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A Web-Based Framework for Deploying Predictive Clinical Models



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PRISM A Web Based Framework for Deploying Predictive Clinical Models GE Soto1 P Jones2 JA Spertus2 1 Washington University School of Medicine Saint Louis MO USA 2 Mid America Heart Institute Kansas City MO USA device and work flow constraints 3 the need for a sustainable mechanism for updating predictive models and deploying revisions in a timely fashion and 4 the difficulty of integrating with existing IT infrastructures and disparate clinical information systems To help outcomes researchers overcome these obstacles we sought to develop a software application suite to facilitate the rapid translation of evidenced based predictive models into robust web based tools capable of providing rich visual representations of predicted outcomes at the point of patient care such a system would have the potential to advance the quality of patient care by rapidly disseminating the newest knowledge to the clinical setting Abstract In an era of cardiovascular care where novel clinical biochemical genetic and imaging determinants impacting patient outcomes are being continuously discovered the field of outcomes research offers clinicians and patients the potential to make better informed health care decisions through the use of sophisticated risk adjustment models that incorporate patients clinical characteristics and treatments However the translation of such models to clinical practice has been severely limited by their mathematical complexity the ongoing evolution of models over time and the difficulty in conveying the outputs of these models in a format useful to physicians and their patients Herein we present an application suite for creating web based clinical tools for delivering risk adjustment models to the bedside This suite offers an intuitive visual interface for building models as well as a broad range of easy to understand graphical output options 1 2 The Personalized Risk Information Services Manager or PRISM is based on Microsoft s MS ASP NET platform and utilizes



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