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HMORN Member Organizations. Most sites include insurance companies and multi-specialty practices Representing 10 million covered lives Reimbursement models include managed care, FFS, Medicare & Medicaid. HMORN Collaborative Research Networks.

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Hmorn member organizations
HMORN Member Organizations

  • Most sites include insurance companies and multi-specialty practices

  • Representing 10 million covered lives

  • Reimbursement models include managed care, FFS, Medicare & Medicaid


Hmorn collaborative research networks
HMORN Collaborative Research Networks

  • Vaccine Safety Datalink (10 sites, CDC, 1990)

  • Cancer Research Network (14 sites, NCI, 1999)

  • Developing Evidence to Improve Decisions about

  • Effectiveness (14 sites, AHRQ, 2005)

  • Cardiovascular Research Network (15 sites, NHLBI, 2007)

  • Mini-Sentinel Initiative (13+ sites, FDA, 2009)

  • Mental Health Research Network (10 sites, NIMH, 2010)

  • Scalable Partnering Network for Comparative Effectiveness

  • Research (10+ sites, AHRQ, 2010)

  • Surveillance, Prevention, and Management of Diabetes

  • Mellitus (AHRQ, 2010)


Hmorn virtual data warehouse vdw
HMORN Virtual Data Warehouse (VDW)

  • A series of dataset standards and automated processes at each of 15 HMORN sites

    • Each institution’s VDW data remain at their site until a study-specific need arises

    • SAS programs written at one site, can be run quickly with minimal customization at others

  • Data from all compatible sources, including:

    • Legacy (pre-modern EMR) internal systems

    • Claims (rx, facility, professional)

    • EMR


Hmorn multi site study tools
HMORN Multi-site Study Tools

  • Multi-center IRB Review

    • IRB Authorization Agreements in place between HMORN sites

    • Lead PI submits application to lead IRB

    • Other sites review and decide whether to cede to lead IRB or retain local review based on perceived risk

    • Lead IRB assumes ongoing oversight for institutions ceding to it

  • Pre-negotiated sub-award agreement template

    • All sites sign MOU  agree to use as starting place

    • Includes data use terms, up front

  • Data Sharing

    • HMORNDUA template is customized to fit with HMORNsubaward template

    • Bidirectional DUAs in use

    • Distributed research networks in development

  • Primarily designed and tested for data-only and observational studies


Hmorn strengths for clinical trials
HMORN Strengths for Clinical Trials

  • The Integrated Health Systems

    • Representing 10 million covered lives

    • All sites have EMRs – most using EpicCare

  • Recruitment Infrastructure

    • Research departments are “covered entities”

    • VDW and other electronic data sources

    • Skilled & dedicated programming and informatics

    • Accurate feasibility assessment and efficient, targeted recruitment

  • Trial Conduct

    • Efficient electronic communication with health care providers

    • Excellent retention

    • Surveillance for events, obtaining documents, determining costs

    • Disseminating results

  • Future Innovations: Pragmatic, low-cost trials using EMR to recruit, randomize, intervene and collect follow-up data?


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