SMART/FHIR

This research will create the Shared Decision Aid Navigator System to improve the implementation, integration, and scaling of patient shared decision aids into health informatics systems, aiding shared decision making and improving patient-centered outcomes.

This study will develop, evaluate, and disseminate a multicomponent intervention including a mobile health application and digital navigator training to support safe care transitions for patients with multiple chronic conditions.

This research will apply Substitutable Medical Applications, Reusable Technologies (SMART)-on-Fast Healthcare Interoperability Resources (FHIR) standards to a current patient-centered web-based application (app) for heart failure medication optimization and evaluate its effectiveness in guideline-directed medication prescribing for heart failure.

This research will adapt and disseminate an effective clinical decision support tool and a patient-facing SMART on FHIR application to help patients and their doctors make informed, patient-centered decisions regarding lung cancer screening.

This research will refine an existing interoperable, patient-facing blood pressure control tool--the Collaboration Oriented Approach to Controlling High Blood Pressure (COACH) application--evaluate its implementation into three diverse clinical settings; conduct a randomized trial to assess its impact on lowering blood pressure; and develop a shareable, interoperable mechanism to aid in the dissemination of patient-facing clinical decision support tools.

This research will adapt an existing interoperable clinical decision support (CDS) tool for prevention of venous thromboembolism (VTE) to those with traumatic brain injury, scale it using an implementation strategy called SCALED (Scaling AcceptabLE cDs), and evaluate that approach to ensure that CDS tools are based on the most current evidence.