Building a Precision Medicine Delivery Platform for Clinics: The University of California, San Francisco, BRIDGE Experience
Despite an ever-expanding number of analytics with the potential to impact clinical care, the field currently lacks point-of-care technological tools that allow clinicians to efficiently select disease-relevant data about their patients, algorithmically derive clinical indices (eg, risk s...
| Main Authors: | , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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JMIR Publications
2022-02-01
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| Series: | Journal of Medical Internet Research |
| Online Access: | https://www.jmir.org/2022/2/e34560 |
| _version_ | 1797735329610858496 |
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| author | Riley Bove Erica Schleimer Paul Sukhanov Michael Gilson Sindy M Law Andrew Barnecut Bruce L Miller Stephen L Hauser Stephan J Sanders Katherine P Rankin |
| author_facet | Riley Bove Erica Schleimer Paul Sukhanov Michael Gilson Sindy M Law Andrew Barnecut Bruce L Miller Stephen L Hauser Stephan J Sanders Katherine P Rankin |
| author_sort | Riley Bove |
| collection | DOAJ |
| description |
Despite an ever-expanding number of analytics with the potential to impact clinical care, the field currently lacks point-of-care technological tools that allow clinicians to efficiently select disease-relevant data about their patients, algorithmically derive clinical indices (eg, risk scores), and view these data in straightforward graphical formats to inform real-time clinical decisions. Thus far, solutions to this problem have relied on either bottom-up approaches that are limited to a single clinic or generic top-down approaches that do not address clinical users’ specific setting-relevant or disease-relevant needs. As a road map for developing similar platforms, we describe our experience with building a custom but institution-wide platform that enables economies of time, cost, and expertise. The BRIDGE platform was designed to be modular and scalable and was customized to data types relevant to given clinical contexts within a major university medical center. The development process occurred by using a series of human-centered design phases with extensive, consistent stakeholder input. This institution-wide approach yielded a unified, carefully regulated, cross-specialty clinical research platform that can be launched during a patient’s electronic health record encounter. The platform pulls clinical data from the electronic health record (Epic; Epic Systems) as well as other clinical and research sources in real time; analyzes the combined data to derive clinical indices; and displays them in simple, clinician-designed visual formats specific to each disorder and clinic. By integrating an application into the clinical workflow and allowing clinicians to access data sources that would otherwise be cumbersome to assemble, view, and manipulate, institution-wide platforms represent an alternative approach to achieving the vision of true personalized medicine. |
| first_indexed | 2024-03-12T12:57:27Z |
| format | Article |
| id | doaj.art-55ff844ac1ea4828a01c2d123936a257 |
| institution | Directory Open Access Journal |
| issn | 1438-8871 |
| language | English |
| last_indexed | 2024-03-12T12:57:27Z |
| publishDate | 2022-02-01 |
| publisher | JMIR Publications |
| record_format | Article |
| series | Journal of Medical Internet Research |
| spelling | doaj.art-55ff844ac1ea4828a01c2d123936a2572023-08-28T20:48:33ZengJMIR PublicationsJournal of Medical Internet Research1438-88712022-02-01242e3456010.2196/34560Building a Precision Medicine Delivery Platform for Clinics: The University of California, San Francisco, BRIDGE ExperienceRiley Bovehttps://orcid.org/0000-0002-2034-8800Erica Schleimerhttps://orcid.org/0000-0001-5040-6306Paul Sukhanovhttps://orcid.org/0000-0002-1811-2620Michael Gilsonhttps://orcid.org/0000-0003-0883-7000Sindy M Lawhttps://orcid.org/0000-0001-7036-1774Andrew Barnecuthttps://orcid.org/0000-0003-1003-272XBruce L Millerhttps://orcid.org/0000-0002-2152-4220Stephen L Hauserhttps://orcid.org/0000-0002-4932-4001Stephan J Sandershttps://orcid.org/0000-0001-9112-5148Katherine P Rankinhttps://orcid.org/0000-0002-3611-0848 Despite an ever-expanding number of analytics with the potential to impact clinical care, the field currently lacks point-of-care technological tools that allow clinicians to efficiently select disease-relevant data about their patients, algorithmically derive clinical indices (eg, risk scores), and view these data in straightforward graphical formats to inform real-time clinical decisions. Thus far, solutions to this problem have relied on either bottom-up approaches that are limited to a single clinic or generic top-down approaches that do not address clinical users’ specific setting-relevant or disease-relevant needs. As a road map for developing similar platforms, we describe our experience with building a custom but institution-wide platform that enables economies of time, cost, and expertise. The BRIDGE platform was designed to be modular and scalable and was customized to data types relevant to given clinical contexts within a major university medical center. The development process occurred by using a series of human-centered design phases with extensive, consistent stakeholder input. This institution-wide approach yielded a unified, carefully regulated, cross-specialty clinical research platform that can be launched during a patient’s electronic health record encounter. The platform pulls clinical data from the electronic health record (Epic; Epic Systems) as well as other clinical and research sources in real time; analyzes the combined data to derive clinical indices; and displays them in simple, clinician-designed visual formats specific to each disorder and clinic. By integrating an application into the clinical workflow and allowing clinicians to access data sources that would otherwise be cumbersome to assemble, view, and manipulate, institution-wide platforms represent an alternative approach to achieving the vision of true personalized medicine.https://www.jmir.org/2022/2/e34560 |
| spellingShingle | Riley Bove Erica Schleimer Paul Sukhanov Michael Gilson Sindy M Law Andrew Barnecut Bruce L Miller Stephen L Hauser Stephan J Sanders Katherine P Rankin Building a Precision Medicine Delivery Platform for Clinics: The University of California, San Francisco, BRIDGE Experience Journal of Medical Internet Research |
| title | Building a Precision Medicine Delivery Platform for Clinics: The University of California, San Francisco, BRIDGE Experience |
| title_full | Building a Precision Medicine Delivery Platform for Clinics: The University of California, San Francisco, BRIDGE Experience |
| title_fullStr | Building a Precision Medicine Delivery Platform for Clinics: The University of California, San Francisco, BRIDGE Experience |
| title_full_unstemmed | Building a Precision Medicine Delivery Platform for Clinics: The University of California, San Francisco, BRIDGE Experience |
| title_short | Building a Precision Medicine Delivery Platform for Clinics: The University of California, San Francisco, BRIDGE Experience |
| title_sort | building a precision medicine delivery platform for clinics the university of california san francisco bridge experience |
| url | https://www.jmir.org/2022/2/e34560 |
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