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Distributed Network Solution (DNS) is a complete answer for organizations who want to share information, but do not want to share the underlying data. DNS does not force data providers to put data in a central data warehouse. Instead information requests are sent to data providers who review and process them against data within their own firewalls, sending back only the results.
DNS is a complete "software as a service" solution that includes Web and desktop applications, FISMA compliant Tier III hosting, technical / customer maintenance and support, and a wide range of additional services including; network planning and envisioning, request / schema / policy design and development, statistics and analytics, and new feature development.
Work With Harvard Pilgrim Is Published In The New England Journal of Medicine
DNS (PMN) chosen as part of the ONC Query Health reference implementation standard
HMORN DEcIDE Developing Evidence to Improve Decisions about Effectiveness (DEcIDE) Network
The HMORN DEcIDE-1 Network is one of several established through AHRQ's Effective Health Care program, which offered task order opportunities using the health plans' defined populations, providers, delivery systems, and unique data resources to develop information about therapeutic effectiveness within typical clinical settings. The HMORN's DEcIDE-1 Network has been continuously funded by AHRQ since 2005. Twelve of the HMORN research centers in the U.S. participate.
The HMORN DEcIDE-2 Network continues to support AHRQ's response to the Medicare Modernization Act's mandates for comparative effectiveness and safety research. The Network develops scientific evidence and methodologies about the outcomes, comparative clinical effectiveness, safety, and appropriateness of health care items and services for improving the quality, effectiveness, and efficiency of healthcare.
The HMORN's DEcIDE-2 Network received funding from AHRQ in 2010 and is made up of 14 HMORN research centers.
FDA Mini-Sentinel
FDA's "Mini-Sentinel" pilot program, the Agency's first step towards building a nationwide rapid-response electronic safety surveillance system for drugs and other medical products (which will be called the Sentinel System), is now up and running, enabling scientists to evaluate safety questions far more rapidly than using traditional channels. Mini-Sentinel includes 17 data partners across the U.S., and encompasses the data of nearly 100 million patients, 2.9 billion prescription drug dispensing, and 2.4 billion unique medical encounters including 38 million acute inpatient hospital stays.
For more information please visit the Mini-Sentinel website.
HMORN SPAN
Scalable PArtnering Network for Comparative Effectiveness Research (SPAN)
The Scalable PArtnering Network for Comparative Effectiveness Research (SPAN) project involves both the development of Information Technology (IT) and comparative effectiveness research. SPAN is a distributed research network that links all participating sites through IT that builds on previously constructed HMORN data query tools. Investigators employ the SPAN query tool to conduct analysis preparatory to research, as well as multivariable statistical analysis, using data marts built to specifically address comparative effectiveness research questions related to obesity and ADHD.
SPAN involves 10 HMORN institutions, as well as Denver Health and Hospital Authority. SPAN was funded by AHRQ in 2010 with American Recovery and Reinvestment Act (ARRA) funds.
PEAL
The Population-Based Effectiveness in Asthma and Lung Diseases Network
The Population-based Effectiveness in Asthma and Lung Diseases (PEAL) project is working to better elucidate the factors that affect prescribing and adherence to asthma controller medications in diverse populations. The project uses DNS for secure file transfers and distributed analytics.
MDPHNet (under construction)
Massachusetts eHealth Institute Disease Surveillance Network
Users logged into the secure MDPHnet website will be able to generate data reports in several different ways. The first process is to run a set of pre-defined reports developed to execute against the ESP data model. The MDPHnet portal will allow the user to access aggregated views of the ESP data, pulled from different locations, into one cohesive standardized report. Users can also schedule the reports to run on a recurring basis (ex. Every Monday; once a month; etc.). Alternatively, the user can send her/his own analytic code to query the ESP database, or select from a standard list of fields for a unique report.
The goal of the project is to establish a platform through which MDPH and MLCHC staff and community health center providers can access population health reports for influenza-like illness and diabetes that are timely and useful. Evaluations will be performed to assess the usability of the MDPHnet portal as well as the data generated from ESP and MDPHnet.
Harvard Pilgrim Health Care is a full-service health benefits company serving members throughout Massachusetts, New Hampshire, Maine and beyond. Lincoln Peak Partners has designed and developed and is now managing and supporting a Distributed Network Solution that allows researchers to collaborate and share information while protecting patient and institutional privacy and conforming to HIPPA standards.