Evaluation of the SCALED Approach
Evaluation of the SCALED (SCaling AcceptabLE cDs) Approach
for the Implementation of Interoperable CDS for
Venous Thromboembolism Prevention – AHRQ R18
Problem & Need for the Study
There is a global emphasis and critical need to close the patient-centered outcomes research (PCOR) evidence to practice gap. The current climate of each healthcare system developing “home-grown” CDS for the exact same guidelines is not tenable. Building capabilities to rapidly translate PCOR to the bedside at scale and share interoperable CDS routinely with an updated knowledge base (living evidence synthesis) is necessary.
Innovation & Impact
The R18 project will adapt a currently deployed CDS system to also deliver a VTE prevention guideline for adult patients with traumatic brain injury (TBI). We believe this is an ideal PCOR use case given PCORI’s continued effort to combat VTE in trauma and our experience previously implementing this guideline. Our overall goal is to successfully scale, evaluate, and maintain an interoperable TBI CDS across our 4-institution collaborative network.
Key Personnel & Performance Sites
Primary Site - University of Minnesota
- Principal Investigators: Christopher Tignanelli and Genevieve Melton-Meaux
- Co-Investigators: Mary Butler, Joseph Gaugler, Nathan Shippee, Lianne Siegel, Sean Switzer, David Vock
University of California, Davis
- Rachael Callcut (Co-Investigator)
Geisinger Health
- Denise Torres (Co-Investigator)
- David Vawdrey (Co-Investigator)
Johns Hopkins University
- Elliott Haut (Co-Investigator)
Mayo Clinic Arizona
- Surbhi Shah (Co-Investigator)
Regenstrief Institute/Indiana University
- Peter Jenkins (Co-Investigator)
- Thankam Thyvalikakath (Co-Investigator)
This AHRQ R18 grant is a three-year, nearly $3 million award.
Project dates: 08/05/2022-07/31/2025.