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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs014928-gorman-final-report-2008.pdf
January 01, 2008 - Scope
Background
Consider the following case:
A sixty nine year old woman was brought to the clinic … In the clinic her physicians sought to review her medication list – but
which one? … Status
Samaritan North Lincoln Hospital core
Lincoln City Medical Center core
Samaritan Coastal Clinic … 1 1911 204 42 2157
Hospital 57 200 42 299
Clinic 2 16 1 1 18
Home health 7 12 7 26
Pharmacy 14 15 … The provider physician reported using the printed lists to update clinic
records for his residential
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digital.ahrq.gov/sites/default/files/docs/citation/IntegratingCDSIntoWorkflow.pdf
September 01, 2011 - Phase 1 involved outpatient clinics of four
different systems—120 clinic staff and providers and 118 … In total, 120 clinic staff and providers and
118 patients were observed. … Key
informant
interviews
No. providers and clinic staff
observed
No. patients
observed
Site … 1 Two primary care
clinics, one
psychiatric outpatient
clinic in VA Medical
Center Tertiary care … What is your ideal workflow in the outpatient clinic?
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs026522-schoenthaler-final-report-2023.pdf
January 01, 2023 - meet the unique needs of end-users, and lack the technical infrastructure to be integrated into
the clinic … PROs and only have patients report
PROs on a single occasion, most often immediately before their clinic … HbA1c levels were extracted from patient's clinic EHR by a data manager blinded to the study conditions … Information extracted from the charts included diabetes characteristics such as clinic HbA1c readings … In all models, clinic site, time (2 dummy variables), and intervention were included as fixed effects
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hicks-ls-et-al-2008
January 01, 2008 - Type Clinic
Primary care
Size
Large
Geography
Urban
Other Information
Clinic
-
digital.ahrq.gov/ahrq-funded-projects/decision-support-improve-dental-care-medically-compromised-patients/annual-summary/2012
January 01, 2012 - The passive CDS utilizes dentist and staff reminders in the clinic schedule to encourage but not require … A number of focus groups have been held with clinic dentists and staff to assist with defining alerts
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/jerome-rn-et-al-2008
January 01, 2008 - Tools Used
Focus Group
Survey
Type Clinic
Primary care
Size
Large
Geography … Urban
Other Information
Study clinic is located at the Vanderbilt University Medical Center
-
digital.ahrq.gov/ahrq-funded-projects/project-echo-extension-community-healthcare-outcomes
January 01, 2023 - When a rural clinic joins Project ECHO, its staff receives initial care management training at UNM in … Albuquerque; UNM experts help the clinic install and use care management and data reporting software … ; then clinic staff join a disease-specific "knowledge network" that meets online each week for case … big deal for me," says April Grisetti-Nail, a physician's assistant at the El Centro Family Health Clinic … made a huge difference," reflects Leslie Hayes, M.D., a family practitioner at Espanola's El Centro Clinic
-
digital.ahrq.gov/sites/default/files/docs/lesson/08-0063-ef-ambulatory-cpoe.pdf
May 01, 2008 - Technology
in the Nursing Home
Northeast Urban Large Long-Term
Care Facility
Rural Trial of Clinic … By implementing clinic
by clinic, further refinements may be made to the tool, without subjecting large … issues
that arose, which went smoothly depending on the governance and communication with the
clinic … The grantees indicated this was partly due to the
adequacy of the training at each clinic. … Interestingly, this grantee also observed that those clinicians
with a larger clinic load adopted
-
digital.ahrq.gov/ahrq-funded-projects/implementing-low-literacy-multimedia-information-technology-system-enhance
January 01, 2023 - with low literacy is hoped to enhance patient-centered care and improve outcomes when used in daily clinic … therapy were randomized to one of two arms: the CancerHelp-TT intervention or control, stratified by the clinic
-
digital.ahrq.gov/document-type/checklist
January 01, 2023 - Checklist
GI Clinic Registry: Scripts, Protocols, Processes for Panel
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ornstein-s-et-al-1995
January 01, 1995 - Tools Used
Survey
Interview
Type Clinic
Primary care
Type Specific
Family practice … group)
Study Participants
Participants in the study were physicians and patients attending the clinic
-
digital.ahrq.gov/ahrq-funded-projects/modeling-and-analysis-clinical-care-health-information-technology-improvement
January 01, 2023 - ethnographic research to discover the way care is actually done with existing information resources at each clinic … Refine MATH, a model-based design method, based on experience with each successive clinic.
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/fung-ch-2006
January 01, 2006 - Tools Used
Survey
Interview
Type Clinic
Primary care
Size
Large
Geography … main concerns raised was perceived unnecessary duplication of information that is already included in clinic
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kim-j-et-al-2005
January 01, 2005 - Tools Used
Usability Evaluation
Survey
Type Clinic
Primary care
Type Specific … The clinic has approximately 12,000 patients (of which roughly 5,000 are within the age limits for the
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/zandieh-so-et-al-2008
January 01, 2008 - Tools Used
Interview
Type Clinic
Primary care
Type Specific
Internal medicine, … The number of patient visits per clinic ranged from 9,600 - 76,000.
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs023324-cohen-final-report-2020.pdf
January 01, 2020 - Clinic staff (e.g., office manager, clinician, nurses, etc.) were individually invited to
participate … “very long checklists that took too long to complete and wouldn’t be useful
anyway” (Field notes, Clinic … But it just is more steps to take and it
may get overlooked (Interview, Clinic 1, MA). … - Interview, RN Care
Coordinator, Clinic 5
Prioritize and People felt overwhelmed by the "I think … – Interview, MA, Clinic 2
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/goetz-mb-et-al-2008
January 01, 2008 - address facility-specific barriers, refine the reminder, and address factors that contribute to inter-clinic … Tools Used
Interview
Type Clinic
Primary care
Size
Large
Geography
Urban
-
digital.ahrq.gov/sites/default/files/docs/publication/r03hs018795-balasubramanian-final-report-2012.pdf
January 01, 2012 - patient and panel data from two primary care databases: 1)
Primary Care Internal Medicine (PCIM), Mayo Clinic … We first describe the modeling framework and results that came from
study of Mayo Clinic, PCIM data, … Example of panel redesign for a 4-physician group practice (data from PCIM, Mayo Clinic)
Co
morb. … (RAC): This represents the case where a clinic chooses a
complete redesign to minimize the measures … In their papers, Reid et al (2010) and Coleman et al (2010) analyze the Group Health clinic
after the
-
digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2010
January 01, 2010 - Measures include indicators of patient engagement, clinic-level quality of care, clinic-level process
-
digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2012
January 01, 2012 - Measures included indicators of patient engagement, clinic-level quality of care, clinic-level process