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4521. Supporting Clinicians to Improve Decision Making and Patients' Care | Digital Healthcare Research
      digital.ahrq.gov/2019-year-review/research-summary/supporting-clinicians-improve-decision-making-and-patients-care
      January 01, 2019 - In 2019, total program investment in research to support clinical decision making was $71 million over … Improving Clinical Decision Making Improving Clinical Decision Making hinges in part on clinicians’ … Melissa Stockwell implemented an immunization clinical decision support (CDS) tool that combines data … The following research explored ways to improve technology design and use, including clinical workflow … EHR clinical notes typically contain a lot of redundant information, making it difficult for end users

4522. Statewide Efforts to Enhance HIT in Critical Access Hospitals (pdf file)
      digital.ahrq.gov/sites/default/files/docs/page/2006WardWakefieldLi_051111comp.pdf
      January 01, 2005 - HIT Survey of Iowa Hospitals - Methods  In Fall 2002 we surveyed Iowa’s hospitals to assess their clinical … completed the 2002 survey project 2002 HIT Survey of Iowa Hospitals - Findings  The survey of clinical …  The level of clinical information system use was related to IT staff levels more than to hospital …  Iowa rural hospitals had low levels of clinical information systems (Ward et al., in press). … network influence, connectivity • approaches to IT staffing, outside services • an inventory of clinical

4523. Woods K et al. 2000 "Sickle cell disease telemedicine network for rural outreach." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/woods-k-et-al-2000
      January 01, 2000 - telemedicine clinic sites were established in rural areas of middle and southern Georgia, based on clinical … "During the study period, there was a progressive increase in the overall clinical productivity of the … While clinical activity at the MCG clinic in Augusta remained stable, outreach activities increased by … "During the study period, there was a progressive increase in the overall clinical productivity in the … While clinical activity at the MCG clinic remained stable, outreach activities increased by 175%.

4524. Mohr T et al. 2008 "The second time around." | Digital Healthcare Research
      digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/mohr-t-et-al-2008
      January 01, 2008 - to integrate all the moving parts of our practices - scheduling and billing, automated coding, and clinical … task management - into a single clinical workflow system." … now able to address any new workflow issues and eliminate administrative errors via a new "Virtual Clinical … "Our new EMR service was able to scan and categorize every incoming fax, then match specific clinical … Study Design Story Study Participants Clinical and administrative staff participated.

4525. Enabling Health Care Decisionmaking through the Use of Health Information Technology - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology/annual-summary/2010
      January 01, 2010 - data via health information technology (IT) can facilitate clinical decisionmaking and communication … While the use of clinical decision support systems (CDSS) has the potential to make evidence-based practice … to develop a synthesis report summarizing the evidence on the use and effectiveness of CDSS across clinical … The project team identified only 25 RCTs assessing the impact of CDSS on clinical outcomes, 20 assessing … Four features of CDSS that correlate with a successful impact of clinical decision support were newly

4526. Health Information Technology in the Nursing Home (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/r01hs015430-gurwitz-final-report-2008.pdf
      January 01, 2008 - was to begin to fill gaps in knowledge regarding the use of computerized provider order entry with clinical … We assessed the effectiveness of computer-based clinical decision support in the nursing home setting … To assess the effectiveness of computer-based clinical decision support in the nursing home setting … This is particularly true for computer-based clinical decision support systems.1,2 Clinical decision … Clinical decision support systems to improve clinical practice and quality of care.

4527. A Longitudinal Telephone and Multiple Disease Management System to Improve Ambulatory Care - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/longitudinal-telephone-and-multiple-disease-management-system-improve/annual-summary/2010
      January 01, 2010 - This modification is focused on identifying and intervening for clinical instability (i.e., the patient … is at high risk for sudden, severe clinical decompensation). … TLC-C uses conversational computer telephony to monitor patients’ multiple diseases and clinical status … between ambulatory care visits, detecting changes in clinical status that are associated with disease … the patients that reside in their providers’ clinical data repositories.

4528. A Longitudinal Telephone and Multiple Disease Management System To Improve Ambulatory Care - 2011 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/longitudinal-telephone-and-multiple-disease-management-system-improve/annual-summary/2011
      January 01, 2011 - This modification focuses on identifying and intervening for clinical instability (i.e., the patient … is at high risk for sudden, severe clinical decompensation). … TLC-C uses conversational computer telephony to monitor patients' multiple diseases and clinical status … between ambulatory care visits, detecting changes in clinical status that are associated with disease … the patients that reside in their providers' clinical data repositories.

4529. A Longitudinal Telephone and Multiple Disease Management System to Improve Ambulatory Care - 2012 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/longitudinal-telephone-and-multiple-disease-management-system-improve/annual-summary/2012
      January 01, 2012 - : those at high risk for sudden, severe clinical decompensation. … TLC-C uses conversational computer telephony to monitor patients’ multiple diseases and clinical status … between ambulatory care visits, detecting changes in clinical status that are associated with disease … TLC-C utilizes information reported by patients during the virtual visits and clinical information about … A multi-method evaluation study includes a two-arm randomized clinical trial of TLC-C versus usual care

4530. eHealth Records to Improve Dental Care for Patients with Chronic Illnesses - 2010 | Digital Healthcare Research
      digital.ahrq.gov/ahrq-funded-projects/ehealth-records-improve-dental-care-patients-chronic-illnesses/annual-summary/2010
      January 01, 2010 - Disease, Congestive Heart Failure, Diabetes, Xerostomia Summary: This project is a group-randomized clinical … Targeted Use: The proportion of instances in which access to the Web-based clinical guidelines was done … Ongoing Use: The proportion of providers who accessed the Web-based clinical guidelines for all patients … Preliminary Impact and Findings: The 18-month study period of the clinical decision support (CDS) alerts … The clinical implication is that, as our population ages, dentists must be vigilant in adapting care

4531. AHRQ-Funded Research Supports Clinicians’ Work | Digital Healthcare Research
      digital.ahrq.gov/2018-year-review/research-summary/supports-clinicians-work
      January 01, 2018 - natural language processing (NLP) EHR search tool that automatically identifies and ranks relevant clinical … Melton-Meaux , employed NLP to identify and visually distinguish new versus redundant information in clinical … Clinical Work Flow Clinical Work Flow is a defined series of steps taken by a clinician to provide … With deliberate and structured planning, testing, and implementation processes, health IT can support clinical … The following two AHRQ-funded researchers investigated the impact of health IT on clinical workflow.

4532. Tailoring Visits Using Person-Specific Patient-Reported Outcomes to Improve Care for People with HIV | Digital Healthcare Research
      digital.ahrq.gov/2019-year-review/research-summary/emerging-innovative-newly-funded-research/tailoring-visits-using-person-specific-patient-reported-outcomes
      January 01, 2019 - those with HIV may not have the opportunity to voice their needs, given the many pressures on short clinical … Examining person-specific PRO use in clinical practice To address this, Dr. Crane, Dr. … Interviews with HIV care providers and patients will identify clinical priorities for people with HIV … They will then implement real-time psPRO collection for people with HIV into routine clinical care. … The team will conduct a randomized trial with the Centers for AIDS Research Network of Integrated Clinical

4533. Optimizing the Electronic Health Record for Cardiac Care - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/r01hs022110-windle-final-report-2019.pdf
      January 01, 2019 - Simulations of the clinical encounters were performed in clinic rooms or meeting rooms adjacent to clinical … The simulated patient and the complex clinical scenario did accurately reflect their clinical practice … four participants in the clinical encounter workflow: the clinician, the clinical team, the primary … Pew Charitable Trusts and Duke Clinical Research Institute, 1-42. … Great Plains IDeA Clinical Translation Research Meeting

4534. Impact of Health IT on Lab Order Use in Community Health Centers - Implementation Handbook (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/healthitandlabordersimplementationhandbook.pdf
      November 01, 2011 - This sponsorship must include clinical leadership. … ▪ A clinical champion and an administrative champion are identified. … • Format of clinical prompts. • Technical performance. … Format of Clinical Prompts. … Improving outcomes with clinical decision support: an implementer’s guide.

4535. Research Centers in Primary Care Practice Based Research and Learning - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/p30hs021678-ornstein-final-report-2017.pdf
      January 01, 2017 - Ongoing maintenance and enhancements of clinical quality measure (CQM) reports. … -Key Words: practice-based research networks, electronic health records, clinical quality measures, … information by providing member practices with clinical performance reports. … performance reports on an ongoing basis to stay current with preventive services and clinical … ""Meaningful" clinical quality measures for primary care physicians."

4536. Cff Office Visit (pdf file)
      digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/CFF_Office_Visit.pdf
      March 01, 2009 - March 2009 Reception performs necessary check in process with pt Reception lets clinical … staff know pt has arrived by VERBAL/ WRITTEN NOTE / CHART Clinical staff sees pt here by VERBAL … tobacco, ON FACE SHEET/IN CHART Asks MD or visit specific questions Gathers forms completed by pt Clinical … NURSING/RECEPTION Pt checks out at FRONT DESK/SCHEDULER, scheduling follow up as necessary Clinical … patient (WHICH) Staff complete follow up/outside procedure scheduling with patient Reception Clinical

4537. El Dorado County Safety Net Technology Project (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/p20hs014908-bergner-final-report-2005.pdf
      January 01, 2005 - Scope: Much of the scope of planning focused on the need to implement a means to share clinical data … Much of the body of this document focuses on that clinical information and how to share it. … Clinical Information (EHR) a. Person Identification b. Reason for visit c. … Clinical System (EMR) a. Computer Physician Order Entry (CPOE) b. … data sharing, and capture of county-wide clinical information.

4538. EQUIP (Enhancing Quality in Patient Care Utilizing Information Technology in Patient Care) (pdf file)
      digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015354-rachman-final-report-2007.pdf
      January 01, 2007 - Key Words: Electronic Health Record System, Decision Support, Clinical Data Warehouse, Clinical Performance … Develop a data warehouse that will monitor, aggregate, and provide data to be used for clinical and … Total clinical staff number 580. … The aim was for EHRS to be used for all clinical care at all sites. … This required direct involvement of the EHRS vendor, measure developer and clinical users.

4539. CDS Connect Pilot Final Report Factors to Consider in Managing Chronic Pain: A Pain Management Summary (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-pilot-final-report.pdf
      September 01, 2018 - Process Does the clinical workflow require adjustment given the CDS? … Clinical Pilot Site Selection OCHIN facilitated the process of identifying one or more clinical sites … Clinical Pilot Site Onboarding and Training The MITRE clinical team developed a training plan to provide … Order and Grouping of Display of Clinical Concepts The order in which the clinical concepts … In addition, no patient clinical information is displayed.

4540. Connecting Healthcare in Central Appalachia - Final Report (pdf file)
      digital.ahrq.gov/sites/default/files/docs/citation/uc1hs015182-bentley-final-report-2008.pdf
      January 01, 2008 - (ARH) launched the implementation of a major component of its clinical information system initiative … Key Words: Electronic Medical Records; Central Appalachia; Clinical Information Systems The authors … ARH recognizes that the incremental introduction of a comprehensive clinical system is critical to its … Therefore, during the program’s first and second years, a core team of information system clinical … Thirty clinical staff trainers were trained at Beckley and 10 physician trainers.