Duke Health (DUHS)’s HSII Capacity Building Project focuses on addressing data fragmentation, a rate limiting barrier to introducing evidence into practice. The inability of busy care providers to measure and understand their specific clinical outcomes and the subsequent inability to see the impact of improvement in close-to-real time limits engagement and uptake of evidence. Clinical outcomes differ from regulatory reports in that they are a currency of clinical care delivery exchanged between provider and patient as opposed to a provider and a payer/regulator.
The HSII Capacity Building Project components include the creation of a “hub-and-spoke clinical outcomes data mart” derived from the electronic health record (EHR) and integrated with social and environmental determinants of health, all co-created and shared transparently with Duke Health’s community. The programs will create integrated and optimized clinical data across all clinical areas of DUHS. The clinical phenotypes will be further defined and enriched by social needs.
This project brings together collaborative efforts from Duke AI Health, Duke Health Technology Solutions, the Epic EHR and the DHTS data marts, the Duke CTSI and the Social and Environmental Equity Drivers data repository, the Community Consultative Studios as well as the Duke Quality System.
Duke Health envisions that this capacity building effort will allow the health system to curate clinical outcomes data on a vast array of clinical conditions, enriched with information on social determinants of health and informed by the voice of the community. DUHS envisions being able to generate these data within two to four weeks of a Call for Proposals request and to track the performance of the cohort as the impact of new evidence is assessed, all built on a platform of provider and community engagement and transparency.
Health System Name
- Duke University Health System
- Richard Shannon, MD, Senior Vice President and Chief Quality Officer, Chief Medical Officer
|About HSII Capacity Building Projects
Funding for HSII Capacity Building Projects was the first funding opportunity available under HSII, to support HSII Participants’ efforts to prepare for successful implementation and program evaluation as part of HSII Implementation Projects. Through HSII, HSII Participants will undertake implementation projects to actively advance the adoption of new evidence, drawn from PCORI-funded research, into their care delivery settings.