The ReImagine EHR initiative is supported by University of Utah Health, corporate partnerships, and >$35 million in research support from agencies including the NIH, AHRQ, PCORI, CDC, and CMS. Below are a representative sample of ReImagine EHR projects supported by research grants.
Supporting closed-loop surgical referrals with a SMART on FHIR dashboard
To implement a surgical referral SMART on FHIR dashboard that allows providers from different specialties to share a mental model of patient care and support surgical care transitions between the inpatient and outpatient settings.
Scalable decision support and shared decision making for lung cancer screening
To increase appropriate lung cancer computed tomography screening through the development and wide dissemination of EHR-integrated clinical decision support tools, including a SMART on FHIR shared decision making app for lung cancer screening.
Scalable clinical decision support for individualized cancer risk management
To develop a standards-based population health management platform, with a focus on identifying, engaging, and managing patients who meet evidence-based criteria for genetic testing of familial breast and colorectal cancer. Standards used include FHIR and CDS Hooks.
Leveraging an electronic medical record infrastructure to identify primary care patients eligible for genetic testing for hereditary cancer and evaluate novel cancer genetics service delivery models
To leverage the standards-based population health management platform described above to compare two approaches for delivering genetic counseling and testing for hereditary cancer to primary care patients: standard of care for genetic services or a self-directed approach assisted by an automated chatbot that provides education and explanation of results.
Enabling shared decision making to reduce harm from drug interactions: an end to end demonstration
To enable scalable shared decision-making dashboards that graphically communicate risks and decision options related to potential drug-drug interactions. Standards used include SMART on FHIR, CDS Hooks, and the Clinical Quality Language.
Community-academic partnership to address COVID-19 among Utah community health centers
To use multi-level CDS interventions (standardized symptom screening in the EHR, text messaging outreach to patients, and patient navigation) to increase the uptake of COVID-19 testing and immunization among underserved populations in community health centers throughout Utah.
Clinical health information exchange-based shared-care collaborative patient summary
To design, develop and implement a SMART on FHIR patient summary dashboard that integrates information from across healthcare systems through a statewide health information exchange to support the care of children with special healthcare needs.
Clinical decision support system to optimize disease management
To develop a standards-based, EHR-integrated diabetes management dashboard with predictive analytics about best treatment options and likely outcomes; and to conduct a clinical trial to evaluate the system’s impact. Standards used include SMART on FHIR and CDS Hooks.