency for Healthcare Research and Quality. Attending to the fundamentals of data management, analysis, interpretation and action complement the intuition and experiential knowledge of the health care team and add value to the reporting and clinical decision support tools afforded through health analytics.

Learning Areas:

Communication and informatics
Public health or related nursing
Public health or related research

Learning Objectives:
Formulate methods for extending the value of electronic health record data from patient-level to population-level health. Evaluate the validity of statistics generated from electronic health record analytics tools. Discuss the need for knowledge translation between health analytics and the realities of patient care.

Keyword(s): Decision-Making, Evidence-Based Practice

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am Assistant Director of the West Virginia University Office of Health Services Research and Network Director of the West Virginia Practice Based Research Network. I am part of a team dedicated to helping improve health outcomes through application of health information technology. I also assist with implementation and use of electronic patient registries and health records, and provide support in database design, development, and reporting.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am a computer programmer with a 15+ year history in working on quality care improvement projects and electronic medical records data projects with primary care partners.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am Director of the WVU Office of Health Services Research, with over 30 years experience working on quality of care improvement and research in primary care.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am Assistant Professor with the West Virginia School of Osteopathic Medicine - Robert C. Byrd Clinic. I am also an affiliate member of the West Virginia Clinical and Translational Science Institute, helping to build research capacity among residents and faculty at my organization.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been the Director of Quality Improvement at a Federally Qualified Health Center for 9 years and have extensive knowledge regarding the use of data in clinical decision making and improvement of patient outcomes. Analyzing data for accuracy and relevancy in the clinical setting is of utmost importance to my facility and is a part of our day-to-day operations.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present because I am the Director of Quality at a rural primary care center, serving safety-net patients in West Virginia, and use an electronic health record for quality of care improvement.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

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