Developing the Long Term Care Data Cooperative's Capacity to Monitor Nursing Home Based Infectious Disease Outbreaks

$199,997U54FY2023AGNIH

Brown University, Providence RI

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Abstract

CDC SUPPLEMENT TO LONG TERM CARE DATA COOPERATIVE The NIA IMPACT Collaboratory COVID related supplement that funded the Long Term Care Data Cooperative [U54AG063546-02S6] established a cooperative that is compiling a centralized repository of nursing home electronic medical record (EMR) data from three different EMR vendors. Numerous nursing home companies using one of these three vendors have signed up as members, authorizing their EMR vendor to transfer clinically relevant data, complete with identifiers, to a centralized repository operating under the auspices of the American Health Care Association (AHCA) a membership association of most US nursing homes. In addition to the regulatory required Minimum Data Set information, EMR data being consolidated include all prevalent and incident diagnoses, orders, medication administration records, change of condition records, daily vital signs, incident reports, vaccinations, behavior tracking, daily changes in cognitive and physical functioning, and for some facilities, laboratory and diagnostic test results. To facilitate use of these data for the purpose of conducting public health surveillance, in close collaboration with leadership and research analysts at the Centers for Disease Control and Prevention, Brown University investigators propose to investigate the feasibility of electronically extracting and validating antimicrobial use data elements from long-term care (LTC) facility electronic health record (EHR) data and to calculate numerators and denominators for standardized reporting of antimicrobial use metrics at the resident and facility level. To further investigate the validity of infection data in the nursing home EMRs we propose to explore the viability of using the EMR data to identify additional infectious conditions, which will be selected in consultation with CDC officials, among nursing home residents. In addition, provide access to and technical support for analysts from the Centers for Disease Control (CDC) who will conduct additional analyses of the EMR data in the LTC Data Cooperative.

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