PROJECT SUMMARY Candidate: David Kao MD is an Assistant Professor of Medicine in the Division of Cardiology at the University of Colorado Denver (UCD). In addition to clinical training in internal medicine and cardiology, he has completed 1 year of postdoctoral training in biomedical informatics (T15 LM007033, PI: Altman) and 2 years in cardiovascular research (T32 HL007822, PI: Buttrick). He uses bioinformatics methods applied to data ranging from regional administrative data to patient-level data from clinical trials to longitudinal gene expression data in order to develop multi-tiered strategies for personalizing of heart failure (HF) management. Training: The proposed career development plan will apply Dr. Kao's prior research experiences, which have exclusively used publicly available and clinical trial data, to real-world clinical data in three focus areas: 1) management and governance of disease-specific institutional data warehouse construction, 2) high-throughput analysis methods using real-world clinical data, and 3) dissemination and implementation of evidence-based practice recommendations for HF patients. Additional training in these focus areas will enable Dr. Kao to apply his clinical and informatics knowledge to real-world clinical data, preparing him to be an independent, funded investigator in research studying development and prospective implementation of personalized, patient- centered heart failure management strategies using electronic health record data. Accordingly, Dr. Kao's mentorship team consists of experts in cardiovascular disease registries and personalized HF management and experts in data warehouses, bioinformatics, and decision support. Mentors/Environment: Michael Kahn MD PhD (co-Primary Mentor) is a Professor at UCD, Director of the UCD's institutional clinical data warehouse, and Co-Director of the Colorado Clinical and Translational Sciences Institute; he will provide mentorship regarding data warehouse construction and governance, and decision support. Michael Bristow MD PhD (co-Primary Mentor) is a Professor at UCD with over 30 years of experience in clinical and translational HF research; he will provide mentorship for translational of clinical phenotype analyses to prospective clinical trials investigating personalized HF management. John Rumsfeld MD PhD is a Professor at UCD, Chief Innovation Officer for the American College of Cardiology, Chairman of the National Cardiovascular Data Registries (NCDR) Management Board (formerly Chief Science Officer), and Chairman of the AHA Scientific Council on Quality of Care and Outcomes Research. He will provide mentorship on cardiovascular registry development and dissemination via electronic health record. Larry Hunter, PhD is a Professor at UCD is Director of the Center for Computational Biology; he will oversee didactic activities, and provide guidance regarding management of large, complex datasets, and high-throughput analytic methods. Peter Buttrick MD is Sen...