Clinical Research Oriented Workshop (CROW) Meeting: July 2, 2015

Present:  Marianne Burke, Kairn Kelley (by phone), Rodger Kessler, Ayodelle LeBruin, Ben Littenberg, Connie van Eeghen

Start Up: Marianne has moved in!  Stay tuned for interior decorating changes… 

1.                  Discussion: Rodger is developing a project to automate a medical behavioral algorithm for treatment of out of control type 2 diabetes (probably moving to patients at high risk for diabetes), that has been the focus of his and Connie’s work as part of an R-03.  With colleagues in Bioinformatics at ASU (and anyone else interested in participating), we will be pursuing either NIH or AHRQ funding to develop and test, probably using Mayo clinic primary care site(s). Rodger is looking for feedback on the concept and the writing.

a.       The algorithm starts with data identified at-risk patients to receive an automated health risk assessment to generate a care-planning document (an annual CMS requirement).  The process was trialed with two sets of 10 patients.  Results identified two needs

                                                  i.      A full-time CHT support clinician to follow up on patients with self-identified need

                                                ii.      An internal PRISM build to automate the health risk appraisal and tailor it to the work flow

b.      FINER review

                                                  i.      Feasible: medium: not at UVM MC but possible at another location.  Not an EPIC problem but organizational leadership and cultural barriers exist

                                                ii.      Interest: clearly yes

                                              iii.      Novel: yes

                                              iv.      Ethical: no problem

                                                v.      Relevance: this doesn’t make the world a better place; people will not pay for this yet.  It is an interesting project for someone, but may not be the highest priority for CTS research now.

2.                  Next Workshop Meeting(s): Thursdays, 1:00 a.m. – 2:00 p.m., at Given Courtyard South Level 4.   Remember: the first 15 minutes are for checking in with each other.  The schedule for future meetings will be re-evaluated in May.

a.       July 9: Marianne: update (no Connie)

b.      July 17 (switch to Fridays): (no Connie or Ben)

c.       July 24: (no Ben or Marianne or Ayodelle) Kairn update

d.      July 31: (no Ben) Rodger’s List of Big Rocks

Recorder: Connie van Eeghen