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VetDash: a clinical dashboard for enhancing measurement-based care in veteran health
Santiago Allende1, Hayley S Sullivan1, Peter J Bayley1,2
1War Related Illness and Injury Study Center, Palo Alto VA Medical Center, Palo Alto, CA 94304-1290, United States.
Objectives:
Measurement-based care (MBC) improves clinical decision-making but remains underutilized in the Veterans Health Administration due to barriers such as provider awareness, time constraints, and user-experience limitations. This study describes the development of the War Related Illness and Injury Study Center Veteran Dashboard (VetDash), a patient-level clinical dashboard designed to integrate the VA's Collect, Share, Act model into the provider workflow.
Materials And Methods:
VetDash was developed using R Shiny, utilizing data from the WRIISC Clinical Intake Packet Database. It integrates patient-reported health data and military history into a dashboard hosted on a Linux-based Shiny Server within the VA's intranet.
Results:
VetDash includes four modules: Patient Characteristics, Patient Health Symptoms, Patient Exposures, and Patient Self-Report Measures. Providers can visualize patient-reported symptoms, military exposures, and self-report measures, and compare patients to provider-defined cohorts.
Discussion And Conclusion:
VetDash facilitates MBC integration into the clinical workflow, potentially improving personalized patient care. Future research should evaluate its impact on clinical decisions, outcomes, and explore further enhancements.
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