The Nascent Pan-Canadian Real-world Health Data Network (PRHDN)

ABSTRACT Objective Canada’s large single payer health systems have created provincial centres with rich, population-wide health and social data holdings that are linkable at the person level. Complementary federal data include a subset of standardized and enriched administrative healthcare data a...

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Main Authors: Michael J. Schull, Kimberlyn McGrail, Alison Paprica
Format: Article
Language:English
Published: Swansea University 2017-04-01
Series:International Journal of Population Data Science
Online Access:https://ijpds.org/article/view/144
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author Michael J. Schull
Kimberlyn McGrail
Alison Paprica
author_facet Michael J. Schull
Kimberlyn McGrail
Alison Paprica
author_sort Michael J. Schull
collection DOAJ
description ABSTRACT Objective Canada’s large single payer health systems have created provincial centres with rich, population-wide health and social data holdings that are linkable at the person level. Complementary federal data include a subset of standardized and enriched administrative healthcare data at the Canadian Institute for Health Information, Statistics Canada’s extensive array of survey- and census-based social and geography-based information, and large national datasets that are being created through pan-Canadian initiatives. Unfortunately, these data assets are rarely combined in multi-province or pan-Canadian studies, often because data are not directly comparable from one province to another, or cannot be shared due to legislative or other barriers. There is now growing interest in enabling multi-province studies — even when data are not directly comparable — and in sharing experiences to make more effective use of linked or linkable administrative data across Canada. Approach Nine provincial and national organizations have created a detailed Implementation Plan for the new PRHDN distributed data network. Without requiring that record-level data leave provincial boundaries, the PRHDN will create shared core research data infrastructure: (i) validated algorithms that implement case definitions applicable across provinces, (ii) harmonized common data and (iii) common analytic protocols. The PRHDN will also establish complementary infrastructure including dedicated personnel to assist researchers and decision makers, joined-up training and capacity building sessions, opportunities to share learning and experience related to linking new datasets such as electronic medical records and omic datasets, and forums for knowledge translation and exchange with decision makers. Results The PRHDN is already bringing together expertise from across Canada as researchers, decision makers and data custodians begin to identify opportunities for enhanced use of health data in Canadian research, policy making and practice. A simple PRHDN website has been created (https://www.prhdn.ca/) and more than 200 researchers and policy/decision makers have become members of the PRHDN consortium. Surveys of consortium members are identifying priorities for the first algorithm validation work (to-date the top four priorities are mental health, cardiovascular disease, diabetes and respiratory disease) and the PRHDN Leads Team is functioning as a decision-making body, e.g., in discussions with Statistics Canada. Conclusions Working together, provincial and national organizations across Canada have identified concrete steps that can be taken to enable multi-province and pan-Canadian studies based on administrative data within one year of the start of funding. The PRHDN Leads Team is currently discussing the PRHDN vision and Implementation Plan with potential funders.
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spelling doaj.art-67b7ecffbdde42829dbf634aabf988a62023-12-02T22:46:15ZengSwansea UniversityInternational Journal of Population Data Science2399-49082017-04-011110.23889/ijpds.v1i1.144144The Nascent Pan-Canadian Real-world Health Data Network (PRHDN)Michael J. Schull0Kimberlyn McGrail1Alison Paprica2Institute for Clinical Evaluative Sciences (ICES)Population Data BCInstitute for Clinical Evaluative Sciences (ICES)ABSTRACT Objective Canada’s large single payer health systems have created provincial centres with rich, population-wide health and social data holdings that are linkable at the person level. Complementary federal data include a subset of standardized and enriched administrative healthcare data at the Canadian Institute for Health Information, Statistics Canada’s extensive array of survey- and census-based social and geography-based information, and large national datasets that are being created through pan-Canadian initiatives. Unfortunately, these data assets are rarely combined in multi-province or pan-Canadian studies, often because data are not directly comparable from one province to another, or cannot be shared due to legislative or other barriers. There is now growing interest in enabling multi-province studies — even when data are not directly comparable — and in sharing experiences to make more effective use of linked or linkable administrative data across Canada. Approach Nine provincial and national organizations have created a detailed Implementation Plan for the new PRHDN distributed data network. Without requiring that record-level data leave provincial boundaries, the PRHDN will create shared core research data infrastructure: (i) validated algorithms that implement case definitions applicable across provinces, (ii) harmonized common data and (iii) common analytic protocols. The PRHDN will also establish complementary infrastructure including dedicated personnel to assist researchers and decision makers, joined-up training and capacity building sessions, opportunities to share learning and experience related to linking new datasets such as electronic medical records and omic datasets, and forums for knowledge translation and exchange with decision makers. Results The PRHDN is already bringing together expertise from across Canada as researchers, decision makers and data custodians begin to identify opportunities for enhanced use of health data in Canadian research, policy making and practice. A simple PRHDN website has been created (https://www.prhdn.ca/) and more than 200 researchers and policy/decision makers have become members of the PRHDN consortium. Surveys of consortium members are identifying priorities for the first algorithm validation work (to-date the top four priorities are mental health, cardiovascular disease, diabetes and respiratory disease) and the PRHDN Leads Team is functioning as a decision-making body, e.g., in discussions with Statistics Canada. Conclusions Working together, provincial and national organizations across Canada have identified concrete steps that can be taken to enable multi-province and pan-Canadian studies based on administrative data within one year of the start of funding. The PRHDN Leads Team is currently discussing the PRHDN vision and Implementation Plan with potential funders.https://ijpds.org/article/view/144
spellingShingle Michael J. Schull
Kimberlyn McGrail
Alison Paprica
The Nascent Pan-Canadian Real-world Health Data Network (PRHDN)
International Journal of Population Data Science
title The Nascent Pan-Canadian Real-world Health Data Network (PRHDN)
title_full The Nascent Pan-Canadian Real-world Health Data Network (PRHDN)
title_fullStr The Nascent Pan-Canadian Real-world Health Data Network (PRHDN)
title_full_unstemmed The Nascent Pan-Canadian Real-world Health Data Network (PRHDN)
title_short The Nascent Pan-Canadian Real-world Health Data Network (PRHDN)
title_sort nascent pan canadian real world health data network prhdn
url https://ijpds.org/article/view/144
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