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digital.ahrq.gov/ahrq-funded-projects/coolcraig-app-promoting-health-improving-self-regulation-adolescents-adhd
January 01, 2023 - No statement in this report should be construed as an official position of AHRQ or of the U.S. … Adolescents and Young Adults
Caregiver
Type of Care
Specialty Care … Despite success in clinical interventions, long-term treatment adherence can be challenging. … start of the feasibility and acceptability trial, however, COVID-19 impacted the original research plan … understanding of designing technological interventions to enhance the support of CoolCraig users and plan
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023980-connelly-final-report-2018.pdf
January 01, 2018 - via a network of clinical sites that
participate in a large national clinical registry of youth with … JIA already are receiving evidence-based medical
treatment of the disease, most are not receiving or … indicator of disease
activity measured by counting the number of joints that are swollen, tender, or … short, however, is comprehensively testing the feasibility of the intended
mHealth app dissemination plan … short, however, is comprehensively testing the feasibility of the intended mHealth app dissemination plan
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digital.ahrq.gov/ahrq-funded-projects/using-electronic-personal-health-record-empower-patients-hypertension/annual-summary/2010
January 01, 2010 - . clinical practices. … electronic personal health record (ePHR) helps overcome barriers to adoption of PFCC by maximizing patient-clinical … To foster personal wellness and chronic condition management, My HealthLink allows consumers to log entries … into their ePHR, track progress against their customized care plan, complete health assessments, communicate … Preliminary Impact and Findings: No impacts or findings have yet been reported.
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digital.ahrq.gov/ahrq-funded-projects/understanding-and-honoring-patients-multiple-chronic-conditions
January 01, 2023 - No statement in this report should be construed as an official position of AHRQ or of the U.S. … Setting
Ambulatory Setting
Patient Home
Medical Condition
Arthritis and Rheumatic … Clinical guidelines for individual chronic conditions often do not consider the needs of these patients … plan. … No statement in this report should be construed as an official position of AHRQ or of the U.S.
-
digital.ahrq.gov/ahrq-funded-projects/trial-carepartner-program-improving-quality-transition-support/annual-summary/2012
January 01, 2012 - health information technology (IT) and coordinated communication between patients’ informal caregivers or … “CarePartners” and their clinical teams to address their needs and manage their health. … Patients in the CP intervention will receive comprehensive discharge planning for managing their chronic condition … Patients’ clinical teams have access to patients’ assessment results via the Web and receive automated … This coordinated approach has potential to improve the quality of care and success of care transitions
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digital.ahrq.gov/ahrq-funded-projects/getting-same-page-leveraging-inpatient-portal-engage-families-hospitalized-children
January 01, 2024 - No statement in this report should be construed as an official position of AHRQ or of the U.S. … Setting
Children's Hospital
Hospital
Medical Condition
Cancer
Population … Children
Clinical Staff/Clinician
Type of Care
Acute Care
Specialty Care … Parents accessing Bedside Notes reported improved understanding of their child’s diagnosis and care plan … No statement in this report should be construed as an official position of AHRQ or of the U.S.
-
digital.ahrq.gov/ahrq-funded-projects/translating-hypertension-guidelines-practice-development-interoperable-clinical
January 01, 2023 - No statement in this report should be construed as an official position of AHRQ or of the U.S. … Setting
Medical Condition
Cardiovascular Disease
Hypertension
Population … of Care
Primary Care
Health Care Theme
Interoperability
Patient-Centered Care … The researchers also plan to expand their research to patients with lower digital literacy. … No statement in this report should be construed as an official position of AHRQ or of the U.S.
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digital.ahrq.gov/ahrq-funded-projects/hit-strategic-plan-sw-minnesota-health-providers
January 01, 2023 - HIT Strategic Plan of SW Minnesota Health Providers
Project Description … Setting
Ambulatory Setting
Critical Access Hospital
Outpatient
Medical Condition … Population
Administrator
Physician
Practice Manager
Rural Populations
Type of Care … Preventive Care
Health Care Theme
Interoperability
The Minnesota Rural … grant funds for the purpose of completion of a health information technology (health IT) strategic plan
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digital.ahrq.gov/sites/default/files/docs/page/lead-screening-due-age-9m-12m.pdf
December 08, 2000 - Within the state or locale for which this recommendation is made, child health-care
providers should … [This question could apply to a facility such as a home, day-
care center, or the home of a babysitter … In the absence of a statewide plan or other formal guidance from health officials,
universal screening … Area Pediatrics
Secondary Clinical Area
Risk Group Definition Age 7 months and < 18 months … Details for Risk Group N/A
Triggering Condition
No prior lead screen between age=7
months and
-
digital.ahrq.gov/sites/default/files/docs/page/lead-screening-due-age-2y.pdf
December 08, 2000 - Within the state or locale for which this recommendation is made, child health-care
providers should … [This question could apply to a facility such as a home, day-
care center, or the home of a babysitter … In the absence of a statewide plan or other formal guidance from health officials,
universal screening … Area Pediatrics
Secondary Clinical Area
Risk Group Definition age 18 months AND ≤ 29 months … Details for Risk Group N/A
Triggering Condition
No prior lead screen between age = 18
months and
-
digital.ahrq.gov/sites/default/files/docs/page/lead-screening-due-high-risk-age-4y.pdf
December 08, 2000 - Within the state or locale for which this recommendation is made, child health-care
providers should … [This question could apply to a facility such as a home, day-
care center, or the home of a babysitter … In the absence of a statewide plan or other formal guidance from health officials,
universal screening … Area Pediatrics
Secondary Clinical Area
Risk Group Definition
age ≥ 42 months and age < 5 years … lead poisoning in problem list
Triggering Condition
No prior lead screen between age ≥42
months
-
digital.ahrq.gov/sites/default/files/docs/page/lead-screening-due-age-3y.pdf
December 08, 2000 - Within the state or locale for which this recommendation is made, child health-care
providers should … [This question could apply to a facility such as a home, day-
care center, or the home of a babysitter … In the absence of a statewide plan or other formal guidance from health officials,
universal screening … Area Pediatrics
Secondary Clinical Area
Risk Group Definition age≥30 months and ≤ 41 months … Details for Risk Group N/A
Triggering Condition
No prior lead screen between age= 30
months and
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015175-weissman-final-report-2007.pdf
January 01, 2007 - Department of Health and Human Services of a particular drug, device, test, treatment, or
other clinical … Study participants included all patients identified as
having a chronic condition with one or more prescription … Persons had to have at least 2 ambulatory claims
with the chronic condition or one inpatient (including … All cause and Condition specific ambulatory care sensitive
hospitalizations (ACSH). … Overall 25% of patients with a chronic condition had either a death or a hospitalization in the
year
-
digital.ahrq.gov/ahrq-funded-projects/novel-patient-facing-mobile-platform-collect-and-implement-patient-reported
April 01, 2023 - Setting
Ambulatory Setting
Patient Home
Medical Condition
Asthma
Respiratory … (Lung) Disease
Population
Clinical Staff/Clinician
Individuals with Chronic Care Needs … use of ASTHMAXcel Voice to usual care on clinical and process outcomes, SDoH screening and referral … The researchers plan to enhance the platform for other chronic diseases in the future. … prevent it from becoming a full-blown asthma flare and ending up in the ER, needing oral steroids, or
-
digital.ahrq.gov/sites/default/files/docs/patient-centered-care-slides-033011.pdf
March 30, 2011 - Reasoning Engine
Personalized
Care Plan
And
Feedback
PHR
PAMFOnline: Diabetes Status Report … to send
or receive email?” … care in either the medical or
mental health literature
Randomized Trial
• Randomized trial of PHR … Usual Care for
patients with one or more chronic medical
condition (n=170)
• Main Outcomes: Patient … Plan
• Collaborated with Shared Care developers, MH
consumer leaders
• Focus groups with consumers
-
digital.ahrq.gov/ahrq-funded-projects/care-transitions-app-patients-multiple-chronic-conditions
January 01, 2023 - Setting
Inpatient
Medical Condition
Chronic Conditions
Congestive Heart Failure … chronic kidney disease), including condition-specific post-discharge care plans with medication education … plan instructions, the opportunity to ask questions, and a followup appointment with their primary care … But no such transitional support or instruction is offered during the hospitalization or after discharge … plan, deliver medication reminders and education, and allow for patients to submit questions and recovery
-
digital.ahrq.gov/ahrq-funded-projects/advancing-health-information-exchange-hie-during-inter-hospital-transfer-iht
January 01, 2024 - Setting
Hospital
Medical Condition
Chronic Conditions
Population … Clinical Staff/Clinician
Individuals with Special Health Care Needs
Researcher
Stakeholder … Type of Care
Acute Care
Health Care Theme
Patient Safety
Transitions in … Combine data on use, usability, and barriers to implementation to develop a plan for further refinement … Such patients are routinely transferred between different clinical providers, hospitals, or healthcare
-
digital.ahrq.gov/sites/default/files/docs/publication/p20hs014908-bergner-final-report-2005.pdf
January 01, 2005 - Department of Health and Human Services of a particular drug, device, test, treatment, or
other clinical … improve patient safety/quality of care by: Providing specific clinical and organizational needs
that … Interactions (drug-drug, drug-food, drug-condition)
d. … with or without a “medical home. … coordination, clinical data sharing, and
capture of county-wide clinical information.
-
digital.ahrq.gov/ahrq-funded-projects/assessing-impact-patient-centered-medical-home-co
January 01, 2023 - Technology
Electronic Health Record/Electronic Medical Record
Patient Portal
Medical Condition … This project conducted an evaluation of the clinical outcomes, financial and economic impact, and patient … Because the WellMed model was implemented more than 20 years ago with a plan-do-study-act approach, it … WellMed’s experience suggests that there are options other than integrated or hospital-owned networks … do not have to be shared with hospitals or subspecialists, allowing more reinvestment in outpatient
-
digital.ahrq.gov/sites/default/files/docs/care-transitions-slides-052313.pdf
May 23, 2013 - Consultation Request Clinical Summary (Referral to a
consultant or the ED)
5. … Permanent or long-term Transfer of Care to a different
facility or care team or Home Health Agency … Plan of Care
Home Health Plan of Care
(AKA CMS-485)
Care Plan
Testing the
IMPACT … admission
Hypertension Dx
Cardiac condition Dx
Stroke Dx
Shortness of breath
Longer … Plan & Plan of Care
Testing the IMPACT Transfer of Care Dataset
IMPACT Dataset for Testing
Testing