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Creating a high-performance system for comparative effectiveness research.
1Rapid Learning Project, the George Washington University, USA. lyneth1@mac.com
Federal legislation initiates a national comparative effectiveness research program. The Department of Health and Human Services (HHS) should leverage electronic health records and data sharing to build a high-performing research system.
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Area of Science:
- Health Services Research
- Health Policy
- Health Informatics
Background:
- The enactment of federal stimulus and health reform legislation marks the commencement of a national comparative effectiveness research (CER) program.
- Existing health system infrastructure presents opportunities and challenges for establishing a robust CER system.
Purpose of the Study:
- To propose a framework for the Department of Health and Human Services (HHS) to establish a high-performing national comparative effectiveness research system.
- To outline key policy and investment strategies for leveraging health data and research networks.
Main Methods:
- The article proposes a strategic approach for HHS, emphasizing the integration of technological advancements and collaborative efforts.
- Recommendations include exploiting the rapid-learning potential of electronic health records (EHRs), computerized databases, and research networks.
- Advocates for the establishment of a national database for CER studies via presidential order.
Main Results:
- The proposed system aims to foster a rapid-learning culture within the US health system.
- Successful implementation requires significant investment and policy support from HHS.
- Enhanced data sharing and interconnected research networks are critical components.
Conclusions:
- HHS is positioned to lead the development of a national CER program by adopting new policies and investments.
- Leveraging health IT and data infrastructure is essential for creating a responsive and effective research system.
- A coordinated national effort is necessary to advance evidence-based healthcare through comparative effectiveness research.