This brief describes progress in the Child Welfare and Health Infrastructure for Linking and Data Analysis of Resources, Effectiveness, and Needs (CHILDREN) Initiative, which is in its fourth year. At this time, four jurisdictions participate in the CHILDREN Initiative: District of Columbia, Iowa, Oklahoma, and Wyoming.
Data & Information Infrastructure
Reports
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Project Update: Child Welfare and Health Infrastructure for Linking and Data Analysis of Resources, Effectiveness, and Needs Initiative
Report
Framework for a Public Repository of Artificial Intelligence Training Datasets Using EHR Data for Comparative Effectiveness Research & A Pediatric ADHD Patient-Centered Outcomes Annotation Schema
Artificial intelligence (AI) tools, particularly those that use natural language processing (NLP), are becoming increasingly prominent in healthcare delivery. For these systems to operate safely and reliably in clinical settings, they require high-quality training datasets drawn from multiple sources, including electronic health record (EHR) data, that closely reflect real-world conditions.
Report
Harnessing the Value of Electronic Health Record Data for Research
The United States (U.S.) faces urgent health challenges, including poor maternal and childhood health outcomes, childhood obesity, opioid use disorder, cancer, and chronic conditions, which require personalized care tailored to each patient’s unique circumstances.
Database, Dataset, Report
Building infrastructure and evidence for COVID-19 related research, using integrated data from NCHS Data Linkage Program
The overall goal of the project is to expand the utility of National Center for Health Statistics (NCHS) linked data resources to support patient-centered outcomes research (PCOR) through the development of publicly available synthetic linked data files.
Research Brief
Child Welfare Technology System Implementation Shows Minimal Progress: After 10 years and $2 Billion, Modern Information Systems Are Still Out of Reach
This summary highlights key findings from this study. Readers are encouraged to download the full report for complete details and analysis.
Report
Building the Data Capacity for Patient-Centered Outcomes Research: The 2025 Annual Report and Infographic
In Fiscal Year 2025, OS-PCORTF projects and other OS-PCORTF initiatives collectively enhanced the data infrastructure available for patient-centered and comparative clinical effectiveness research (CER) across national and HHS health objectives.
Report
Better Data for Maternal Health Research HHS Efforts to Strengthen Data Infrastructure for a Healthy America
This 2024 vignette provides examples of how a range of OS-PCORTF cross-agency projects are working to improve maternal health by 1)Reducing Preventable Pregnancy-Related Deaths and Improving Maternity Care 2) Studying Substance Use Treatment Outcomes for Pregnant Women 3) Representing all American Mothers and Children in Research Data
Report
Exploring Data Infrastructure Availability and Expansion Opportunities for Health Outcomes Research on Sickle Cell Disease
This report is to serve as a data source guide that helps policymakers and researchers understand the current data infrastructure landscape for SCD-focused health outcomes research. Specifically, the goals are to identify existing SCD data sources and data dashboards as well as key considerations to enhance data collection and use.
Report
Multistate EMS and Medicaid Dataset (MEMD): A Linked Dataset for Patient-Centered Outcomes Research: Final Report
The U.S. Department of Health and Human Services (HHS) Office of the Assistant Secretary for Planning and Evaluation (ASPE) led the Multistate EMS and Medicaid Dataset (MEMD): A Linked Dataset for Patient-Centered Outcomes Research project which received funding in 2021 by the Office of the Secretary of HHS’s Patient-Centered Outcomes Research Trust Fund.
ASPE Issue Brief, Policy Brief
Linking Health and Human Services Data Can Empower Patient Decisions and Increase Efficiency
This brief describes how enhancing linked data infrastructure across health and human services programs can improve efficiency, increase transparency through strengthening outcomes research, and empower patients and families to make more informed choices.