Using an AHRQsupported Practice Based Research Network PBRN To Design, Implement, And Evaluate Commu

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Using an AHRQ-supported Practice- Based Research
Network (PBRN) To Design, Implement, And Evaluate
Communication Strategies

• Jeralyn Bernier, M.D., M.P.H.
• Research Director
• Cincinnati Pediatric Research Group
• Cincinnati Childrens Hospital Medical Center
• Cincinnati, OH

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Overview

• Midwest regional Practice-Based Research Network
  spanning 8 counties in three States
• Established in 1996 with support from General and
  Community Pediatrics, CCHMC
• 45 providers in 22 practices
• Ideas generated in bottom-up fashion at monthly
  meetings of members tackling clinical problems
• Ongoing support from the Agency for Healthcare
  Research and Quality (AHRQ) and Cincinnati
  Childrens Hospital Medical Center

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Symptom Surveillance Project

• Web-based password protected database
• Physicians enter data re symptom complexes of
  high prevalence in outpatient office settings, as
  well as unusual cases
• Symptoms as manifest in children
• Symptoms likely in transmissible diseases or
  bioterrorism

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Symptom SurveillanceWho?

• Practice-based research networks of primary care
  providers
• CPRG (Cincinnati Pediatric Research Group)
• OPRC (Ohio Pediatric Research Consortium)
• Regionally distributed practices
• Medical community leaders

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Symptom SurveillanceUnique Features

• Bidirectional communication between providers and
  public health officials
• Portal for educating providers to facilitate
  timely translation of research into practice
• Symptoms vs. diagnoses
• Community-based providers
• Pediatric focus
• Interactive graphical output

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Symptom SurveillanceProvider Motivation

• Involvement in ongoing research
• Immediate data feedback
• Access to public health officials
• Office staff rewards
• Modest financial remuneration

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Symptom SurveillanceHealth Department
Participation

• Regular review/analysis of data
• Notices, bulletins to providers
• Investigations as needed
• Restrained use of alert function to maintain
  effectiveness
• Governing boards

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Health Department Communications
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Symptom SurveillanceRelevance to Everyday
Practice

• Answers the commonly posed question, Whats
  going around?
• More timely detection of naturally occurring
  outbreaks
• Rapid targeted information source

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Symptom SurveillanceFuture Expansion

• Expansion throughout Ohio via Health Departments
  and sister PBRNs
• Mapping feature with automated analysis
• Improved community provider penetration

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Symptom SurveillanceFuture Expansion

• Daily data entry
• Phone triage data collection
• Automated analysis of claims/billing data
• Automated linkage to corresponding lab data
• Improved informational resources

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Symptom SurveillanceOther Uses

• Discussion of research and preliminary findings
• Network/Hospital/Health Department news briefs
• Shared practice management tools
• Links to information resources
• Meeting reminders
• Event announcements