Vis isualiz ualizing ing pat patter erns ns of of as asthma - - PowerPoint PPT Presentation

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Vis isualiz ualizing ing pat patter erns ns of of as asthma - - PowerPoint PPT Presentation

Nov 29, 2022 226 likes •359 views

Select SLIDE MASTER to Insert Briefing Title Here Vis isualiz ualizing ing pat patter erns ns of of as asthma hma medication medicat ion pr pres escr cribing ibing in in the he Milit ilitar ary Healt Health h System em us

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Slide 1 23 May 2012

Vis isualiz ualizing ing pat patter erns ns of

  • f as

asthma hma medicat medication ion pr pres escr cribing ibing in in the he Milit ilitar ary Healt Health h System em us using ing Event entFlow Flow

Tamra Meyer1, Megan Monroe2, Jeff Millstein3, Suji Xie1, Trinka Coster1

1Pharmacovigilance Center, Office of the Surgeon General,

Department of the Army;

2 University of Maryland, Computer Science and HCIL; 3Oracle Health Sciences

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Research Question

Are LABAs being misprescribed in the MHS?

  • Appropriate LABA Prescribing- Ordered Patterns

– LABA only in conjunction with ICS = LABA/ICS – Step-up or step down therapy

  • SABA step-up to ICS step-up to LABA/ICS
  • LABA/ICS step down to ICS and/or SABA

Acronym Alert ICS: Inhaled Corticosteroid LABA: Long-acting Beta Agonist MHS: Military Health System SABA: Short-acting Beta-Agonist

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9.5 million people have access to benefits

MHS Population

Family member of retired or survivor Family member

  • f active duty,

guard, reserves Active duty, guard, reserves Retired from active duty, guard, reserves

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SOURCES REPOSITORY

MHS Data Repository

EHR ELIGIBILITY/ ENROLLMENT ADMIN CLAIMS PHARMACY RECORDS

110 HOSTS

DATA MART

PII preprocessor

PHARMACOVIGILANCE DEFENSE APPLICATION SYSTEM (PVDAS)

Data Source

Acronym Alert EHR: Electronic Health Record PII: Personally Identifiable Information

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Methods

Extract asthma medications surrounding LABA Rx

174,238 Asthma patients with a new LABA Rx

100 patients

ID Group Start End 1333 LABA_ICS 2006-01-13 2006-02-11 1333 LABA_ICS 2006-02-05 2006-03-05 1333 LABA_ICS 2006-03-03 2006-04-01 1333 SABA 2006-03-03 2006-04-01 1333 ICS 2006-04-01 2006-04-30 1333 ICS 2006-05-01 2006-05-30 1718 SABA 2008-06-23 2008-07-22 1718 ICS 2009-02-10 2009-03-10 1718 LABA_ICS 2009-02-24 2009-03-24

Categorize into groups and process file for EventFlow

Jan 2006-Jan 2011

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EventFlow: Ordered Patterns Are Combined

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All Asthma Drugs

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Align on First LABA-ICS

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View LABA and ICS Only

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LABA and ICS in Those Who Started With LABA Alone

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EventFlow Summary

  • Simple data structure
  • Intuitive display
  • Alignment tool was very powerful-quickly and easily

identified possible patterns of suboptimal LABA prescribing

  • Scaling up to larger samples is critical
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The Army’s Home for Health…

Saving Lives and Fostering Healthy and Resilient People

~ Partnerships Built on Trust