What’s New in SCOAP? SCOAP Comparative Effectiveness Research Network (SCOAP CERTN)

SCOAP is proud to announce an $11.7 million grant award from the Agency for Healthcare Quality and Research to create a comparative effectiveness research platform at SCOAP partner hospitals. The SCOAP Comparative Effectiveness Research Translation Network (SCOAP CERTN) will increase automated data flow into SCOAP and provide long-term clinical, functional and quality of life and healthcare cost data for both QI and research.

Surgical procedures and interventions span the continuum of healthcare conditions and account for nearly half of all health spending, yet we also know that surgical care delivery and outcomes in the general community varies considerably. SCOAP was developed in response to perceived variation in the safety, quality and effectiveness of surgical care across Washington State. SCOAP is focused on driving clinical quality improvement across SCOAP hospitals through performance benchmarking and integration of best practices. Unfortunately, neither clinicians nor healthcare policymakers have systems to know whether new interventions and emerging technology really improves health or systems that help compare the risks and benefits of different healthcare strategies in the general community. SCOAP can be part of the answer.

The science of understanding how well healthcare interventions works and how different healthcare strategies impact patients is called comparative effectiveness research (CER). CER may be the key to getting more value for healthcare dollars and is the key to healthcare reform. The federal government designated $1.1 billion in CER funding in the 2009 budget. Just as SCOAP is an effective platform for surgical quality improvement, our collaborative provides unique opportunities to conduct comparative effectiveness research. SCOAP data are collected from clinical records, not administrative or healthcare billing records, and are collected prospectively with careful attention to risk-adjustment. SCOAP hospitals also range across diverse practice environments, including 33 rural centers and 22 urban centers, and cover all patient population types. This new grant from the Agency for Healthcare Quality and Research will fund infrastructure development for a SCOAP partner activity in research, or the SCOAP Comparative Effectiveness Research Translation Network (SCOAP CERTN).

The SCOAP CERTN initiative leverages what we’ve built collaboratively in SCOAP and aims to build infrastructure for streamlined collection of clinical data from electronic medical records, patient reported outcomes, and healthcare payment data across hospitals. Through a partnership with Microsoft Health Solutions Group, we will identify ways to automate data capture clinical data from electronic medical records, thus: 1) allowing longitudinal clinical data capture in a systematic fashion across healthcare encounter types (i.e. surgical; interventional); 2) reducing the clinical workflow and staffing burden for on-going maintenance of the SCOAP registry at each participating hospital; and 3) provide capacity and interoperability to incorporate outpatient care settings (i.e. doctors offices) into SCOAP registry. In addition, we propose to add unique functions to capture patient reported outcomes – like quality of life and physical function – into the registry for research and quality improvement evaluation. This is a unique opportunity to fund major development for the SCOAP program – addressing several challenges in workforce burden and interoperability between sites.

We will demonstrate the usability of SCOAP CERTN for research and clinical quality improvement by using the VI-SCOAP registry to compare the treatment strategies of peripheral arterial disease (PAD) and improve peri-procedural safety. We will evaluate three management strategies for patients with claudication; non-intervention (anti-platelet medication, smoking cessation, and physical therapy), endovascular interventions (angioplasty and/or stents) and surgical bypass.

For more information, or if your hospital is interested in joining the pilot phase of this project, please contact Allison Rhodes at adevlin (at) uw (dot) edu.

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