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This document outlines a project charter for a Clinical Research Filtered Query (CRFQ) pilot. The project aims to (1) pilot implementation of a standardized CRFQ service allowing clinical research organizations to query patient data across healthcare providers, (2) evaluate necessary business process and organizational changes to fully implement the service, and (3) assess feasibility and costs. The pilot will test the CRFQ service in at least two sponsors and two hospitals. The project will produce descriptions of impacted business processes for protocol feasibility evaluation, patient recruitment, and safety monitoring, along with an analysis of legal requirements and a roadmap for full implementation.
This document outlines a project charter for a Clinical Research Filtered Query (CRFQ) pilot. The project aims to (1) pilot implementation of a standardized CRFQ service allowing clinical research organizations to query patient data across healthcare providers, (2) evaluate necessary business process and organizational changes to fully implement the service, and (3) assess feasibility and costs. The pilot will test the CRFQ service in at least two sponsors and two hospitals. The project will produce descriptions of impacted business processes for protocol feasibility evaluation, patient recruitment, and safety monitoring, along with an analysis of legal requirements and a roadmap for full implementation.
This document outlines a project charter for a Clinical Research Filtered Query (CRFQ) pilot. The project aims to (1) pilot implementation of a standardized CRFQ service allowing clinical research organizations to query patient data across healthcare providers, (2) evaluate necessary business process and organizational changes to fully implement the service, and (3) assess feasibility and costs. The pilot will test the CRFQ service in at least two sponsors and two hospitals. The project will produce descriptions of impacted business processes for protocol feasibility evaluation, patient recruitment, and safety monitoring, along with an analysis of legal requirements and a roadmap for full implementation.
Problem Statement: Evaluation of protocol feasibility against patient population, patient recruitment and monitoring patient population with specific safety conditions are today very difficult to Roles and Responsibilities achieve for clinical research organizations. Access to patient information is very fragmented; there are some centralized databases like GPRD, which allows to check specific patient criteria but this is not Leader: I. de Zegher, C. Mead sufficient to cover a wider population. EHR offers new possibilities that need to be clarified and piloted. Team Members: Project Scope: Pilot implementation of a standard service such as CRFQ. A request would be issued by a clinical See enclosed table research organization, be forwarded to Health Care providers (hospital, third parties like GPRD, other regional or national Databases) to evaluate patient population against specific criteria. Steering Committee: OC from the EHR stakeholder Evaluate needed changes (business processes and organizational aspects, additional services, legal workshop implications) to implement the service in full production. Ilias Iakovidis Evaluate how to work together as a Health Care continuum to further defined service in the clinical research area Isabelle de Zegher Veli Stroetmann Georges De Moor Gudrun Zahlmann Jean Samuel Petra Wilson Mats Sundgren
Goals Time Frame (proposal)
Support specification of the already started service specification within HL7 RCRIM going to ballot early 2008 (see document in annex) Milestone Date Evaluate business process changes in the context of protocol feasibility, patient recruitment and safety monitoring Kick-off TC agreement on scope by team Dec07 Evaluate business case benefits and cost for full implementation across the Health Care chain Template for organizational and financial Dec07 Understand legal implications evaluation Define roadmap on how to implement in full production Comment to service specification HL7 Jan 08 ? Business benefits ballot Understand complexity of implementation on EHR integration for specific Use case finalized for protocol feasibility, May 08 purpose across the Health Care value chain with a documented business patient recruitment, safety monitoring case that allow the different decision makers to decide on the way forward Support informed decision for go/no decision on EHR integration for the use Implementation of pilot within 3 to 5 Sept 08 cases in scope partners & evaluation
Final recommendations Dec 08
EHR Integration Project Charter slide 1 Project Charter cont.
Clinical Research Filtered Query - pilot
Approach: Project Deliverables: Dec07. Pilot implementation for testing at least in one sponsor and one Kickoff of the project (agreement on this charter) Micros oft Word hospital; pilot based on technical Specification of CRFQ (not part of Introduction to the CRFQ project ongoing currently Document this project but input from this project very important at balloting (see enclosed document) time) Identification of partners ready to implement the services (preferably different organization than the ones that will pilot core data sets) Description of new business process (on the complete HC value Agreement on the template with draft use case for business chain) including CRFQ for process clarification; identification of participants for each of the use case Evaluation of protocol feasibility Agreement on monthly TC + possibility for 1 day F2F in Patient recruitment February/March Feb/March (F2F workshop ?) Safety monitoring condition Draft business process for 3 aspects identification of missing Specification of legal requirements/constraints (to be provided as components (i.e. additional services) for full implementation input to team working on Governance model) Draft identification with quantification of benefit Draft identification with quantification of related cost Estimate of feasibility and cost for implementation of the service in Draft identification of legal requirements full production including a roadmap June First version of pilot agreement on testing scenario across several institutions Measurement Consolidation of business case (benefit and cost) Consolidation of legal requirements Metric Baselin Goal Blue Sky Sept/Oct (F2F workshop ?) e Execution of pilot and lessons learned Pilot implementation of CRFQ in 2 sponsors, 2 0 2+2+2 Anything more Finalization of use case description with business process changes hospital, with 2 vendors (2+2+2) than 2+2+2 Draft recommendations including roadmap for implementation Description of the 3 processes in scope fully 0 2 3 processes documents in terms of changes processes Questions: Where do we publish results as part of Collaboration Business case documented with 70% 0% 70% 80% Forum/Governance body certainty Legal requirements related to business ? 80% 100% process changes can be implemented Overall SC with core data sets and third party to understand without major changes in regulations dependencies (only at SC level not at team level) Routinely share exchange point/ commentary resource with legal stream to ensure alignment