The InSIGHT Core helps researchers and quality improvement teams use the vast array of data available in today's healthcare world. As a part of operations, BIDMC collects and stores large amounts of electronic data. We also have an extensive research and quality improvement community.
However, high-quality analysis of this data requires iterative refinement of queries and cohort building by experts familiar with both the data and with working with investigators and improvers. The InSIGHT Core provides a translation layer, helping our researchers and QI teams get access to reliable, high quality data in a way they can use it.
Example: Your research assistant has filled out case report forms on 1,000 patients. Your protocol now calls for 15 different laboratory values, demographics, and length of stay data.
Service: The Core can pull these additional values for you and provide them in electronic format.
Example: You are interested in whether proton-pump inhibitors cause pneumonia and Clostridium difficile. You want to adjust for demographics, comorbidities, and many other factors - and you also need to understand which patients received proton pump inhibitors before their infection.
Service: The Core can work with you to build complete, large cohorts with detailed data on medications, laboratory results, movement in the hospital, procedures, diagnoses, and other factors.
Example: You have one Excel sheet that has your subject information - one row per subject - and another with lab results - each lab in one row, so many rows per patient. What you want is one row per patient, with admission labs and discharge labs, but you're having trouble getting it like you want.
Service: We can help you get the data into whatever structure you and your biostatistician need.
Example: You are planning an R01, and think your grant would be much stronger if you knew the median length of stay and overall mortality rate in 50-65 year old women hospitalized on Wednesdays who had a previous cardiac catheterization at BIDMC.
Service: The Core can extract these data from existing clinical data repositories and help you.