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:[email protected]]
Sent: Thursday, September 11, 2014 9:59 AM
To: Apathy,Nate; Hickman, Hubert B; [email protected]
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: 
[email protected]<mailto:[email protected]> 
[mailto:[email protected]] On Behalf Of Apathy,Nate

Sent: Thursday, September 11, 2014 8:54 AM

To: Hickman, Hubert B; 
[email protected]<mailto:[email protected]>

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: [email protected] 
[mailto:[email protected]] On Behalf Of Dan Connolly
Sent: Monday, September 08, 2014 5:49 PM
To: [email protected]
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

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