Wallace Paul J, Shah Nilay D, Dennen Taylor, Bleicher Paul A, Crown William H
Paul J. Wallace (
Nilay D. Shah is an associate professor of health services research, Department of Health Sciences Research, Mayo Clinic, in Rochester, Minnesota.
Health Aff (Millwood). 2014 Jul;33(7):1187-94. doi: 10.1377/hlthaff.2014.0038.
Unprecedented change in the US health care system is being driven by the rapid uptake of health information technology and national investments in multi-institution research networks comprising academic centers, health care delivery systems, and other health system components. An example of this changing landscape is Optum Labs, a novel network "node" that is bringing together new partners, data, and analytic techniques to implement research findings in health care practice. Optum Labs was founded in early 2013 by Mayo Clinic and Optum, a commercial data, infrastructure services, and care organization that is part of UnitedHealth Group. Optum Labs now has eleven collaborators and a database of deidentified information on more than 150 million people that is compliant with the Health Insurance Portability and Accountability Act (HIPAA) of 1996. This article describes the early progress of Optum Labs. The combination of the diverse collaborator perspectives with rich data, including deep patient and provider information, is intended to reveal new insights about diseases, treatments, and patients' behavior to guide changes in practice. Practitioners' involvement in agenda setting and translation of findings into practical care innovations accelerates the implementation of research results. Furthermore, feedback loops from the clinic help Optum Labs expand on successes and give quick attention to challenges as they emerge.
美国医疗保健系统前所未有的变革正由健康信息技术的迅速普及以及国家对多机构研究网络的投资所推动，这些网络涵盖学术中心、医疗保健服务系统及其他医疗系统组成部分。这种不断变化的格局的一个例子是Optum Labs，这是一个新型网络“节点”，它将新的合作伙伴、数据和分析技术汇聚在一起，以便在医疗保健实践中应用研究成果。Optum Labs于2013年初由梅奥诊所和Optum共同创立，Optum是一家商业数据、基础设施服务和护理组织，是联合健康集团的一部分。Optum Labs目前有十一个合作伙伴，拥有一个符合1996年《健康保险流通与责任法案》（HIPAA）的、包含超过1.5亿人去识别化信息的数据库。本文描述了Optum Labs的早期进展。不同合作伙伴的观点与丰富数据（包括深入的患者和医疗服务提供者信息）相结合，旨在揭示有关疾病、治疗方法和患者行为的新见解，以指导实践中的变革。从业者参与议程设定并将研究结果转化为实际的护理创新，加速了研究成果的实施。此外，来自诊所的反馈回路有助于Optum Labs扩大成功经验，并在挑战出现时迅速加以关注。
