Developing a network of community health centers with a common electronic health record: description of the Safety Net West Practice-based Research Network (SNW-PBRN).

Developing a network of community health centers with a common electronic health record: description of the Safety Net West Practice-based Research Network (SNW-PBRN).
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DOI:
10.3122/jabfm.2011.05.110052
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发表时间:
2011-09
期刊:
Journal of the American Board of Family Medicine : JABFM
影响因子:
--
通讯作者:
Nelson C
Nelson C
中科院分区:
其他
文献类型:
--
作者:
Devoe JE;Gold R;Spofford M;Chauvie S;Muench J;Turner A;Likumahuwa S;Nelson C

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2001年,俄勒冈州社区卫生中心(CHC)领导人成立了一个组织,以促进将卫生信息技术(包括共享的电子健康记录(EHR))集成到安全网诊所中。俄勒冈州社区卫生信息网(随着其他州的加入而缩写为OCHIN)成为CHC的信息技术中心,支持具有一个主患者索引的网络范围的EHR,现在连接到40个安全网组织,为90万名患者提供近800万次不同的CHC就诊。认识到OCHIN的多诊所网络和全面的EHR数据库在进行基于安全网的研究方面的潜力,OCHIN的领导人和当地研究人员组成了基于安全网的西部实践研究网络(PBRN)。设在人道协调厅的安全网西部“社区实验室”将成为许多研究的重要资源,包括:评估医疗改革对未参保人口的实时影响;开发提供初级保健的新模式;传播其他基于电子健康记录系统(如Kaiser Permanente)的干预措施并将其转化为社区卫生环境;以及分析影响保健和保健机会差距的因素。我们描述了安全网西部的建立,其基础设施的发展,当前的项目,以及这个以社区为基础的具有共同电子病历的PBRN的未来目标。
In 2001, community health center (CHC) leaders in Oregon established an organization to facilitate the integration of health information technology, including a shared electronic health record (EHR), into safety net clinics. The Oregon Community Health Information Network (shortened to OCHIN as other states joined) became a CHC information technology hub, supporting a network-wide EHR with one master patient index, now linked across >40 safety net organizations serving >900,000 patients with nearly 8,000,000 distinct CHC visits. Recognizing the potential of OCHIN’s multi-clinic network and comprehensive EHR database for conducting safety net-based research, OCHIN leaders and local researchers formed the Safety Net West practice-based research network (PBRN). The Safety Net West “community-based laboratory,” based at OCHIN, is positioned to become an important resource for many studies including: evaluation of the real-time impact of health care reform on uninsured populations; development of new models of primary care delivery; dissemination and translation of interventions from other EHR-based systems (e.g., Kaiser Permanente) into the community health setting; and analyses of factors influencing disparities in health and health care access. We describe the founding of Safety Net West, its infrastructure development, current projects, and the future goals of this community-based PBRN with a common EHR.
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