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Archive for April, 2013

Women’s Health Resources Dissemination Outreach Project

The NIH Office of Research on Women’s Health (ORWH) and the National Library of Medicine partnered to fund a pilot program for information outreach dissemination projects to promote the NLM-ORWH Women’s Health Resources Web Portal, and to support the ORWH Strategic Goals. All projects focused on information dissemination, and information access or resource development for a university/college or community agency. Each project will promote the NLM-ORWH Women’s Health Resources portal, create a library guide on sex and gender differences/research information resources at the university/college, and promote The Science of Sex and Gender in Human Health online curriculum to students and faculty.

Nine sites were funded, including two in the Pacific Southwest Region:

  • Arizona Health Sciences Library, University of Arizona
  • Earl S. Richardson Library, Morgan State University
  • Hardin Library for Health Sciences, University of Iowa
  • Health Science Center Libraries, University of Florida
  • Lamar Soutter Library, University of Massachusetts Medical School
  • Lister Hill Library of the Health Sciences, University of Alabama
  • Medical University of South Carolina Library
  • Oviatt Library, California State University, Northridge
  • Spencer S. Eccles Health Sciences Library, University of Utah

Congratulations to all the awardees!

NLM-Funded Study Offers New Insight into Statin Discontinuation

Research funded by the National Library of Medicine provides new insight into why patients stop taking drugs that lower their cholesterol, and what happens when patients try those drugs, known as statins, a second time. Researchers found that more than 90% of patients who stopped taking statins because of an adverse reaction could tolerate the medication when tried again. The study is published in the April 2, 2013, issue of the Annals of Internal Medicine.

NLM grantee Alexander Turchin MD, MS, of Brigham and Women’s Hospital, a teaching affiliate of Harvard Medical School, notes that statins are commonly stopped even though their benefits are well documented. He and colleagues wanted to better understand why statins are discontinued and whether adverse reactions play a role. They conducted a retrospective study, analyzing clinical data in an electronic medical record (EMR) system. Researchers examined structured data as well as the narrative electronic notes of health providers. Those notes frequently are the only place in an EMR where adverse reactions to medications are documented. Using the NLM grant, researchers developed natural language processing software and scoured more than 5 million notes, on more than 107,000 patients, recorded over nearly a decade. The software generated data on a scale that could not have been done manually. Researchers say the next step would be to conduct a clinical trial to determine if outcomes are improved when statins are tried again, after an adverse event.

The National Library of Medicine, part of the National Institutes of Health, conducts and funds research in biomedical informatics, which involves applying computers and communications technology to the field of health. This research was supported by NLM’s Division of Extramural Programs grant RC1-LM010460. This was an NIH Challenge Grant, supported by NLM with funds from the American Recovery and Reinvestment Act. For additional information, visit the Brigham and Women’s Hospital News Release.

NLM VSAC Publishes Annual Update for 2014 Eligible Hospital Clinical Quality Measure Value Sets

The National Library of Medicine (NLM) Value Set Authority Center (VSAC), in collaboration with the Office of the National Coordinator for Health Information Technology (ONC) and Centers for Medicare & Medicaid Services (CMS), has published the annual update for the 2014 Eligible Hospital Clinical Quality Measure (CQM) Value Sets. The update includes revised value sets to address deleted and remapped codes in the latest terminology versions, as well as new codes for addressing CQM logic corrections and clarifications. The NLM update of the VSAC coincides with the CMS posting of the official updated 2014 Eligible Hospital CQMs.

The value sets provide lists of the numerical values and individual names from standard vocabularies used to define the clinical concepts (e.g. diabetes, clinical visit) used in the CQMs. The content of the VSAC will gradually expand to incorporate value sets for other use cases, as well as for new measures and updates to existing measures. The VSAC offers a Downloadable Resource Table (DRT), accessible from the “Download” tab on the VSAC Web page, that provides prepackaged downloads for the most recently updated and released 2014 CQM Value Sets, as well as to previously released versions. Access to the Value Set Authority Center requires a free Unified Medical Language System® Metathesaurus License. NLM also provides the Data Element Catalog that identifies data element names (value set names) required for capture in Electronic Health Record (EHR) technology, certified under the 2014 Edition of the ONC Standards and Certification Criteria.

The following resources are available to help health care providers and vendors navigate the 2014 CQMs:

April 2013 Issue of NIH News in Health

Illustration of a man waking up and stretching before a sun-filled window.NIH News in Health is a monthly newsletter from the National Institutes of Health, part of the U.S. Department of Health and Human Services. The National Institutes of Health (NIH) plays a major role in finding better ways to diagnose, treat, cure or prevent diseases. The practical health information in NIH News in Health is reviewed by NIH’s medical experts and based on research conducted either by NIH’s own scientists, or by grantees at universities and medical schools around the country. This issue features:

NIH News in Health is available online in both HTML and PDF formats. Print copies are available free of charge for offices, clinics, community centers and libraries within the U.S.