학술논문

Establishing a research informatics program in a public healthcare system: a case report with model documents
Document Type
article
Source
Journal of the American Medical Informatics Association. 29(4)
Subject
Information and Computing Sciences
Health Services and Systems
Health Sciences
Health Services
Clinical Research
Good Health and Well Being
Academic Medical Centers
Data Warehousing
Delivery of Health Care
Humans
Informatics
research data warehouse
governance
public-private partnership
public healthcare system
Engineering
Medical and Health Sciences
Medical Informatics
Biomedical and clinical sciences
Health sciences
Information and computing sciences
Language
Abstract
While much is known about governance models for research informatics programs in academic medical centers and similarly situated cancer centers, community and public health systems have been less well-characterized. As part of implementing an enterprise research governance framework, leaders in the Los Angeles County Department of Health Services established a research informatics program, including research data warehousing. The strategy is focused on high-priority, patient-centered research that leverages the investment in health IT and an efficient, sustained contribution from 2 affiliated Clinical Translational Sciences Institutes. This case study describes the foundational governance framework and policies that were developed. We share the results of several years of planning, implementation, and operations of an academically funded research informatics service core embedded in a large, multicenter county health system. We include herein a Supplementary Appendix of governance documents that may serve as pragmatic models for similar initiatives.