September 30, 2023
Transforming Health Outcomes for Patients with Chronic Conditions Using Tailored Health Information Technology

David Dorr, M.D.

Main Analysis Information Officer

Vice Chair of Medical Informatics

Professor of Health-related Informatics and Clinical Epidemiology

Oregon Health & Science College

David Dorr, M.D.
David Dorr, M.D.

“The information of how to handle the demands of individuals with a number of persistent circumstances and well being-relevant social requirements has been significantly superior by AHRQ’s funding. My function funded by AHRQ has aided to comprehend how we can adapt health information and facts know-how to the requirements of at-chance, susceptible populations.”

Building wellness information technology (overall health IT) to be far more client-centric can boost results for patients with long-term ailments and give extra participating and economical methods to principal care. This is what drives the investigate of AHRQ grantee David Dorr, M.D. He is Chief Investigation Details Officer, Vice Chair of Clinical Informatics, and Professor of Professional medical Informatics and Clinical Epidemiology at Oregon Health & Science University.

Chronic care management— a set of activities to aid sufferers and their clinicians additional correctly take care of their complicated wellbeing conditions—is a person of the ideal techniques to assure affected person basic safety and good quality of care. It increases interaction between all the patient’s dealing with clinicians and other caregivers and encourages affected person self-management. Having said that, treatment management for these patients involves a high stage of coordination to ensure individual-centered treatment. Crucial to the coordination is sharing details from digital health and fitness data (EHRs), but most EHRs can not doc treatment coordination and serious treatment administration in a practical and productive way.

Dr. Dorr obtained his very first AHRQ grant in 2008 to research an built-in treatment coordination information process (ICCIS) to figure out irrespective of whether it could be implemented in a various set of clinics utilizing accredited EHRs. He located that an ICCIS can be created, integrated, and sustainably utilized in day-to-day workflows and throughout a number of EHR programs.

“Some of the clinics that participated in the exploration have ongoing to use this health IT program for their high-quality advancement, care coordination efforts, and to assure sufferers with chronic ailments receive suitable care,” Dr. Dorr reported. In addition, this 4-yr investigation job aided to advise the health and fitness IT demands of the Facilities for Medicare & Medicaid Services’ Extensive Principal Treatment Initiative.

With a 1-yr exploratory grant from AHRQ awarded in 2014, Dr. Dorr expanded on his earlier operate to create and validate a “gold normal” dataset of measures for affected person prognosis and care. This undertaking concerned linking unique information resources and utilizing advanced processing and algorithms to create several chronic conditions (MCC) threat prediction versions. The types aid providers tailor proactive procedures to prevent the onset of or delay the progression of continual illnesses, significantly in minority populations.

“Consideration of the adequacy of information to understand and handle the requirements of individuals with MCCs is essential in planning interventions” claimed Dr. Dorr. 

Despite the close to universal adoption of EHRs (which has resulted in an elevated total of medical details readily available to make improvements to client care), challenges continue to be about how finest to leverage wellbeing IT for medical selection guidance. In 2019, Dr. Dorr started a two-calendar year AHRQ-funded job to translate large blood tension recommendations and protocols into interoperable and sharable scientific decision assist, tailored for just about every affected individual, to make sure health care teams acquire exact and timely health facts to notify their clinical choices. He made a well being IT software, identified as Collaboration-Oriented Strategy for Managing Large Blood Pressure or Mentor, which combines hypertension recommendations and protocols with affected individual knowledge to aid strengthen prognosis and outcomes. This also aids improve patient fulfillment and engagement.

“The goal is to supply the right facts, to the right person, in the suitable format and channel, and at the correct time to boost self-administration and engagement to control substantial blood tension and cut down coronary heart attack and strokes,” discussed Dr. Dorr.  

Dr. Dorr’s current AHRQ venture, which builds on his Mentor health IT software, aims to understand how engaging individuals as a result of an application on their mobile telephones and desktops can assistance them to command their blood pressure and strengthen wellbeing outcomes. The task is scheduled to conclude in 2025.

Dr. Dorr has served on the General public Policy Committee at the American Geriatrics Society for just about a 10 years and as an Advisor for Clinical Good quality Measurement at the Oregon Well being Authority. He also is a co-editor-in-chief for Used Clinical Informatics Open up. Dr. Dorr is a member of the American Professional medical Informatics Affiliation, for which he previously served on the Board of Administrators, and was recently elected to the American School of Professional medical Informatics Executive Committee.

Similar AHRQ Sources

Principal Investigator: David Dorr, M.D.
Institution: Oregon Wellbeing & Science University
Grantee Due to the fact: 2008
Form of Grant: Different

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