In an era of cardiovascular care where. novel clinical, biochemical, genetic and imging &terminants impacting patient outcomes are being continuously discovered, the field of outcomes research offers clinicians and patients the potential to make better informed health care decisions through the, use of sophisticated risk-adjustment models that incorporate patients ' clinical characteristics and treatments.However, the translation of such models to clinical practice has been severely limited by their mathematical complexity, .the ongoing evolution of models over time, and the dificutry in conveying the outputs of these models in a format usefd to physicians and their patients.Herein we present an application suite for creating wb-based clinical tools for delivering risk-adjustment models to the bedside. This suite offers an intuitive visual interJace for building models as well as a broad range of easy to understand graphical output options.
In an era where novel clinical, biochemical, genetic and imaging determinants impacting patient outcomes are being continuously discovered, the field of outcomes research offers clinicians and patients the potential to make better informed health care decisions through the use of sophisticated risk-adjustment models that incorporate patients' unique clinical characteristics.EPOCH ® and ePRISM ® comprise a novel application suite for delivering complex risk-adjustment models to the bedside and are currently in use at multiple medical centers. An intuitive visual interface for building models allows outcomes researchers to rapidly translate prediction models into web-based decision support and reporting tools. A flexible XML web services architecture facilitates integration with existing clinical information systems, allows for remote access to the modeling engine, and allows models to be exported across systems via the Predictive Model Markup Language standard.
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