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Health Services Research & Development

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Coordinating Hub to Promote Research Optimizing Veteran-Centric Electronic Health Record (EHR) Networks (PROVEN) logo

PROVEN Hub Project Registry

PI (Location)

Study Title & Aims

Methods Overview

More Information

Kristina Cordasco, MD, MPH, MSHS
(VA Greater LA)

Impacts of Cerner Millennium on communication across specialty care referrals

  • Assess Millennium’s referral request process for adherence with recommended best practices
  • Measure frequency/types of referral process delays or failures during transition and full implementation, compare to pre-Millennium (CPRS)
  • Explore primary and specialty care providers’ insights/perceptions of specialty care referral request process

Mixed-methods design:

  • Quantitative interrupted time series
  • Qualitative document review
  • Qualitative stakeholder interviews

 

Data Sources:

  • VA Corporate Data Warehouse (CDW)

  • Status: Funded

     

    Funding Source: PROVEN Rapid Pilot Project

     

    Operations Partner: Office of Electronic Health Record Modernization (OEHRM)

     

    Keywords: referrals, specialty care, mixed-methods, provider interviews

     

    Kristen Gray, PhD
    (VA Puget Sound)

     

    Kristine Lynch, PhD
    (VA Salt Lake City)

    Identifying clinical informatics solutions to coordinating mammograms performed outside of VA

    • Identify common barriers and facilitators to coordination of external mammograms (referred to community)
    • Quantify the availability, format, and location of key coordination variables in CPRS
    • Identify features and deficits relating to external care coordination within the Cerner EHR at non-VA healthcare system(s) currently using a Cerner EHR.

    Mixed-methods design:

    • Natural language processing
    • Qualitative provider interviews
    • Medical record review

     

    Data Sources:

    • EHR (CPRS/VistA/ Cerner Millennium)
    • VA Corporate Data Warehouse (CDW)
    • Joint Legacy Viewer (JLV)
    • VistAWeb
    • VHA Support Service Center (VSSC)
    • Primary data collection

    Status: Funded

     

    Funding Source:  PROVEN Rapid Pilot Project

     

    Operations Partner: Office of Electronic Health Record Modernization (OEHRM)

     

    Keywords: mixed-methods, natural language processing, provider interviews, mammography, care coordination

    Sarah Krein, PhD, RN
    (VA Ann Arbor)

    Understanding the impact of the EHR transition on VA inpatient nursing care

    • Develop preliminary insights for assessing impact of EHR transition on inpatient nursing care
    • Explore development of EHR-related workarounds or process adaptations by inpatient nurses
    • Adapt and test feasibility of using previously developed time and motion workflow assessment tool to systematically assess inpatient nursing activities during EHR transition

    Sequential multi-method qualitative design:

    • Direct observation
    • Shadowing
    • Focus groups

     

    Data Sources:

  • Primary data collection

  • Status: Funded

     

    Funding Source: PROVEN Rapid Pilot Project

     

    Operations Partner: Office of Electronic Health Record Modernization (OEHRM)

     

    Keywords: nursing, qualitative methods, inpatient care, rapid analysis, descriptive content analysis

    Jeremy Shelton, MD, MPH
    (VA Greater LA)

     

    Julian Brunner, PhD
    (VA Greater LA)

    Formative Evaluation of EHRM Councils

    • Characterize EHRM Council structure, processes, lessons learned with eye to informing improved Council effectiveness, efficiency and sustainability

    Qualitative methods design:

    • Interviews
    • Document review

     

    Data Sources:

    • Administrative data (e.g. summary reports, council charters, council membership)

    Status: In progress

     

    Funding Source:  PROVEN Rapid Pilot Project

     

    Operations Partner: Office of Electronic Health Record Modernization (OEHRM)

     

    Keywords: qualitative interviews, document review, stakeholder council, process evaluation

     


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