An Integrated Model for Patient Care and Clinical Trials (IMPACT) to support clinical research visit scheduling workflow for future learning health systems

Authors:
Chunhua Weng;Yu Li;Solomon Berhe;Mary Regina Boland;Junfeng Gao;Gregory W. Hruby;Richard C. Steinman;Carlos Lopez-Jimenez;Linda Busacca;George Hripcsak;Suzanne Bakken;J. Thomas Bigger
Affiliations:
Department of Biomedical Informatics, Columbia University, New York, NY, United States and The Irving Institute for Clinical and Translational Research, Columbia University, New York, NY, United S ...;Department of Biomedical Informatics, Columbia University, New York, NY, United States and Department of Computer Science, City College of New York, NY, United States;Department of Biomedical Informatics, Columbia University, New York, NY, United States;Department of Biomedical Informatics, Columbia University, New York, NY, United States;Department of Biomedical Informatics, Columbia University, New York, NY, United States;Department of Biomedical Informatics, Columbia University, New York, NY, United States;The Irving Institute for Clinical and Translational Research, Columbia University, New York, NY, United States and Department of Medicine, Columbia University, New York, NY, United States;Department of Medicine, Columbia University, New York, NY, United States;The Clinical Trials Office, Columbia University, New York, NY, United States;Department of Biomedical Informatics, Columbia University, New York, NY, United States;Department of Biomedical Informatics, Columbia University, New York, NY, United States and The Irving Institute for Clinical and Translational Research, Columbia University, New York, NY, United S ...;The Irving Institute for Clinical and Translational Research, Columbia University, New York, NY, United States and Department of Medicine, Columbia University, New York, NY, United States
Venue:
Journal of Biomedical Informatics
Year:
2013

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Abstract

We describe a clinical research visit scheduling system that can potentially coordinate clinical research visits with patient care visits and increase efficiency at clinical sites where clinical and research activities occur simultaneously. Participatory Design methods were applied to support requirements engineering and to create this software called Integrated Model for Patient Care and Clinical Trials (IMPACT). Using a multi-user constraint satisfaction and resource optimization algorithm, IMPACT automatically synthesizes temporal availability of various research resources and recommends the optimal dates and times for pending research visits. We conducted scenario-based evaluations with 10 clinical research coordinators (CRCs) from diverse clinical research settings to assess the usefulness, feasibility, and user acceptance of IMPACT. We obtained qualitative feedback using semi-structured interviews with the CRCs. Most CRCs acknowledged the usefulness of IMPACT features. Support for collaboration within research teams and interoperability with electronic health records and clinical trial management systems were highly requested features. Overall, IMPACT received satisfactory user acceptance and proves to be potentially useful for a variety of clinical research settings. Our future work includes comparing the effectiveness of IMPACT with that of existing scheduling solutions on the market and conducting field tests to formally assess user adoption.