The DARTNet Institute: Seeking a Sustainable Support Mechanism for Electronic Data Enabled Research Networks.
The DARTNet Institute: Seeking a Sustainable Support Mechanism for Electronic Data Enabled Research Networks.
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DOI：
10.13063/2327-9214.1063
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发表时间：
2014
期刊：
影响因子：
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通讯作者：
West DR
中科院分区：
文献类型：
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作者：
Pace WD;Fox CH;White T;Graham D;Schilling LM;West DR
临床数据研究网络需要在基础设施支持方面进行大量投资，以保持其从各种数据源提取、转换和加载数据、扩展电子数据源和开发学习社区的能力。本文概述了持续基础设施支持临床数据研究活动的可持续商业模式。DARTNet研究所是一个非盈利的501(c)(3)组织，作为多个基于实践的研究网络的支持实体。2008年，几个与专业协会密切合作的临床数据研究网络开始合作，以支持共同的目标。这个松散的组织自称为“DARTNet协作组织”。2011年，DARTNet研究所作为一个独立的非营利性实体成立。业务结构允许DARTNet在不运营自己的基于实践的研究网络的情况下为所有合作伙伴辩护，在多个合作伙伴重叠的活动中充当法律代言人，通过合作伙伴之间的服务合同共享人力资源，并购买低成本（非营利性）软件。达特net的商业模式依赖于四个不同的收入来源：(1)达特net许可并提供专有软件系统的访问权限，该系统可以从美国使用的所有主要电子健康记录（EHRs）中提取、转换和加载数据，并为研究提供临床决策支持；(2) DARTNet运营一个公认的全国性专业-社会质量改进注册表，使组织能够满足有意义使用2标准；(3) DARTNet为由直接研究经费资助的研究活动提供数据，提供的价格可产生超额收入；(4) DARTNet为观察性研究和妊娠分析（如样本量开发）提供大型初级保健数据集。将描述该系统支持实际试验的能力。DARTNet模式促进了直接拨款的使用，以产生收入，通过购买服务安排来支持整个企业。通过分包提供的其他服务提供设施和行政费用以及支持该系统的直接资金。商业模式的灵活性克服了许多专业协会和学术医疗中心复杂的财务安排和治理要求。
Clinical data research networks require large investments in infrastructure support to maintain their abilities to extract, transform, and load data from varied data sources, expand electronic data sources and develop learning communities. This paper outlines a sustainable business model of ongoing infrastructure support for clinical data research activities. The DARTNet Institute is a not-for-profit 501(c)(3) organization that serves as a support entity for multiple practice-based research networks. Several clinical data research networks working closely with a professional society began collaborating to support shared goals in 2008. This loose affiliation called itself the “DARTNet Collaborative.” In 2011, the DARTNet Institute incorporated as an independent, not-for-profit entity. The business structure allows DARTNet to advocate for all partners without operating its own practice-based research network, serve as a legal voice for activities that overlap multiple partners, share personnel resources through service contracts between partners, and purchase low-cost (nonprofit rate) software. DARTNet’s business model relies upon four diverse sources of revenue: (1) DARTNet licenses and provides access to a propriety software system that extracts, transforms, and loads data from all major electronic health records (EHRs) utilized in the United States, and which also provides clinical decision support for research studies; (2) DARTNet operates a recognized, national professional-society-quality improvement registry that enables organizations to fulfill Meaningful Use 2 criteria; (3) DARTNet provides access to data for research activities that are funded by direct research dollars, provided at prices that generate excess revenue; and (4) DARTNet provides access to large primary care datasets for observational studies and pregrant analyses such as for sample size development. The ability of the system to support pragmatic trials will be described. The DARTNet model facilitates the use of direct grant dollars to generate revenue to support the overall enterprise through a purchased services arrangement. Other services provided through subcontracting provide facilities and administration fees as well as direct dollars to support the system. The flexibility of the business model overcomes the complicated financial arrangements and governance requirements of many professional associations and academic medical centers.