-
digital.ahrq.gov/sites/default/files/docs/page/CongressionalBudgetOffice.pdf
January 01, 2009 - encourage adoption or to use
health IT in their own clinical operations. … to com-
pare the effectiveness and cost of different treatments for
a given disease or condition. … the patient’s condition and treatment. … but that
accrue to another such provider or perhaps the rele
vant health insurance plan or even … realized
primarily by a health insurance plan, not a health care
provider.
-
digital.ahrq.gov/sites/default/files/docs/page/2-2010_0201_TEP_Demos_Dashboards.pdf
January 01, 2010 - of the user’s performance for key metrics
– Comparison of the user’s performance with other
users or … Designing Decision Support Dashboards
• Two perspectives
– Clinicians
– CDS Designers
• What do they care … • Clinician’s performance (clinical) for his/her
patients
– By condition (not by reminder) – Diabetes … acknowledged and/or performed –
in any order, multiple times. … Performance”
Database Design
Reminder Activity
Clinical Performance (Total)
Clinical Performance
-
digital.ahrq.gov/sites/default/files/docs/page/alternate-findings-and-lessons-from-the-ahrq-ambulatory-safety-and-quality-program.pdf
August 09, 2013 - ., known drug interactions or
clinical contraindications). … , or focused on specific
clinical processes. … For example, secure messaging or electronic
visits can substitute for or supplement in-person
clinical … as exercise and nutrition
or the receipt of clinical preventive services. … tive services history, monitor personal risk factors
and preferences, and create a tailored wellness plan
-
digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-ahrq-ambulatory-safety-and-quality-program.pdf
August 09, 2013 - ., known drug interactions or
clinical contraindications). … , or focused on specific
clinical processes. … For example, secure messaging or electronic
visits can substitute for or supplement in-person
clinical … as exercise and nutrition
or the receipt of clinical preventive services. … tive services history, monitor personal risk factors
and preferences, and create a tailored wellness plan
-
digital.ahrq.gov/ahrq-funded-projects/prism-personalized-reminders-immunizations-using-short-messaging-systems
January 01, 2023 - No statement in this report should be construed as an official position of AHRQ or of the U.S. … Setting
Patient Home
Medical Condition
Viral Infection
Population … Care Theme
Mobile Health
Patient Education
Preventive Medicine
Childhood vaccines … Research Method: Cross-Over Study , Mixed Methods , Randomized Controlled Trial (RCT) Technology: Clinical … No statement in this report should be construed as an official position of AHRQ or of the U.S.
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017167-kopal-final-report-2011.pdf
January 01, 2011 - Department of Health and Human Services of a particular drug, device, test, treatment, or
other clinical … Methods
Our analysis plan included a 15-month pre-intervention period in which hypertension data in … treatment; and
• Clinical reminders, to prompt providers to screen for tobacco use and/or update … First, the study did not include a
control condition, however our analyses, both the trend analysis … It
was reported as helpful for remembering
recommended orders and validating the treatment
plan
-
digital.ahrq.gov/sites/default/files/docs/page/Research%20Agenda%20for%20Healthcare%20Systems%20Engineering.pdf
February 13, 2007 - role in how these new protocols for healthcare
are delivered if research begins now on how to design, plan … Still, only about half of patients receive best-practice care for
their condition. … Traditional demographic and condition-
based considerations in defining target populations have recently … Clinical Reminders are designed to warn staff when something should be done or alert
them to possible … • Point of Care Clinical Reminders.
-
digital.ahrq.gov/sites/default/files/docs/citation/appendixi-ahrq-cdspain-patient-app-training.ppt
August 06, 2024 - Clinical Decision Support (CDS) for Chronic Pain Management
Clinical Decision Support for Chronic Pain … Workflow
*
Customize
Initial Visit
Introduce a Taper
Set Taper Parameters
Confirm Medication Plan … smart phone from the Apple or Google Play app stores. … Change in pain intensity or interference of 3 points or more may be clinically meaningful
May warrant … plan modifications
*
You will see patients PROs in the form of standardized scores called T-scores
-
digital.ahrq.gov/sites/default/files/docs/citation/appendix-i-cdspain-patient-app-training.ppt
August 06, 2024 - Clinical Decision Support (CDS) for Chronic Pain Management
Clinical Decision Support for Chronic Pain … Workflow
*
Customize
Initial Visit
Introduce a Taper
Set Taper Parameters
Confirm Medication Plan … smart phone from the Apple or Google Play app stores. … Change in pain intensity or interference of 3 points or more may be clinically meaningful
May warrant … plan modifications
*
You will see patients PROs in the form of standardized scores called T-scores
-
digital.ahrq.gov/ahrq-funded-projects/massachusetts-quality-e-measure-validation-study/annual-summary/2011
January 01, 2011 - ambulatory care physicians have lagged. … Using the Ambulatory Care Quality Alliance (AQA) ambulatory care measurement set, the study team compared … data elements that can be used to calculate clinical quality measure results. … The research team developed a plan to obtain sample data with the right number and mix of patients. … Low response rates to health-plan member survey.
-
digital.ahrq.gov/2019-year-review/research-spotlights/pro-highlight-ahrq-advances-use-patient-reported-outcomes-improve
January 01, 2019 - PROs include information about the status of a patient’s health condition that comes directly … PROs also help to improve patient-centered care by informing clinical decision making and supporting … Despite these benefits, PRO data are not routinely collected or used in clinical practice. … or research systems, regardless of the EHR or health IT solution. … adoption or meaningful data use.
-
digital.ahrq.gov/ahrq-funded-projects/optimizing-value-patient-reported-outcome-measures-improving-care-delivery
January 01, 2024 - Setting
Ambulatory Setting
Medical Condition
Orthopedic Disease
Population … who had had a hip or knee replacement or spinal surgery. … Commonly defined as any report of the status of a patient’s health condition as reported directly by … What outcomes matter to patients after joint or spine surgery? … systems are now looking for ways to integrate PROMs into clinical care for better assessment and to
-
digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-in-final-report.pdf
July 01, 2015 - Whereas
Regenstrief’s mission is research and improving clinical care, IHIE’s mission is focused on … (INPC) in
1995 with the goal of providing clinical information at the point of care for the treatment … , coordination of care and
clinical research. … , coordination of care and clinical research. … · Storage of Information and Administration of the Network
· Uses of Information
· For Clinical Care
-
digital.ahrq.gov/sites/default/files/docs/activity/patient_readiness_to_use_internet_health_resources_2010_pdf__2.pdf
January 01, 2010 - Organization: University of Missouri, Columbia
Mechanism: PAR: HS09-085: Mentored Clinical Scientist … aim is to examine how use of an interactive online patient
portal is associated with improvements in clinical … Koopman, as part of her Mentored Clinical Scientist
Research Career Development Award, has an overarching … leadership and management from professional development
seminars and a longitudinal self-improvement plan … in conjunction with a cognitive
interview to help determine if any of the questions were confusing or
-
digital.ahrq.gov/sites/default/files/docs/reducing-provider-burden-slides-012518.pdf
January 25, 2018 - suggest
interruption or re-initiation
17
3. … tasks, such as medication
reconciliation or preventive care were highly distributed
across the visits … results
67
68
69
Planning Sheets
75 master patients; 12 reserved provider logins; 175 hours to plan … generated
significantly more total clicks when compared to the
low-volume of abnormal test results condition … <.01).
• Significant longer time to complete scenarios in the high-volume of abnormal
test results condition
-
digital.ahrq.gov/sites/default/files/docs/page/remote_disease_monitoring__challenges_and_opportunities_for_medicaid___schip_agencies_6.pdf
November 19, 2008 - Yet the goals of the patient may be
different than the payer or health care system or society as a whole … In this case, congestive heart failure, we like to think of internally as a condition care
management … opportunity to determine or detect any clinical variance in the patient's day-to-
day condition. … At the very beginning of the intervention they set up a treatment plan, goals, and based on
the stratification … The overall impact on health care or the dollars for health care in the Medicaid program
is indicated
-
digital.ahrq.gov/sites/default/files/docs/page/improving_quality_through_health_it_and_hie_in_medicaid_schip_programs__6.pdf
November 19, 2008 - Yet the goals of the patient may be
different than the payer or health care system or society as a whole … In this case, congestive heart failure, we like to think of internally as a condition care
management … opportunity to determine or detect any clinical variance in the patient's day-to-
day condition. … At the very beginning of the intervention they set up a treatment plan, goals, and based on
the stratification … The overall impact on health care or the dollars for health care in the Medicaid program
is indicated
-
digital.ahrq.gov/health-it-tools-and-resources/ahrq-funded-project-resources-archives/letter-pcps
January 01, 2023 - Letter for PCPs
Description
Sample letter informing primary care physician about … Health Information Technology for Self-Management Support and Medication Activation in a Medicaid Health Plan … Medical Condition
Diabetes Mellitus
Technology
Clinical Decision Support System
-
digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-improving-management-of-individuals-with-complex-health-care-needs-through-health-it-grant-initiative.pdf
February 20, 2014 - as well as the delivery of clinical services through
secure messaging or electronic visits. … asynchronous secure mes-
saging or electronic visits as a substitute or supple-
ment for in-person clinical … visits or to support effec-
tive clinical interactions during office visits by helping
patients and … Each patient works with a clinical care special-
ist to develop a shared care plan within the PHR
and … The patient can share infor-
mation about their medical condition or care plan
with any clinicians
-
digital.ahrq.gov/sites/default/files/docs/reduce-medication-errors-slides-082614.pdf
August 26, 2014 - • Novel health IT tools have the potential to
support chronic condition management in
primary care … to start of trial
• Clinical trial: Metronome tool active in
intervention arm for 1 year
8 … exclusions—retained 917 pairs
• Reciprocated for Delphi surveys = 1,834 pairs
39
Method: Modified Delphi Plan … 74
Examples of Reasons for not
Continuing a Medication
• Drug contraindicated at this time
• Condition … Aims
Method: Two Published Sources of LASA Pairs
Method: Reducing the List
Method: Modified Delphi Plan