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Riley Physicians Quality Network
In 2011 the IU School of Medicine and the Indiana State Department of Health established the Children’s Health Improvement Partnership Indiana, known as CHIP IN. The mission of CHIP IN is to engage government agencies, professional medical organizations, insurers, family organizations and community partners in collaborative, measurement based, quality improvement initiatives. This happens by translating evidence-based practices into implementable steps, creating realistic and measurable quality improvements, and partnering with families and health care providers to improve care.
One of the challenges of conducting clinical research is patient recruitment. Children’s Health Services Research established the Pediatric Research Network, also known as PResNet, to facilitate patient recruiting in an outpatient setting. The Pediatric Research Network also facilitates and supports a broad range of research initiatives originated by practitioners and investigators from within and from outside of the network.
Research Areas of Focus
Research conducted by the Children’s Health Services Research is concentrated within four priority areas.
Children’s Health Services Research operates one of the largest and most active pediatric informatics programs in the country. Physician scientists and software engineers in the Child Health Informatics Research and Development Lab use that data to develop information systems for use in routine clinical practice to capture and analyze health information. One such system is Child Health Improvement through Computer Automation, also known as CHICA, a computer-based pediatric clinical decision support system which improves the delivery of primary care to children.
Other examples of incorporating IT with pediatric research include the use of geostatistical data to study how physical and social environments impact children’s health; a cell phone application that monitors glucose to increase self-management behaviors in adolescents with diabetes; and use of global positioning systems to track the movement and context associated with risky behaviors among adolescent women.
Faculty members are active on committees that generate local and national health care guidelines and frequently present research evidence to legislators, administrators and other community members who determine health policy. One such example is the Medicaid Medical Advisory Cabinet, an interdisciplinary team of clinicians and researchers who provide research-based policy advice to Indiana’s Office of Medicaid Policy and Planning so its members can make informed policy decisions. Other faculty members have provided leadership to the American Academy of Pediatrics Partnership for Policy Implementation, a program to integrate health information technology functionalities into AAP policy.
Efforts to help vulnerable children include longitudinal surveillance of families with children with special health care needs and partnering with centers that serve families who face linguistic or economic barriers to health care.
Children’s Health Services Research is a leader in the development of the OpenMRS, an open source medical record system platform for developing countries. Several faculty members are leaders in the Academic Model Providing Access to Healthcare (AMPATH), a partnership with Moi University and Moi Teaching and Referral Hospital in Kenya, and a consortium of North American academic health centers led by Indiana University, working in partnership with the Government of Kenya.