title: Implementation of a health data-sharing infrastructure across diverse primary care organizations.
abstract: Practice-based research networks bring together academic researchers and primary care clinicians to conduct research that improves health outcomes in real-world settings. The Washington, Wyoming, Alaska, Montana, and Idaho region Practice and Research Network implemented a health data-sharing infrastructure across 9 clinics in 3 primary care organizations. Following implementation, we identified challenges and solutions. Challenges included working with diverse primary care organizations, adoption of health information data-sharing technology in a rapidly changing local and national landscape, and limited resources for implementation. Overarching solutions included working with a multidisciplinary academic implementation team, maintaining flexibility, and starting with an established network for primary care organizations. Approaches outlined may generalize to similar initiatives and facilitate adoption of health data sharing in other practice-based research networks.
authors.affiliation: Department of Family Medicine, and WWAMI region Practice and Research Network, University of Washington, Seattle (Drs Cole and Baldwin and Ms Keppel); and Institute of Translational Health Sciences, and Department of Psychiatry, University of Washington, Seattle (Drs Stephens and Lin).
authors.forename: Allison M
authors.initials: AM
authors.lastname: Cole
authors.forename: Kari A
authors.initials: KA
authors.lastname: Stephens
authors.forename: Gina A
authors.initials: GA
authors.lastname: Keppel
authors.forename: Ching-Ping
authors.initials: CP
authors.lastname: Lin
authors.forename: Laura-Mae
authors.initials: LM
authors.lastname: Baldwin
mesh_terms: D000413:Alaska; D003299:Cooperative Behavior; D004059:Diffusion of Innovation; D006302:Health Services Research; D006801:Humans; D033181:Information Dissemination / Q000379:methods*; D015205:Northwestern United States; D011320:Primary Health Care / Q000458:organization & administration*