A Primary Care Database
A new information system is available to provide researchers with comprehensive,
cross-sectional, and longitudinal view of health care delivered throughout
UPHS.
According to Dr. Alan L. Hillman, associate dean for Health Services
Research at the School of Medicine, the database integrates patient information
from many of the computer systems within UPHS, and can assist researchers
in all phases of their work, from generating hypotheses to preparing grant
proposals to conducting patient-oriented research.
The new database is the first in the Penn Health System to integrate
data from IDX (the scheduling and billing system used by all CPUP and most
CCA practices) with the HUP inpatient medical records database.
The database also includes most HUP laboratory data (both inpatient and
outpatient), cardiac catheterizations, emergency department visits, and
pharmacy data (currently pharmacy data is available on a subset of the Health
System population). Data from other clinical departments will be integrated
in the next few months. The database now contains demographic and diagnostic
information on more than 180,000 patients and more than 1.5 million visits
to primary care clinics and the HUP emergency department since January 1994.
Also, it contains information about more than 68,000 patients involved in
more than 100,000 HUP admissions. More than 14,000 patients in the primary
care population have at least one admission.
The database can facilitate retrospective case-control and cohort studies,
and can track patients prospectively for randomized controlled trials. When
developing proposals for external funding, researchers can quickly ascertain
whether an adequate sample of patients with certain characteristics or diagnoses
exists within UPHS.
As UPHS moves toward an electronic ambulatory medical record, discrete
elements of the history and physical exam will be integrated. Identifying
patients for research will be easier, and less time will be devoted to abstracting
charts manually. In the near future, the database will include functional
status measures as well. The availability of clinical and administrative
data, plus functional status measures on the same patients, will greatly
enhance outcomes research throughout UPHS.
Dr. Hillman and his colleagues are ready to assist UPHS researchers in
using the new database. Depending on the level and term of assistance, a
fee may be assessed to cover this service. For more information, please
call Mark Weiner, at (215) 898-5721.
--From a Penn Health System News Release
Return to:Almanac, University of Pennsylvania, February
24, 1998, Volume 44, Number 23 |