Evidence-Based Research and Individualized Patient Care
Cosmos is a community collaboration between health systems that combines billions of clinical data points in a way that forms a high-quality, representative, and integrated data set that can be used to change the health and lives of people everywhere.
Cosmos has records from over 226 million patient records from over 9.8 billion encounters, representing patients in all 50 states.
Cosmos is built on a data platform optimized to answer clinical questions over time in minutes. Clinicians and other scholarly explorers at organizations using Cosmos can ask questions on-demand without needing to put a request in for data.
Because Cosmos is built by health systems from across the country, it aligns closely to population metrics of the United States Census. Cosmos has a representative sample of patients across all races, sexes, ages, rural-urban locations, and types of insurance.
Epic integrates both inpatient and outpatient charts into a single record, including all clinical specialties to form a more comprehensive and detailed picture of a patient's health. For example, a cancer patient's record contains detailed oncology visits, cancer staging, advanced lab results, hospitalizations, and standard outpatient visits.
Cosmos goes well beyond diagnoses and medications found on claims transactions, and includes patient-generated health data (PGHD), birth records, vitals, and social determinants like transportation and financial security assessments.
The Epic Community has already seen great success using the universe of Cosmos data for research and are continuing to expand the impact of this unique data set.
Cosmos is the data source for studies in academic journals. These include:
While traditional research continues to serve as a primary source of information to inform clinical practice, we identified a need for a new kind of analysis focused on getting good data out quickly to clinicians and decision-makers where it can make a difference. To address this need, we launched Epic Research. Using our dual-team process, Epic Research teams evaluate timely, topical, and relevant questions, and make findings available to the public at no-cost at EpicResearch.org and to Epic Research subscribers.
Several Epic Research briefs have gained media and policymaker attention, such as:
Two in three Mpox cases prevented in patients fully vaccinated with JYNNEOS. Even one dose of JYNNEOS provided some protection against Mpox infection.
Despite significant drops in 2020 and low rates in 2021 through the beginning of 2022, strep throat infections exceeded their 2017 peak by 30% in February 2023.
The vision for Cosmos has always included a way for providers to make an immediate impact with their patients. With our ongoing development of Best Care Choices for My Patient and Look-Alikes, providers will be able to use attributes from the patient in front of them to review real-time insights they can use alongside their own expertise and experience to partner with their patient on shared decision-making.
Participating health systems agree to a legal structure that establishes shared trust.
Patient identifiers are removed before data moves from a healthcare organization.
From the start, no unique patient identifiers (names, phone numbers, etc) are sent or stored in Cosmos. Additionally, Cosmos is architected to allow each organization the ability to design their own local patient opt out policies that meet their communities' specific rules and regulations.
236 health systems, and counting, are currently participating in Cosmos