To promote the use of Penn Health System information resources in support of clinical research.
1. Facilitate collection of data from operational information systems in the Penn health system
2. Facilitate the creation of interventions in operational information systems in the Penn health system
3. Foster the use of information systems such as electronic medical record and computerized order entry in the conduct of clinical trials
4. Enable the use of Electronic Health Records, Computerized Order Entry Systems, Health System Administrative Databases, laboratory and other ancillary test information systems to provide primary data for epidemiological and health services research studies
5. Educate ITMAT investigators on the types and quality of data and limitations of its use for health system information systems
"The Eclipsys SCM system is an inpatient EHR with advanced clinical decision support capability that has been operational across Penn Medicine since 2006. More than one million orders are entered monthly into SCM, including those for pharmacy, radiology, laboratory, respiratory, and other services. Eclipsys is also interoperable with other Penn Medicine EHRs, including the ambulatory EHR and TheraDoc."
"Horizon Performance Manger (HPM) is a vital component of Penn Medicine information systems, and COHSI. HPM is the health system's administrative database purchased from the McKesson Corporation. The system was implemented in 2001 and contains data from the hospital billing systems as well as the specialty and primary care physician billing system. HPM includes codes identifying patient, physician, diagnoses, procedures, adverse events, and other relevant clinical and administrative information. The data are consolidated into a common format available to end users throughout the health system. The system also includes data from complementary systems including: medical records; admission, transfer and discharge; general ledger; expected payment; and transfer center data. Cost is applied to all services (except specialty physicians.) The system is used extensively by administration and researchers across the health system."
"Penn Medicine’s Clinical Data Warehouse, the Penn Data Store (PDS), is the culmination of multiple years of continuing development. The goal of PDS is to integrate the most useful clinical data elements to support medical research and patient care initiatives through the health system. The advantage of utilizing PDS for data needs is that the data from multiple systems is consolidated into a single model, thus removing the need to file multiple requests for data from the disparate applications. PDS resolves the difficulties in data acquisition to ease the burden on all data consumers so that their time can be better spent on improving healthcare and not at gathering data. We strive to return data back to our requestors very quickly so that projects move forward quickly and efficiently.
Over the last several years, PDS has been an integral part in assisting nearly 200 research and clinical improvement initiatives in addition to the development of several key quality dashboards including anti-coagulation management, pneumo vaccine monitoring, and, in conjunction with CEQI, the UPHS Quality Data Mart.
While the system is continually expanding, the current efforts have led to data in the following basic categories:
• Patient demographics
• Encounter/Visit details
• Patient bed movements
• Coded diagnosis
• Coded procedures
• Medical history
• Medication administrations
• Lab results
• Blood Bank"
"Developed by COHSI Co-Director Mark Weiner, MD, PICARD is a longitudinal database integrating clinical and administrative data from multiple information systems, including the health system's ambulatory care EHR (Epic Corporation), the laboratory results reporting system, and billing. The database captures patient demographics, participating physicians, diagnoses assigned during outpatient encounters, and charges and reimbursements for all procedures performed. Additional data include discrete details about outpatient medication prescribing, problem lists, and vital signs. PICARD has been operational since 1997 and its value as a data resource has been demonstrated in numerous published studies."
"TheraDoc is an electronic infection surveillance technology that detects and monitors infections. The system surveys all available electronic data from multiple sources, including pathology and laboratory medicine, pharmacy, radiology, and admissions databases. The Infection Control Assistant module provides continuous infection surveillance, confirmation of healthcare-associated infections, easily programmed alerts, and analysis of monitored infections. TheraDoc was implemented across Penn Medicine from 2007 to 2008."
"COHSI analysts have access to data included in the Eclipsys inpatient EHR, HPM, and the PICARD database. As a whole, data available from these sources include hospital and ambulatory patient descriptors, diagnoses, procedure codes, medications, tests, admission and discharge dates, 30 day readmissions to Penn Medicine hospitals, and other relevant clinical and administrative information. Clinical data can also be extracted from TheraDoc, which centralizes data on infectious diseases, including diagnoses, medications, labs, antibiotic resistance information, and unit specific data that is valuable for infection control, such as number of urinary catheter and central line days. Treatment costs can be collected from HPM."