Emory Clinical Data Warehouse

Kendra Little, MPHManager, Data SolutionsLITS Data SolutionsDepartment of Medicine DAB Core

Agenda

• Clinical Data Warehouse overview• Associated tools• Process for access• Other research platforms• Analytics resources at Emory• Using clinical data for research

Clinical Data Warehouse (CDW)

Overview

• Consolidated database for clinical quality, operational decision-making support, and research

• Integrates data from multiple business and clinical applications

• Includes some external benchmarking data

• Primary goal: Provide standardized metrics, filters, and reports to ensure that results are consistent over time, among users, and across the enterprise

Data Warehouse Diagram

Data Available

Caveats

• Not all data in PowerChart is automatically included in the CDW

• Most free text/note data is unavailable• Data availability can depend on clinical site (i.e. –

ESJH, EUH, etc.)

Additional Information

• Data is updated daily• More than 1,000 users employ the CDW to

collectively run over 250,000 reports monthly• Users have access to listservs to support

announcements and self-service analytics• Analytics Resource Center available for user guides

and training materials• Quarterly Analytics Collaborative for announcements

about projects and enhancements

CDW Tools

MicroStrategy

• Accessible via intranet• Allows users to:– Run pre-built reports– Drill down into the data– Create ad hoc queries– Export information– Create subscription reports for automated delivery

• MicroStrategy Web: https://prd-cdw-web.eushc.org/MicroStrategy/asp/Main.aspx

MicroStrategy

Visual Insight

• Dashboard tool for MicroStrategy• Allows users to:– Join datasets– Create visualizations (bar and line graphs, heat maps, etc.)– Share dashboards with end-users

Visual Insight

CDW Access

Access Process

• Lotus Notes request submitted by access coordinator• Select only minimum subject areas needed to

support projects• Must attend one day training• If using for research, additional 30-minute online

training required

Additional Platforms

i2b2

• Operated and funded by Georgia Clinical and Translational Science Award (CTSA)

• Open source technology created by Partners Healthcare and used by academic medical centers around the world

• Allows users to query parts of the CDW for patient counts and aggregate information

• Great for feasibility• Maps CDW to standards• IRB approval not required

i2b2

• https://i2b2.emory.edu

CRADLE

• Analytics sandbox supporting complex use cases in research and innovation

• De-identified data from the CDW• Data enriched through the incorporation of

additional data sources like Census and GA Death Data

• Hosted in Amazon Web Services (AWS) through AWS @ Emory

• Inquires can be submitted to datasolutions@emory.edu

Analytics Resources at Emory

Emory Healthcare Data Teams

• Decentralized analytics structure • Analysts based in departments or business center:– Emory Clinic– Office of Quality– Nursing Quality– Nursing Informatics

• Remedy tickets to request other reports

LITS Data Solutions

• Assists Emory University departments, biomedical research projects, and individual investigators in many aspects of data management and reporting

• Authorized to access Emory Healthcare and biomedical research data sources

• Trained to comply with security and privacy rules prescribed by HIPAA and Emory guidelines.

• Experienced in retrieving, validating, manipulating and aggregating data from intricate and disparate data sources

• Provide services that support activities associated to analyzing research and academic data

Supported Programs

• SOM Dean’s Office• Anesthesiology• Brain Health• Center for AIDS Research (CFAR)• Surgery• Surgical Critical Care Initiative (SC2i)• Radiology• Winship• Department of Medicine Data Analytics and Biostatics

(DAB) Core• Transplant

Other Services

• Data extraction– Assist researchers with data extractions from the CDW– Requests can be submitted through an online form

• Data support– Database development, dashboard generation, etc.– Inquires can be submitted to datasolutions@emory.edu

• These services are billed at $100/hour

Using Clinical Data for Research

Considerations

• Please ensure appropriate training is complete– HIPAA– CITI

• Consider taking Using Clinical Data for Research course in the Emory Learning Management System (ELMS)– Note: this course is required for research-related access to

the CDW

Helpful Links

• HIPAA Privacy Rule and research• Institutional Data Transfer Agreement • Office of Research Compliance• Health and Human Services De-Identification

Questions?