Remediation-Oriented Cohort Builder for Healthcare Quality Assurance

The goal of this project to develop and demonstrate the value of a remediation-oriented cohort builder which enables the rapid translation of new population-based research results into patient-specific, actionable information for MHS clinicians, nurses and QA personnel at the point of care. Electronic delivery of patient-specific alerts, based on temporal analysis of the full medical record, has the potential of greater impact on medical practice than generalized guidelines and warnings. Further, electronic capture of the patient-specific follow-up that results from these alerts can support better monitoring and assessment of QI efforts. In Phase I, Commonwealth identified a specific unmet need in the MHS for the proposed remediation-oriented cohort builder, whose focus will be on improving patient care through the identification and active management of cohorts of patients with potentially problematic treatment patterns. In Phase II Commonwealth will develop a software prototype (with working name RemCB) and pilot it in the targeted dissemination of drug safety information to healthcare providers through collaboration with the Army Pharmacovigilance Center and with MHS healthcare delivery teams. Throughout the project, we will work closely with MHS capabilities management to ensure alignment with MHS strategy and a smooth integration of RemCB into the MHS.