Pathway to Clinical Looking Glass Use
Contents
1. 1 Tutorial 1 Introduction to CLG self training PPTIntroduction https www youtube com watch v wPmjQmLoKSO amp list PLf7raPnmlILOeAWU2cNf2jIMDRqQu UTCum amp index 1 2 Tutorial 2 The cohort paradigm PPT 1 https www youtube com watch v nun8rp6d7A 3 Tutorial 3 Anatomy of a Multiple Event Simple Cohort PPT2 https www youtube com watch v GenjnskwZ6E 4 Tutorial 4 The Diabetic Cohort https www youtube com watch v KEI9pqDAdE 5 Tutorial5 The Diabetic Cohort with repeat HgbA1c https www youtube com watchev 30a9We ZCeU 6 Tutorial6 Browse and the Power of the Index Event Line https www youtube com watch2v LboeRILua 7 Tutorial 7 Build Two Diabetic Cohorts that achieved good and bad Hemoglobin Alc respectively https www youtube com watch 2v UTHUK75VkXM 8 Tutorial 8 Build a Congestive Heart Failure Cohort using a Diagnostic Set https www youtube com watch v 8WXMury6w 0 9 Tutorial 9 Death during CHF Admission using attribute or when in https www youtube com watch2v 6aVHYB7yHOc 10 Homework Tutorial 10 Build four pneumonia Cohorts https www youtube com watch v rL jmNjNrrl Class 2 Second Lecture 11 Tutorial 11 Temporal Relativity in Cohort Builds ppt3 https www youtube com watch v LHK9uLvDyoU 12 Tutorial 12 The cohort as an Analytic Object ppt 4 https www youtube com watch v i2jCBIcPQu0 13 Tutorial 13 Introduction to Study Designer ppt 5 https www youtube com watch v qvPZonYO5AU 14 Tuto2. by encryption Access will be given to CLG for eight weeks at the end of which demonstration of proficiency by passing the Basic proficiency CLG certificate exam is required You may take this exam on line an unlimited number of times but the requirement for passing is 100 With the temporary permit access will include internet access so trainees can avail themselves of the videos built into Clinical Looking Glass a Access for Montefiore employees with a designated Montefiore computer at work will be through the internet VPN method with access to their Montefiore computer b Access Medical Students will be through internet access not VPN If at the end of the eight weeks from account activation proficiency has not been demonstrated by passing the basic proficiency test user access will be terminated unless a limited time extension is granted on a case by case basis Users will not receive identifier access until basic proficiency is demonstrated by examination Continued internet access to CLG will be dependent on sign off of the responsible party Training options 1 Four three hours in class hands on training using the self study guides below and powerpoints available monthly through reservation with the CLG Administrator Or Online Tutorial available as a 34 video playlist on youtube https www youtube com watch v wPmjQmLoKSO amp list PLf7raPnm ILOeAWU2cNF2jIM DRqQuUTCum Or Apprenticeship Training with a s
3. CLINICAL LOOKING GL A SS Pathway to Clinical Looking Glass Use October 25 2015 Clinical Looking Glass is a powerful cohort builder and analytic tool that permits analyses while protecting patient privacy Preserving that privacy is a joint responsibility of the users and the designers of CLG Assuring that the information extracted from CLG is meaningful and correct is also a joint responsibility of the individual users and their sponsoring departments We will describe the process to basic level certification in CLG for all new users 1 Before training all users will complete the required forms Instructions are available on the web site http exploreclg montefiore org how to become a user 2 Medical Students will complete the CITI course in research 3 The following materials should be reviewed a Book Eran Bellin M D Riddles in Accountable Healthcare A primer to develop analytic intuition for medical homes and population health available on Amazon as paperback or kindle Read Introduction and Chapters 1 3 4 5 8 11 19 21 Don t worry chapters are short and are a quick read 22 a copy or share with a friend JCO7 1 Appropriate Use of Clinical Looking Glass Montefiore Policy and Procedure JCO7 1a Practical Guidance in the use of CLG Montefiore Policy and Procedure Instructions for Registering QI projects e Read Chapter 1 of the self study Syllabus the Cohort Paradigm P 1 15 4 Before the first Class Ge
4. ent do want to use to answer my clinical question https www youtube com watch v msTS6YPEVrl Tutorial 33 Upload Cohort https www youtube com watch v ubnZoAgx6A8 Tutorial 34 List Method How to create an indicator variable for continuous or categoric Variables https www youtube com watch v i3hEdgb05a Tutorial 35 How to turn a multiplicity into a singularity using only count and no other fields https www youtube com watch v EoM7XXaeWBY amp list PLf7raPnmlLOeAWU2cNf2jIMDRqQu UTCum amp index 32 Review Manuals read through table of contents and at least one chapter User Ad hoc Event Rules for test You can help your fellow students by pointing out mistakes and giving hints but do not give answers CLG is a collaborative tool for a collaborating community but each student must master an understanding and use that understanding to solve problems Box security
5. rial 14 Study Designer Time to Outcome Simple Method https www youtube com watch v Mw3XVDeWFHw amp index 14 amp list PLf7raPnmlLOeAWU2cNf 2jIMDRqQuUTCum 15 16 17 18 Tutorial 15 Challenge Problem Hospitalization rate post attempt at Diabetes Control https www youtube com watch v GprwqUZsQ 4 amp list PLf7raPnmlLOeAWU2cNf2jIMDRqQuU TCum amp index 15 Tutorial 16 Importance of Cohort Index Date on the Meaning of a study ppt6 https www youtube com watch v ovRRrYUj vA Tutorial 17 Time to Outcome Advanced Method https www youtube com watch v d8i9XocczLQ amp index 17 amp list PLfF7raPnm ILOeAWU2cNf2jIM DRqQuUTCum Tutorial 18 Time to Outcome Example requiring Advanced Method https www youtube com watch v VChMwnymKCw amp index 18 amp list PLf7raPnmlLOeAWU2cNf 2jIMDRqQuUTCum List Method List populator introduction intro to tutorial 22 below Class 3 third Lecture 19 20 21 22 23 24 25 Tutorial 19 Meaning of Earliest vs all ppt 6 https www youtube com watch v wOvNybshJpc Tutorial 20 A Reminder in Time ppt 7 https www youtube com watch v s77M_ mBdNnc Tutorial 21 A conversation between objects ppt8 https www youtube com watch v lf4ZmzVrmSE Tutorial 22 List method listing attributes of the cohort https www youtube com watch v M99VtazqIMo amp list PLf7raPnm lLOeAWU2cNf2jIMDRqQuU TCum amp index 22 Tutorial 23 List method listing attributes of events no
6. t involved in the cohort build https youtu be jhKGypDUU k Tutorial 24 List method using all Long view https www youtube com watch v hZegDjKyXzl amp index 24 amp list PLf7raPnmlLOeAWU2cNF2jIM DRqQuUTCum Tutorial 25 In Class problem Discovery of drug side effect Gatifloxacin https www youtube com watch v 2DiE3bc3dz Few words on Event collection Hospitalizations rather than the first time a patient was hospitalized All creatinines rather than first creatinine Read special topics Event collection and then you will be ready for your exam Class Four Special topics Lecture 26 27 28 29 30 31 32 33 34 You will be ready for competency exam after completing these topics Tutorial 26 Event Collection vs Cohort Admissions all All pneumonia admissions make copy create event collection https www youtube com watch v 3SsOlwu7G8M Tutorial 27 Summarizing a Continuous variable sampled repeatedly in the course of clinical care The time in Range Method https www youtube com watch v flZckS9Jm4A Tutorial 28 Smart Report Diagnosis Summary Report Summarizing Diagnoses Procedures Hospitalizations ED visits Outpatient Visits in a temporal Window https www youtube com watch v rus96FXc8fs Tutorial 29 Charlson Comorbidity A measure of Sickliness https youtu be fsZV QpEzP08 Tutorial 30 Text Search https www youtube com watch v zUyTE7de81w Tutorial 31 Event Search Which ev
7. t your logon change your password and prove to yourself you can start Clinical Looking Glass We will assume that you are able to run CLG from the first moment of the Class 5 Acquire an encryption program like PC Magazine s File warden3 File Warden 3 from PC Magazine 7 95 http www pcmag com article2 0 2817 2400168 00 asp to be used on all limited and identified data sets exported from CLG No limited data set nor identified data set is to be stored in any electronic media e g flash drive laptop cloud storage without first being encrypted We would recommend producing as little of this material as possible as most of your analyses are doable in the application itself Medical Students will prove capability to encrypt 295 Mac Users are not supported by CLG at present Encryption of Mac Harddrive is recommended through Native Mac Encryption technology All trainees will take and pass the Montefiore CLG Appropriate Use Exam based upon a thorough understanding of JCO7 1a The test will be assigned to you in Montefiore Talent Management prior to your obtaining access to CLG Once a potential user has completed the above he will be given a Learners Permit to CLG The Learners permit is a limited time license during which time 1 The user will gain access to CLG with the ability to create Limited data sets but not Identified data sets Remember even limited data sets are considered confidential and must be protected
8. uper user trainer in your department should one exist We would be happy to speak to departments or group of departments to create intra departmental sustainable capability Available Resources 1 Self Study Guides a The Cohort Paradigm b Study Designer c In Class Problem Discovery of Drug Side Effect Using Study Designer d Special Topics The Basic Proficiency Examination questions are explicitly covered in the self study guides so their mastery should guarantee successful passing 2 Streaming Videos internal to Clinical Looking Glass 3 CLG User Manual Event Manual Ad Hoc Smart Report Manual 4 Basic Competency Exam General Considerations We expect that completing the basic proficiency requirements through the self study guides augmented with videos should take 12 real time hours You should pace yourself with sessions of 2 3 hours Oftentimes working with a buddy in concert as you go through the material is helpful CLG support is available if you have questions Your input on the self study guides would be especially helpful as we would like to rapidly improve their utility in this process Students are also required to know how to start their machines with passwords already checked by the CLG administrator before the first class session Lecture Series On Youtube Playlist All lectures can be found in a Youtube playlist https www youtube com watch v wPmjQmLoKSO amp list PLf7raPnm ILOeAWU2cNf2jIMDRqQuUTCum Class 1
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