Clinical data are increasingly available in electronic form as electronic health records (EHRs) are implemented across the country. A key advantage of EHRs is the potential to re-use clinical data for a variety of purposes including clinical care, clinical process improvement, biosurveillance, clinical/translational research and comparative effectiveness research (CER). However, EHRs are designed for single-patient data access (e.g., all data about John Smith). Thus, many institutions are implementing clinical data warehouses (CDWs) that are designed to accept EHR data and allow queries across patients (e.g., average height of males) expecting immediate benefit. Unfortunately, clinical data are biased, incomplete and potentially misleading. In this talk, we will discuss the challenges and opportunities for reuse of clinical data. We will also discuss the approaches that are being developed at the University of Texas Health Science Center at Houston (UTHealth) and other institutions seeking to benefit from their electronically-available clinical data.
About Elmer Bernstam:
Dr. Bernstam is board-certified in internal medicine and continues to practice. He completed a National Library of Medicine fellowship at Stanford Medical Informatics. His research focuses on clinical and translational informatics; specifically on information retrieval, consumer informatics and clinical decision support.