Evidence map›Paper›PMID 36893419›Full record

ArticleMedical care2023

Development of a Common Data Model for a Multisite and Multiyear Study of Virtual Visit Implementation: A Case Study.

Douglas W Roblin, Kevin B Rubenstein, Heather M Tavel, Glenn K Goodrich, Debra P Ritzwoller, Julia M Certa, Sundeep S Basra, Nancy S Weinfield, Lee A Cromwell, Bennett McDonald and 3 more

Abstract read
In one paragraph

Article in Medical care, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Collaborative pharmacy research across integrated health systems: A purpose and promise for opportunities to study the complete medication-use process.American journal of health-system pharmacy : AJHP : official journal of the American Society of Health-System Pharmacists · 2025
    Article
  4. Review
  5. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Douglas W RoblinKaiser Permanente, Mid-Atlantic Permanente Research Institute, Rockville, MD.
Kevin B RubensteinKaiser Permanente, Mid-Atlantic Permanente Research Institute, Rockville, MD.
Heather M TavelKaiser Permanente, Institute for Health Research, Denver, CO.
Glenn K GoodrichKaiser Permanente, Institute for Health Research, Denver, CO.
Debra P RitzwollerKaiser Permanente, Institute for Health Research, Denver, CO.
Julia M CertaKaiser Permanente, Mid-Atlantic Permanente Research Institute, Rockville, MD.
Sundeep S BasraKaiser Permanente, Mid-Atlantic Permanente Research Institute, Rockville, MD.
Nancy S WeinfieldKaiser Permanente, Mid-Atlantic Permanente Research Institute, Rockville, MD.
Lee A CromwellKaiser Permanente, Center for Research and Evaluation, Atlanta, GA.
Bennett McDonaldKaiser Permanente, Center for Research and Evaluation, Atlanta, GA.
Teaniese L DavisKaiser Permanente, Center for Research and Evaluation, Atlanta, GA.
Jennifer C GanderKaiser Permanente, Center for Research and Evaluation, Atlanta, GA.
Courtney E McCrackenKaiser Permanente, Center for Research and Evaluation, Atlanta, GA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

BACKGROUND/

objectiveIn multisite studies, a common data model (CDM) standardizes dataset organization, variable definitions, and variable code structures and can support distributed data processing. We describe the development of a CDM for a study of virtual visit implementation in 3 Kaiser Permanente (KP) regions.

methodsWe conducted several scoping reviews to inform our study's CDM design: (1) virtual visit mode, implementation timing, and scope (targeted clinical conditions and departments); and (2) extant sources of electronic health record data to specify study measures. Our study covered the period from 2017 through June 2021. Integrity of the CDM was assessed by a chart review of random samples of virtual and in-person visits, overall and by specific conditions of interest (neck or back pain, urinary tract infection, major depression).

resultsThe scoping reviews identified a need to address differences in virtual visit programs across the 3 KP regionsto harmonize measurement specifications for our research analyses. The final CDM contained patient-level, provider-level, and system-level measures on 7,476,604 person-years for KP members aged 19 years and above. Utilization included 2,966,112 virtual visits (synchronous chats, telephone visits, video visits) and 10,004,195 in-person visits. Chart review indicated the CDM correctly identified visit mode on>96% (n=444) of visits, and presenting diagnosis on >91% (n=482) of visits.

conclusionsUpfront design and implementation of CDMs may be resource intensive. Once implemented, CDMs, like the one we developed for our study, provide downstream programming and analytic efficiencies by harmonizing, in a consistent framework, otherwise idiosyncratic temporal and study site differences in source data.

Indexed as

TelemedicineHumansResearch Design

Identifiers

PMID36893419
PMCPMC9994571

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.