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ReCES Manager
SimProbe
ReCES Monitor
ReCES Licensing
ROI Case Study

For organizations involved in clinical trial research, as the list of research studies grow, the evaluation of the increasing number of study parameters to determine viable candidates becomes increasingly difficult, if not impossible.  Most studies require the evaluation of many different aspects of the encounter for inclusion or exclusion for each study: medications, diagnoses, vitals, demographics, lab results, etc.  The ReCES system decreases the burden by performing the study parameter evaluations during the course of the encounter and alerting the provider of possible candidates so they are able to assess the interest of the patient to participate in research studies while the patient is in the clinic.  The real-time nature of the  ReCES system also allows for the evaluation of acute condition studies which would be almost impossible otherwise and helps to avoid exclusionary actions that may disqualify the patient. 

Key Functionality

Patient Evaluation Criteria:

• Diagnosis codes - inclusion/exclusion criteria and  wildcard characters for range checks. 

• Medications - inclusion/exclusion lists, easily search and select from the entire EMR medication list.

• EMR template field criteria – Text, date, numeric and decimal values. Range checks for number and date fields and exact and partial matches for text fields. The ability to designate a minimum number of data points for evaluation as well as a maximum timeframe for the values.

• Parameter groups that can be defined as inclusion/exclusion and configured to evaluate multiple fields as a single parameter.

• Limit the studies to any combination of enterprise, practice and location.

• No limit on the number of parameters a study can have.

Candidate Management:

• Exclusion lists so patients opting out of particular studies or research participation completely will not be scanned. 

• Study priority management so patients qualifying for multiple studies are not contacted multiple times by different coordinators working with different studies.

• Patient status tracking so coordinators can keep track of where each patient is in the qualification process.

• Preliminary database scans which include demographic, diagnosis and medication parameters either ad hoc or from a defined study to find initial patients that may qualify before encounter scanning is implemented or as a tool to determine potential study participation success based on your patient population.

• Use of the EMR inclusion lists to segregate enrolled patients so study monitors can evaluate enrolled patient charts without elaborate security settings for the EMR.

• Evaluation of study parameter values for each qualifying patient allowing the coordinator to concentrate on the most likely candidates for enrollment when initial qualifying values are relatively broad.

The ReCES application suite consists of three applications that work together to configure and process encounter information from the EMR.

ReCES Manager is the data management application where the research studies are defined and candidate information is processed.  The ReCES application can be configured to check virtually ANY FIELD in any EMR template as a study evaluation parameter.  The ReCES application also provides management capabilities for potential candidates so the research coordinators can further evaluate the patient and document work performed.

SimProbe is an application that runs in the background on the provider's workstation, gathers information from the current encounter and evaluates the EMR data against the study parameters defined in the ReCES management application.  It then alerts the provider about patients that may qualify for one or more studies.

ReCES Monitor is an application that runs on a single workstation or server, usually executed once per day, that processes candidates to check the status of order pending and results pending candidates. Patients within the qualification values are accepted, those failing are deleted from the candidate list there by clearing the database of unqualified patients prior to coordinators/nursing staff reviewing their medical charts.

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Last modified: 07/15/08