Project 1. e-Pharmacovigiliance II: Surveillance for Safety and Effectiveness

G Schiff speaking about Project 1

To address the growing importance of integrating information about the safety and effectiveness of commonly used medications in primary care practice, we are conducting a second phase of our e-pharmacovigilance project for this HIT-CERT. This work will extend our earlier work by: capturing patient-reported information about the effectiveness of treatment in addition to adverse drug events (ADEs), adding a web-based interface to the interactive voice response system (IVRS) format to improve the reach of the tools, adding a pharmacist “case manager” to help address the management of patients with ADEs, and a focus on the comparison of outcomes for patients with certain common target conditions.

We therefore undertake the following Specific Aims:
Specific Aim 1 . To develop a patient-reported, EHR-integrated system to actively monitor the safety and effectiveness of treatment for patients taking FDA-approved medications for one of four common chronic conditions: diabetes, hypertension, insomnia, and depression, with integrated management support by a pharmacist.
Specific Aim 2: To measure the reach, effectiveness, adoption and implementation of this integrated module for adult primary care patients in the Brigham and Women's Primary Care Practice-Based Research Network.

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