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Jeralyn Bernier, M.D., M.P.H. Research Director Cincinnati Pediatric Research Group

Using an AHRQ-supported Practice- Based Research Network (PBRN) To Design, Implement, And Evaluate Communication Strategies. Jeralyn Bernier, M.D., M.P.H. Research Director Cincinnati Pediatric Research Group Cincinnati Children’s Hospital Medical Center Cincinnati, OH. Overview.

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Jeralyn Bernier, M.D., M.P.H. Research Director Cincinnati Pediatric Research Group

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  1. Using an AHRQ-supported Practice- Based Research Network (PBRN) To Design, Implement, And Evaluate Communication Strategies Jeralyn Bernier, M.D., M.P.H. Research Director Cincinnati Pediatric Research Group Cincinnati Children’s Hospital Medical Center Cincinnati, OH

  2. Overview • Midwest regional Practice-Based Research Network spanning 8 counties in three States • Established in 1996 with support from General and Community Pediatrics, CCHMC • 45 providers in 22 practices • Ideas generated in “bottom-up” fashion at monthly meetings of members tackling clinical problems • Ongoing support from the Agency for Healthcare Research and Quality (AHRQ) and Cincinnati Children’s Hospital Medical Center

  3. Symptom Surveillance Project • Web-based password protected database • Physicians enter data re: symptom complexes of high prevalence in outpatient office settings, as well as unusual cases • Symptoms as manifest in children • Symptoms likely in transmissible diseases or bioterrorism

  4. Symptom Surveillance—Who? • Practice-based research networks of primary care providers • CPRG (Cincinnati Pediatric Research Group) • OPRC (Ohio Pediatric Research Consortium) • Regionally distributed practices • Medical community leaders

  5. Symptom Surveillance—Unique Features • Bidirectional communication between providers and public health officials • Portal for educating providers to facilitate timely translation of research into practice • Symptoms vs. diagnoses • Community-based providers • Pediatric focus • Interactive graphical output

  6. Symptom Surveillance—Provider Motivation • Involvement in ongoing research • Immediate data feedback • Access to public health officials • Office staff rewards • Modest financial remuneration

  7. Symptom Surveillance—Health Department Participation • Regular review/analysis of data • Notices, bulletins to providers • Investigations as needed • Restrained use of alert function to maintain effectiveness • Governing boards

  8. Health Department Communications

  9. Symptom Surveillance—Relevance to Everyday Practice • Answers the commonly posed question, “What’s going around?” • More timely detection of naturally occurring outbreaks • Rapid targeted information source

  10. Symptom Surveillance—Future Expansion • Expansion throughout Ohio via Health Departments and sister PBRNs • Mapping feature with automated analysis • Improved community provider penetration

  11. Symptom Surveillance—Future Expansion • Daily data entry • Phone triage data collection • Automated analysis of claims/billing data • Automated linkage to corresponding lab data • Improved informational resources

  12. Symptom Surveillance—Other Uses • Discussion of research and preliminary findings • Network/Hospital/Health Department news briefs • Shared practice management tools • Links to information resources • Meeting reminders • Event announcements

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