Article Figures & Data
Figures
- Figure 1.
Safety Net West and Oregon Community Health Information Network (OCHIN) Partnership Structure.
- Figure 2.
Synergy Between Practice Transformation and Research.
Tables
No. of health centers 40 No. of clinics 132 No. of providers 1934 Overall No. of patients total 881,259 Annual No. of patients total 391,267 Ethnicity (%) Hispanic 30.5 Non-Hispanic 69.5 Race (%) African American 4.5 Asian 2.7 Other race, or unknown 7.8 White 75.0 Sex (%) Female 58.7 Male 41.3 Age (%) < 18 years 33.7 > 18 years 62.3 Insurance status (%) Medicaid 45 Uninsured 31 Medicare 8 Commercial 11 Homeless (%) 5.4 Migrant/seasonal (%) 4.0 -
Data source: OCHIN electronic health record.
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OCHIN, Oregon Community Health Information Network.
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- Table 2.
Recent and Current Oregon Community Health Information Network (OCHIN) and Safety Net West Research Projects
Title Description Type Recent Projects Developing Safety Net Clinic Electronic Data for Use in Translational Health Services and Health Policy Research1,2 Determined that OCHIN's EHR data can be linked with Oregon's Medicaid claims data; assessed the extent to which OCHIN diabetes patients with Medicaid utilized services outside the OCHIN network, and the extent to which OCHIN data truly represented primary care utilization. Data only Insurance Continuity and Receipt of Diabetes Preventive Care In a Network of Federally-Qualified Health Centers6 Assessed how insurance continuity impacted utilization of diabetes preventive care services among OCHIN's adult Medicaid recipients. Data only Asthma Care Quality20 Developed, validated, applied, and evaluated a method for routine and comprehensive measurement of outpatient asthma care quality, using technology for extracting care quality data from both coded data and free-text clinical notes in the EHR. Text analysis PASS-2-OCHIN Used the OCHIN EHR to conduct surveillance for incident cases of asthma. Data only Current projects Obesity Care Quality Evaluates the generalizability of the Asthma Care Quality project methods for obesity. Text analysis Term: 9/1/09 - 3/31/12 Funding Agency: AHRQ Transforming Care Quality Expands network-wide quality improvement infrastructure by developing decision support tools to enable clinics to select appropriate workflow interventions to improve care for patients with diabetes. CER Term: 9/1/09 - 8/31/11 Funding Agency: HRSA Using Health Information Exchange Networks for Dissemination of Effective Health Care Materials Pilots the dissemination of provider and patient guides developed by the Effective Health Care Program within community health centers. Translational Term: 7/1/10 - 9/25/11 Funding Agency: AHRQ How Do Changes in Families' Health Insurance Affect Children's Healthcare? (FAMILY) Assesses how children are affected when their parents gain or lose health insurance coverage, using mixed-methods: Medicaid/OCHIN data analysis, qualitative interviews with families, and datafrom the Medical Expenditure Panel Survey. Data only Term: 9/1/10 - 4/30/14 Funding Agency: AHRQ Dissemination of Cardiovascular Disease Risk Factor Treatment Among Diabetic Patients in FQHCs (ALL) Translates an EHR-based intervention, proven to prevent cardiovascular disease in adults with diabetes in an integrated care setting by promoting and tracking compliance with statin and ACE-inhibitors, to the safety net setting. Translational Term: 9/7/10 - 5/31/15 Funding Agency: NIH/NHLBI Enhancing Clinical Effectiveness Research with Natural Language Processing of Electronic Medical Record (CER-HUB) Creates and evaluates an internet-based Comparative Effectiveness Research Hub, which will serve as a portal for CER researchers to develop applications that code clinical data of all types, allowing uniform processing of data from any EHR system. CER, text analysis Term: 9/30/10 - 9/29/13 Funding Agency: AHRQ Internet CBT for Depression: Comparing Pure, Guided, and Stepped Care (MoodHelper) Utilizes a blended-efficacy-effectiveness randomized controlled trial of high fidelity, Internet-delivered cognitive behavioral therapy (CBT) for depression. CER Term: 9/1/10 - 9/30/15 Funding Agency: NIH/NIMH Community Health Applied Research Network(CHARN) OCHIN is designated as one of four program centers in a national community health center network developed by HRSA to advance infrastructure for conducting CER in safety net settings. CER infrastructure Term: 9/1/10 - 8/31/2013 Funding Agency: HRSA Collaborative Research Efforts Aimed at Translating Evidence and Building Community Capacity (CREATE) Strengthens research capacity by bringing together OCHIN clinicians, patients, community representatives, state policy makers and researchers to oversee, formulate, and conduct research designed to improve health outcomes in Safety Net West populations. CER infrastructure Term: 9/30/10 - 9/29/13 Funding Agency: NIH/NLM -
EHR, electronic health record; AHRQ, Agency for Healthcare Research and Quality; NIH/NHLBI, National Institutes of Health/National Heart, Lung and Blood Institute; ACE, angiotensin-converting enzyme; CER, comparative effectiveness research; NIH/NIMH, National Institutes of Health/National Institute of Mental Health; HRSA, Health Resources and Services Administration; NIH/NLM, National Institutes of Health/National Library of Medicine.
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