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Patient Entered Data for Clinical Decision Support to Personalize Pediatric Asthma Management

Award Number: K23HL148502
ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 06/15/2020
PERIOD OF PERFORMANCE END DATE: 05/31/2026

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Patient Entered Data for Clinical Decision Support to Personalize Pediatric Asthma Management - PROJECT SUMMARY/ABSTRACT This K23, Patient Entered Data for Clinical Decision Support to Personalize Pediatric Asthma Management, aims to improve asthma management through enhanced, automated implementation of pediatric asthma guidelines. The immediate goal is to gain skills and further training to understand methods to deliver effective clinical infor- matics tools for asthma management. The candidate is an Assistant Professor of Pediatrics in the Division of Pediatric Pulmonology at UCLA and a clinical informaticist. The candidate has assembled a nationally recog- nized and experienced mentorship team to provide guidance and expertise in qualitative research, data integra- tion, and implementation science. The training plan combines directed coursework to strengthen skills in these areas; and tutorials with qualitative and health service implementation experts to gain the requisite insight and hands-on experience needed for this project. Career training includes professional development seminars, key scientific meetings, and coursework on grant writing to optimize future independent research funding. The proposed research addresses the challenge practitioners have – and are currently unable to meet – to incorporate the complex National Asthma Education and Prevention Program (NAEPP) asthma guideline ele- ments in their asthma management plan. This study leverages patient entered data (via a patient portal) to create a comprehensive, automatically generated guideline-adherent clinical decision support (CDS) tool. In combina- tion with this patient-collected data, the CDS tool will use information from the individual’s electronic health record (EHR) to recommend a pediatric asthma management plan to the healthcare practitioner at the point of care. Critically, this study advances asthma management in the EHR by incorporating patient-reported data into the information gathering workflow. Previous use of patient portals in decision-making has had low uptake, partially due to usability issues and clinical workflow integration. Existing clinical decision support systems are often of narrow scope and do not incorporate the entirety of guideline elements, including psychosocial and environmen- tal factors. As such, the specific aims for this research are: 1) to develop and iteratively refine a user-friendly patient portal interface and evaluate its ability to capture key elements of the NAEPP guideline; 2) to develop a comprehensive CDS tool that integrates patient entered data; and 3) to pilot the CDS tool’s ability to capture guideline elements in the clinical setting. By understanding qualitative and user experience design during the development phases, we plan to launch a CDS tool that integrates seamlessly into end user tasks (both patient and practitioner), helping practitioners execute a comprehensive asthma management plan for children in the outpatient setting. An R01 application, planned to be submitted in Year 4 of this award, will evaluate the impact of this patient portal/CDS tool using an RCT design.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $0 )
2026	2024	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90024	LOS ANGELES	USA	Lung Diseases Research	000	5	11/25/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2025 ( Subtotal = $0 )
2025	2024	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90024	LOS ANGELES	USA	Lung Diseases Research	000	5	7/16/2025	NON-COMPETING CONTINUATION	$0
														Subtotal = $0

Issue Date FY: 2024 ( Subtotal = $196,017 )
2024	2024	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90024	LOS ANGELES	USA	Lung Diseases Research	000	5	5/1/2024	NON-COMPETING CONTINUATION	$196,017
														Subtotal = $196,017

Issue Date FY: 2023 ( Subtotal = $196,017 )
2023	2023	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90024	LOS ANGELES	USA	Lung Diseases Research	000	4	6/10/2023	NON-COMPETING CONTINUATION	$196,017
														Subtotal = $196,017

Issue Date FY: 2022 ( Subtotal = $196,017 )
2022	2022	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90024	LOS ANGELES	USA	Lung Diseases Research	000	3	6/1/2022	NON-COMPETING CONTINUATION	$196,017
														Subtotal = $196,017

Issue Date FY: 2021 ( Subtotal = $196,017 )
2021	2021	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90095	LOS ANGELES	USA	Lung Diseases Research	000	2	5/24/2021	NON-COMPETING CONTINUATION	$196,017
														Subtotal = $196,017

Issue Date FY: 2020 ( Subtotal = $196,017 )
2020	2020	UNIVERSITY OF CALIFORNIA, LOS ANGELES	10889 WILSHIRE BLVD STE 700	LOS ANGELES	CA	90095	LOS ANGELES	USA	Lung Diseases Research	000	1	6/12/2020	NEW	$196,017
														Subtotal = $196,017

Grand Total All Awards = $980,085

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Patient Entered Data for Clinical Decision Support to Personalize Pediatric Asthma Management

Award Number: K23HL148502

ORGANIZATION: NATIONAL HEART, LUNG, & BLOOD INSTITUTE

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 06/15/2020

PERIOD OF PERFORMANCE END DATE: 05/31/2026

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