Rapid implementation of a modular clinical trial informatics solution for COVID-19 research

Veterans Health Administration (VHA) services are most frequently used by patients 65 years and older, an age group that is disproportionally affected by COVID-19. Here we describe a modular Clinical Trial Informatics Solution (CTIS) that was rapidly developed and deployed to support a multi-hospita...

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Main Authors: Rupali Dhond, Ryan Acher, Sarah Leatherman, Sarah Page, Randolph Sanford, Danne Elbers, Frank Meng, Ryan Ferguson, Mary T. Brophy, Nhan V. Do
Format: Article
Language:English
Published: Elsevier 2021-01-01
Series:Informatics in Medicine Unlocked
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352914821002598
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author Rupali Dhond
Ryan Acher
Sarah Leatherman
Sarah Page
Randolph Sanford
Danne Elbers
Frank Meng
Ryan Ferguson
Mary T. Brophy
Nhan V. Do
author_facet Rupali Dhond
Ryan Acher
Sarah Leatherman
Sarah Page
Randolph Sanford
Danne Elbers
Frank Meng
Ryan Ferguson
Mary T. Brophy
Nhan V. Do
author_sort Rupali Dhond
collection DOAJ
description Veterans Health Administration (VHA) services are most frequently used by patients 65 years and older, an age group that is disproportionally affected by COVID-19. Here we describe a modular Clinical Trial Informatics Solution (CTIS) that was rapidly developed and deployed to support a multi-hospital embedded pragmatic clinical trial in COVID-19 patients within the VHA. Our CTIS includes tools for patient eligibility screening, informed consent tracking, treatment randomization, EHR data transformation for reporting and interfaces for patient outcome and adverse event tracking. We hope our CTIS component descriptions and practical lessons learned will serve as a useful building block for others creating their own clinical trial tools and have made application and database code publicly available.
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spelling doaj.art-4281157deaf14681b4f95214271e2b1f2022-12-21T19:23:09ZengElsevierInformatics in Medicine Unlocked2352-91482021-01-0127100788Rapid implementation of a modular clinical trial informatics solution for COVID-19 researchRupali Dhond0Ryan Acher1Sarah Leatherman2Sarah Page3Randolph Sanford4Danne Elbers5Frank Meng6Ryan Ferguson7Mary T. Brophy8Nhan V. Do9VA Boston Healthcare System, Boston, MA, USA; Boston University School of Medicine, Boston, MA, USA; Corresponding author. VA Boston Healthcare System, 150 S Huntington Ave, Boston, MA, 02130, USA.VA Boston Healthcare System, Boston, MA, USAVA Boston Healthcare System, Boston, MA, USAVA Boston Healthcare System, Boston, MA, USAVA Boston Healthcare System, Boston, MA, USAVA Boston Healthcare System, Boston, MA, USA; University of Vermont, Burlington, VT, USAVA Boston Healthcare System, Boston, MA, USA; Boston University School of Medicine, Boston, MA, USAVA Boston Healthcare System, Boston, MA, USAVA Boston Healthcare System, Boston, MA, USA; Boston University School of Medicine, Boston, MA, USAVA Boston Healthcare System, Boston, MA, USA; Boston University School of Medicine, Boston, MA, USAVeterans Health Administration (VHA) services are most frequently used by patients 65 years and older, an age group that is disproportionally affected by COVID-19. Here we describe a modular Clinical Trial Informatics Solution (CTIS) that was rapidly developed and deployed to support a multi-hospital embedded pragmatic clinical trial in COVID-19 patients within the VHA. Our CTIS includes tools for patient eligibility screening, informed consent tracking, treatment randomization, EHR data transformation for reporting and interfaces for patient outcome and adverse event tracking. We hope our CTIS component descriptions and practical lessons learned will serve as a useful building block for others creating their own clinical trial tools and have made application and database code publicly available.http://www.sciencedirect.com/science/article/pii/S2352914821002598Electronic health recordEHRVeteransAdaptive randomizationVHACDW
spellingShingle Rupali Dhond
Ryan Acher
Sarah Leatherman
Sarah Page
Randolph Sanford
Danne Elbers
Frank Meng
Ryan Ferguson
Mary T. Brophy
Nhan V. Do
Rapid implementation of a modular clinical trial informatics solution for COVID-19 research
Informatics in Medicine Unlocked
Electronic health record
EHR
Veterans
Adaptive randomization
VHA
CDW
title Rapid implementation of a modular clinical trial informatics solution for COVID-19 research
title_full Rapid implementation of a modular clinical trial informatics solution for COVID-19 research
title_fullStr Rapid implementation of a modular clinical trial informatics solution for COVID-19 research
title_full_unstemmed Rapid implementation of a modular clinical trial informatics solution for COVID-19 research
title_short Rapid implementation of a modular clinical trial informatics solution for COVID-19 research
title_sort rapid implementation of a modular clinical trial informatics solution for covid 19 research
topic Electronic health record
EHR
Veterans
Adaptive randomization
VHA
CDW
url http://www.sciencedirect.com/science/article/pii/S2352914821002598
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