A multiregional registry experience using an electronic medical record to optimize data capture for longitudinal outcomes in endovascular abdominal aortic.

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A multiregional registry experience using an electronic medical record to optimize data capture for longitudinal outcomes in endovascular abdominal aortic aneurysm repair Robert J. Hye, MD, Tazo S. Inui, MD, Faith F. Anthony, MA, Mary-Lou Kiley, MBA, LCSW, Robert W. Chang, MD, Thomas F. Rehring, MD, Nicolas A. Nelken, MD, Bradley B. Hill, MD Journal of Vascular Surgery Volume 61, Issue 5, Pages 1160-1167 (May 2015) DOI: 10.1016/j.jvs.2014.12.055 Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 1 Workflow schematic demonstrating how International Classification of Diseases, Ninth Revision (ICD-9) codes are used to identify cases for import and subsequent screening by clinical reviewers. AAA, Abdominal aortic aneurysm; Dx, diagnosis; EMR, electronic medical record; EVAR, endovascular aortic aneurysm repair. Journal of Vascular Surgery 2015 61, 1160-1167DOI: (10.1016/j.jvs.2014.12.055) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 2 Overview of registry process workflow. Data in the left-hand column were imported from surgeon-entered SmartPhrase data forms as well as the electronic medical record (EMR). After verification, data are mapped to the Structured Query Language (SQL) database, from which they are available for a variety of reports, research projects, and even device recalls as needed. Journal of Vascular Surgery 2015 61, 1160-1167DOI: (10.1016/j.jvs.2014.12.055) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 3 Example of preformatted template for data capture by surgeons at time of operation. Journal of Vascular Surgery 2015 61, 1160-1167DOI: (10.1016/j.jvs.2014.12.055) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 4 Percentage type of femoral artery access by Kaiser Permanente (KP) region (2010-2013). Significant variability was observed, although this variation closed over time with a shift toward percutaneous intervention (not shown). Journal of Vascular Surgery 2015 61, 1160-1167DOI: (10.1016/j.jvs.2014.12.055) Copyright © 2015 Society for Vascular Surgery Terms and Conditions

Fig 5 Rate of reintervention and cause for reintervention in Kaiser Permanente (KP) patients undergoing endovascular aneurysm repair (EVAR), all regions (2010-2013). CFA, Common femoral artery; CIA, common iliac artery. Journal of Vascular Surgery 2015 61, 1160-1167DOI: (10.1016/j.jvs.2014.12.055) Copyright © 2015 Society for Vascular Surgery Terms and Conditions