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Use of EHRs to Gather Real-World Data on Pharmaceuticals

Use of EHRs to Gather Real-World Data on Pharmaceuticals | healthcare technology | Scoop.it

Using electronic health records (EHRs) to create a learning healthcare system, say the authors, can enable researchers to generate new knowledge that will accrue benefits to future generations of patients.

 

Real-world data are increasingly viewed as a crucial factor in the eventual acceptance of biosimilar drugs, and indeed, current real-world evidence points to the safety and efficacy of these products in the marketplace.

 

In a recent paper, officials from the European Medicines Agency, the Organisation for Economic Cooperation, and other European government entities explained that such data can help make decisions about pharmaceuticals—from development to reimbursement—more efficient.

 

The authors called for international cooperation on a learning healthcare system that will better harness these data. 

The authors note that the expense of prospective data generation in a research setting is high, limiting the number of research questions that can be answered in a randomized controlled trial (RCT).

 

RCTs are rarely large enough to detect infrequent outcomes, nor are they long enough to determine long-term outcomes. 

Using electronic health records (EHRs) to create a learning healthcare system, say the authors, can enable researchers to generate new knowledge that will accrue benefits to future generations of patients.

 

However, current inadequacies of EHRs present a “technical bottleneck” to the objective of gathering real-world data.  

The paper’s authors propose that governments establish and implement national health data governance frameworks to encourage the use of personal health data to serve the public interest.

 

The collection of data must translate into the production of useful evidence.

A coordinated and international effort will be key to speed the implementation of a true learning healthcare system for global benefit. 

 

read the news article at https://www.centerforbiosimilars.com/news/european-officials-promote-use-of-ehrs-to-gather-real-world-data-on-pharmaceuticals--

nrip's insight:

I am currently writing an Ebook on "Use of EHRs for Public Health" which covers this very concept. Please comment in the section below or tweet us at @plus91 (you can tweet to @nrip to reach me directly) your thoughts on EHR usage, and possible uses of EHR data for the benefit of the public healthcare system

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A data mining approach for grouping and analyzing trajectories of care using claim data: #bcsm

A data mining approach for grouping and analyzing trajectories of care using claim data: #bcsm | healthcare technology | Scoop.it

With the increasing burden of chronic diseases, analyzing and understanding trajectories of care is essential for efficient planning and fair allocation of resources: authors Nicolas Jay, Gilles Nuemi, Maryse Gadreau and Catherine Quantin propose an approach based on mining claim data to support the exploration of trajectories of care.


A clustering of trajectories of care for breast cancer was performed with Formal Concept Analysis. We exported Data from the French national casemix system, covering all inpatient admissions in the country. Patients admitted for breast cancer surgery in 2009 were selected and their trajectory of care was recomposed with all hospitalizations occuring within one year after surgery. The main diagnoses of hospitalizations were used to produce morbidity profiles. Cumulative hospital costs were computed for each profile.


Formal Concept Analysis can be applied on claim data to produce an automatic classification of care trajectories. This flexible approach takes advantages of routinely collected data and can be used to setup cost-of-illness studies.


PDF of the complete article: http://www.biomedcentral.com/content/pdf/1472-6947-13-130.pdf

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Harnessing data to improve patient outcomes

Harnessing data to improve patient outcomes | healthcare technology | Scoop.it

As data and analytics are increasingly leveraged in various aspects of the healthcare system, some companies are  making use of such capabilities to help clinicians make the best decisions for patients.

 

One such company is naviHealth.  Based in Brentwood, Tennessee, naviHealth provides both payers and providers with post-acute care management expertise. Its nH Predict tool allows clinicians to better predict a patient’s outcomes in order to craft a personalized post-acute care plan.

 

Using NaviHealths nH Predict tool, clinicians are better able to predict a patient's outcomes and generate a personalized post-acute care plan.

 

The result of the tool is a simple outcome report that is generated at the beginning of the patient’s stay in a facility or hospital. The report breaks down the patient’s basic information as well as how they’re doing in a variety of categories.

 

For instance, nH Predict outlines the individual’s gender, date of birth and admission date. It also includes their primary diagnostic group (such as COPD) and their usual living setting (like at home alone or in an assisted living facility).

 

Finally, the outcome report provides a score for a few of the patient’s functions based on the data of similar patients. It gives a score on the patient’s basic mobility (such as wheelchair skills or ability to take the stairs); daily activity (like bathing and dressing); and applied cognition (including memory and communication).

 

Additionally, the report creates a total average score for the patient based on their mobility, activity and cognition scores.

 

read the complete story at https://medcitynews.com/2018/10/navihealth-data-patient-outcomes/

 

nrip's insight:

Nowadays, healthcare data is increasingly being analyzed and complex algorithms created to help various aspects of the healthcare ecosystem.

 

This technique where some companies are  making use of such capabilities to help clinicians make the best decisions for patients, is also not new, and there are startups and enthusiasts working on building self learning algorithms to modify clinical pathways to create better patient outcomes in India, Singapore, Scandanavia. If you are working on something similar, please drop me a note. 

 

Beyond the hype, it will be interesting to see if the hypothesized benefits actually translate into reality. 

 

Plus91's R&D has stayed away from improving/modifying/changing medical care plans but instead we built self learning models both for early detection of diseases, as well as for early prediction of epidemics, and while we have been very successful with demonstrating epidemic prediction, and actually preventing it in 2 cases already, the same success is unfortunately not achieved yet in disease detection. 

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