Expansion and Pilot Projects for SPUR-Net

描述（由申请人提供）：南方初级保健城市研究网络（SPUR-Net）是德克萨斯州休斯顿的一个大型，多样化的实践研究网络。此应用程序响应RFA的两个类别。作为对第一类的回应，SPUR-Net将通过在休斯顿增加另一组诊所来增加其成员。新诊所将适度增加网络内的提供者和患者就诊人数。然而，每个新诊所都使用当前网络成员已经使用的电子病历。增加更多使用EMR的诊所将通过以下方式促进研究：a）提高数据收集的便利性，以及B）允许将EMR作为促进研究转化为实践的工具进行研究。作为该项目的一部分，我们将向新成员征集研究问题，并根据这些建议在EMR网络内进行试点研究。我们的应用程序响应的优先事项：a）改进/开发信息技术系统，B）招募新成员，和c）征求成员的研究问题。 针对第二类，SPUR-Net将对以下问题进行试点研究：在具有EMR和/或提供者分析的诊所中使用程序化脂质管理提醒系统是否会增加对NCEP/ATPIII指南的依从性？这一试点项目将在SPUR-Net实践中利用电子病历进行。SPUR-Net执行委员会开发了这个应用程序，它研究了基于EMR的策略将临床指南转化为临床实践的有效性。该项目可以为SPUR-Net的成员提供重要信息，并将提供数据和经验，以加强网络中未来的转化研究项目。

DESCRIPTION (provided by applicant): The Southern Primary Care Urban Research Network (SPUR-Net) is a large, diverse practice based research network in Houston, Texas. This application responds to both categories of the RFA. Responding to Category I, SPUR-Net will increase its membership by adding another group of clinics in Houston. The new clinics will modestly increase the number of providers and patient visits within the network. However, each of the new clinics utilizes an electronic medical record already used by a current network member. The addition of more clinics using the EMR will facilitate research through: a) improving ease of data gathering, and b) allowing study of the EMR as a tool to facilitate translation of research into practice. As a component of the project, we will solicit research questions from new members and conduct pilot studies within the EMR network based on these suggestions. Our application responds to the priorities of: a) improving/developing information technology systems, b) recruitment of new members, and c) soliciting research questions from members. Responding to Category II, SPUR-Net will conduct a pilot study of the following question: Does the use of a programmed lipid management reminder system in clinics with an EMR and/or provider profiling increase compliance with the NCEP/ATPIII Guidelines? This pilot project will be conducted within the SPUR-Net practices utilizing the EMR. The SPUR-Net executive committee developed this application, which studies efficacy of an EMR-based strategy to translate a clinical guideline into clinical practice. The project can provide important information to the members of SPUR-Net, and will provide data and experience to strengthen future translational research projects in the network.