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)是一个位于德克萨斯州休斯敦的大型、多样化的实践研究网络。这个应用程序响应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。新的诊所将适度增加网络中的提供者和患者的就诊数量。然而，每个新诊所都使用现有网络成员已经使用的电子病历。增加更多使用电子病历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；b)允许将电子病历研究作为一种工具，以促进将研究转化为实践。作为该项目的一部分，我们将向新成员征求研究问题，并根据这些建议在电子病历网络内进行试点研究。我们的申请响应了以下优先事项：a)改进/发展信息技术系统，b)招募新成员，以及c)向成员征求研究问题。 作为对第二类的回应，SPUR-Net将对以下问题进行试点研究：在有EMR和/或提供者概况的诊所使用程序化的血脂管理提醒系统是否会增加对NCEP/ATPIII指南的遵守？这一试点项目将在利用电子病历的支线网实践中进行。SPUR-Net执行委员会开发了这一应用程序，研究将临床指南转化为临床实践的基于EMR的策略的有效性。该项目可以为支线网的成员提供重要信息，并将为加强该网络未来的翻译研究项目提供数据和经验。

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.