Paul Hitz

Paul Hitz
Essentia Institute of Rural Health · Department of Research

About

16
Publications
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38
Citations

Publications

Publications (16)
Article
Full-text available
Objectives: Clinical guidelines for the use of opioids in chronic noncancer pain recommend assessing risk for aberrant drug-related behaviors prior to initiating opioid therapy. Despite recent dramatic increases in prescription opioid misuse and abuse, use of screening tools by clinicians continues to be underutilized. This research evaluated natu...
Article
Background/Aims: Despite the drastic increases in prescription opioid misuse and abuse, risk assessment for aberrant drug-related behaviors prior to initiating opioid therapy for chronic noncancer pain management continues to be underutilized in clinical practice. The purpose of the study was to investigate availability of data elements in the elec...
Conference Paper
Background/Aims: Structured data in the electronic health record only tell part of the story of a patient’s health. Much of the information necessary for health assessment and treatment is located in notes. This information is vital for maintaining care quality as well as for use in research. Manual abstraction of this information is costly and tim...
Conference Paper
Background. As the prevalence of older adults, especially those with multiple and chronic conditions, continues to grow, health care providers need to effectively identify patients who will benefit most from care coordination to ensure appropriate and timely care and reduction of avoidable services and costs. This study focused on identifying patie...
Conference Paper
Full-text available
Background/Aims Most HMORN members offer both insurance coverage and health care. Health plan enrollment provides a well-defined population denominator for HMORN-based research. The HMORN common data model combines electronic data, routinely collected in health care delivery or claims processing, into the Virtual Data Warehouse (VDW). Sites with he...
Article
Full-text available
Studying rare outcomes, new interventions and diverse populations often requires collaborations across multiple health research partners. However, transferring healthcare research data from one institution to another can increase the risk of data privacy and security breaches. A working group of multi-site research programmers evaluated the need fo...
Conference Paper
Full-text available
Background/Aims Defining a population denominator is a major challenge in practice-based research. Because health plan membership is unknown, population denominators must be determined by alternate methods, e.g., healthcare utilization. Such an approach may introduce bias since the resulting population may only represent a small portion of individu...
Conference Paper
Full-text available
Background/Aims The Virtual Data Warehouse (VDW) was created as a mechanism to produce comparable data across sites for purposes of proposing and conducting research. The VDW is not a multi-site physical database at a centralized location, but a distributed 'virtual' database with the data remaining at the local sites. At the core of the VDW are a...
Article
Full-text available
Background Multi-site health sciences research is becoming more common, as it enables investigation of rare outcomes and diseases and new healthcare innovations. Multi-site research usually involves the transfer of large amounts of research data between collaborators, which increases the potential for accidental disclosures of protected health info...
Article
Full-text available
Background/Aims The population seeking dental care at the Marshfield Clinic has grown substantially in recent years, partly as a result of increased capacity with the construction of new Marshfield Clinic dental clinics. The influx of additional dental data presents a great opportunity to enhance our dental research within the Marshfield Clinic Res...
Article
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Background/Aims Assuring that complete and correct laboratory test results are brought into the VDW and associated with the correct Test_Type is an ongoing task. Many problems can occur. For example, a particular version of a test can incorrectly be left out when the data are extracted. Results can be duplicated, or results can be associated incorr...
Article
Full-text available
Background/Aims Drug Induced Liver Injury (DILI) is a major cause of liver failure in the US and the leading reason for failure of investigational drugs in clinical trials, lack of drug approval, and post-market withdrawal of approved drugs. Recent genome-wide association studies have identified variations within the major histocompatibility comple...
Article
Full-text available
Background: HMORN leadership charged several Workgroups to check and describe Virtual Data Warehouse (VDW) data areas, provide observations on data quality across sites, and recommend needed actions. Availability of laboratory (lab) results data in the VDW in a standardized format is desirable, but across HMORN sites, lab content is either incomple...
Article
Full-text available
Background/Aims: The VDW Demographic and Enrollment data files contain basic demographic data on all HMO members. These data include details of membership (start and end dates, whether drug coverage was included, type of insurance [Medicare, Medicaid, etc]). Demographic data include birthdate, gender, race/ethnicity. Demographic and enrollment data...

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