Clinical Database to Support Comparative Effectiveness Studies of Complex Patients, 2005-2010 -AHRQ grant is awarded to College of Pharmacy investigators.
This project developed a unique relational database, linking chronic disease clinical information from the electronic medical records (EMR) of the U-M Health System to multi-payer claims data. The database is dynamic, with most information available for between 2 and 5 years, and has strong potential for sustainability. The database can be used to evaluate the quality of clinical care as well as models of care delivery that are particularly important for complex patients, such as the patient-centered medical home, transitional care, and complex care coordination. This project concerned AHRQ priority populations, including low-income and uninsured patients, older adult patients, and patients with diabetes. The population of patients used consisted of those patients who were attributed to the UMHS as continuing care patients, who were also in adjudicated and validated chronic disease registries. These registries organize EMR diagnostic and management information for patients with physician adjudicated chronic disease diagnoses. Complete claims are available for most of the relevant patient population.