Domain

Clinical Informatics

Type

Infrastructure/Architecture Overview

Theme

effectiveness; operations

Start Date

7-6-2014 1:15 PM

End Date

7-6-2014 2:45 PM

Structured Abstract

Healthcare in America is currently undergoing a monumental transition which is guaranteed to impact the practice of medicine. A nationwide shift to electronic health records and the emergence of new technological advances have promise to improve healthcare outcomes and efficiency. Nevertheless, there is substantial motivation to balance high-quality care and patient satisfaction with cost considerations.

The Comparative Outcomes Management with Electronic Data Technology (COMET) Sleep Research Platform, a key end-product of a study funded by the Agency for Healthcare Research and Quality (AHRQ), is being used as the informatics backbone to investigate how technology can support the future practice of sleep medicine. A new study, Sustainable Methods, Algorithms, and Research Tools for Delivering Optimal Care Study (SMART DOCS), funded by the Patient-Centered Outcomes Research Institute (PCORI), is investigating a new paradigm for sleep medicine. The new approach employs an outpatient care model that integrates novel diagnostic and treatment technologies and provides improved access to personalized healthcare information for patients, sleep specialists, referring clinicians, primary care physicians, and allied health professionals.

The integration of new technologies for the diagnosis and treatment of sleep disorders is the first focus for the new sleep medicine approach. Those devices that provide information facilitating a more accurate and rapid identification of sleep disorders and related medical conditions will prove most useful for diagnosing these disorders. Technologies that can be used to evaluate treatment outcomes will provide clinicians and allied health professionals with objective and subjective feedback that can be used by them to decide whether an existing treatment plan is successful or whether a new treatment avenue should be pursued.

The new sleep medicine approach also focuses on providing improved access to pertinent healthcare information for a variety of end users. Once data has been collected electronically, it must be reformatted to optimize clinical usefulness and patient readability. For a clinical audience, the aim is to summarize clinically-relevant outcomes in a concise, template-driven manner. For a patient audience, the emphasis is on ample use of intuitive, visual representations that clearly relay the relevant results. Additionally, patient access to treatment outcomes, including adherence reports, may also improve compliance to various sleep therapies. Permissioned individual patient sites with secure access to educational materials and personalized reports are available to end users by logging into the COMET Sleep Research Platform. The platform can also support implementation within academic institutions, hospitals, sleep centers, and rural practices.

It is hypothesized that a new outpatient care model for sleep medicine will maximize healthcare efficiency by encouraging use of the most promising diagnostic and treatment technologies and by facilitating secure access to clinically-relevant information for a team of end users. The COMET Sleep Research Platform allows patients, sleep specialists, referring clinicians, primary care physicians, and allied health professionals permissioned access to information that can be used to make more informed healthcare decisions. Greater access to knowledge should lead to improved outcomes and increased patient satisfaction.

Acknowledgements

The Comparative Outcomes Management with Electronic Data Technology (COMET) Project was funded by the Agency for Healthcare Research and Quality (AHRQ).

Sustainable Methods, Algorithms, and Research Tools for Delivering Optimal Care Study (SMART DOCS) is funded by the Patient-Centered Outcomes Research Institute (PCORI).

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Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

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Jun 7th, 1:15 PM Jun 7th, 2:45 PM

Using the COMET Sleep Research Platform to Support a Potential Future Paradigm for Sleep Medicine

Healthcare in America is currently undergoing a monumental transition which is guaranteed to impact the practice of medicine. A nationwide shift to electronic health records and the emergence of new technological advances have promise to improve healthcare outcomes and efficiency. Nevertheless, there is substantial motivation to balance high-quality care and patient satisfaction with cost considerations.

The Comparative Outcomes Management with Electronic Data Technology (COMET) Sleep Research Platform, a key end-product of a study funded by the Agency for Healthcare Research and Quality (AHRQ), is being used as the informatics backbone to investigate how technology can support the future practice of sleep medicine. A new study, Sustainable Methods, Algorithms, and Research Tools for Delivering Optimal Care Study (SMART DOCS), funded by the Patient-Centered Outcomes Research Institute (PCORI), is investigating a new paradigm for sleep medicine. The new approach employs an outpatient care model that integrates novel diagnostic and treatment technologies and provides improved access to personalized healthcare information for patients, sleep specialists, referring clinicians, primary care physicians, and allied health professionals.

The integration of new technologies for the diagnosis and treatment of sleep disorders is the first focus for the new sleep medicine approach. Those devices that provide information facilitating a more accurate and rapid identification of sleep disorders and related medical conditions will prove most useful for diagnosing these disorders. Technologies that can be used to evaluate treatment outcomes will provide clinicians and allied health professionals with objective and subjective feedback that can be used by them to decide whether an existing treatment plan is successful or whether a new treatment avenue should be pursued.

The new sleep medicine approach also focuses on providing improved access to pertinent healthcare information for a variety of end users. Once data has been collected electronically, it must be reformatted to optimize clinical usefulness and patient readability. For a clinical audience, the aim is to summarize clinically-relevant outcomes in a concise, template-driven manner. For a patient audience, the emphasis is on ample use of intuitive, visual representations that clearly relay the relevant results. Additionally, patient access to treatment outcomes, including adherence reports, may also improve compliance to various sleep therapies. Permissioned individual patient sites with secure access to educational materials and personalized reports are available to end users by logging into the COMET Sleep Research Platform. The platform can also support implementation within academic institutions, hospitals, sleep centers, and rural practices.

It is hypothesized that a new outpatient care model for sleep medicine will maximize healthcare efficiency by encouraging use of the most promising diagnostic and treatment technologies and by facilitating secure access to clinically-relevant information for a team of end users. The COMET Sleep Research Platform allows patients, sleep specialists, referring clinicians, primary care physicians, and allied health professionals permissioned access to information that can be used to make more informed healthcare decisions. Greater access to knowledge should lead to improved outcomes and increased patient satisfaction.