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digital.ahrq.gov/sites/default/files/docs/page/2017-ahrq-hit-annual-report.pdf
January 01, 2017 - Grants
Grants provide money, property, or other direct assistance for approved projects or activities … reinforce facilitators for effective CDS use; measure PCOR
finding use in CDS; and evaluate its impact and plan … 4
Hispanic or Latino 3
American Indian or Alaska Native 2
White 2
Total 11
Vulnerable Populations … The team found that the assessment and plan section of the note were most often read first and
rated … or reasonable.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021799-cohen-final-report-2018.pdf
January 01, 2018 - Many of the preparation programs in practice are
developed and conducted based on clinical intuition … or a control condition (i.e.,
cartoon video and non-animatronic Barney doll). … Our project improves scientific knowledge,
technical capability, and clinical practice by providing … Families were randomized to either RadWorld or standard care, which are described in detail
below. … As is common with clinical studies, there was significant variability within and across
participants
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digital.ahrq.gov/sites/default/files/docs/lesson/08-0087-ef-lt-care.pdf
October 01, 2009 - Complex geriatric care – Geriatric care consists not only of clinical care, but also
assessments … She noted “in long-term care, the
key people are not just the clinical staff and the administrators … Nashans project
adjusted its implementation plan from having physicians access a patient’ s EMR at … You cannot just take
something off the shelf or flip the switch when you have to make clinical decisions … “One can plan for the implementation of CPOE, but the actual process takes on a life of its
own that
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-decision-support-evidence-based-pharmacotherapy/annual-summary/2010
January 01, 2010 - Intelligent Agent across a Network (SEBASTIAN), is the basis for an international Health Level 7 standard for clinical … This project involves a three-arm randomized controlled clinical trial (RCT) within COACH to evaluate … additional education on the medication management reports and instruction on how to use the report for clinical … Provider comments have generally been favorable and indicate the reports are being used for clinical … Progress is now completely on track, according to the revised project plan and timeline, and spending
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021590-ralston-final-report-2017.pdf
January 01, 2017 - Context
Most studies of reminders have focused on a single health care need or condition and a single … includes clinical … uncertainty in plan of
care; and providing an automatic health archive to reference later. … enable engagement in the
portal including patient reminders; using face to face visits to promote clinical … Multiple options for reaching different members of the
care team or a health bot are provided.
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digital.ahrq.gov/sites/default/files/docs/page/THQITStoriesHorn2010.pdf
June 16, 2021 - Increases Staff ’s
Job Satisfaction
Pressure ulcers are a painful,
prevalent, and preventable
condition … Clinical decision support
(CDS) embedded in health
information technology (health IT) can provide … AHRQ (with $1.5 million of funding) and 15 participating
nursing homes representing seven longterm care … OnTime, a
quality improvement program that leverages health IT for
clinical documentation and CDS, … engages multiple care
providers (certified nursing assistant (CNA), registered nurses,
dieticians
-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-enhanced-family-health-history-documentation
January 01, 2023 - No statement in this report should be construed as an official position of AHRQ or of the U.S. … Results from the study found that pre-visit use of a multi-condition EHR-integrated HRA in primary care … A cluster randomized trial of a personalized multi-condition risk assessment in primary care. … No statement in this report should be construed as an official position of AHRQ or of the U.S. … Document Type: Report Technology: Clinical Decision Support System , Consumer Health Informatics
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs024713-adelman-final-report-2023.pdf
January 01, 2023 - Arms 1 and 2 are identical; and Arms 3 and 4 are identical, introducing an unintended
condition of the … within
each randomized Arm 1Y vs 1N, 2Y vs 2N, 3Y vs 3N, and 4Y vs 4N, i.e., “No Photo” is the control condition … For ease of reference,
Figure 6 also shows the photo configuration in each
condition depending on whether … Some unintended consequences of information technology in health care:
The nature of patient care information … of 2 integrated health care systems.
-
digital.ahrq.gov/sites/default/files/docs/citation/k01hs021531-ancker-final-report-2018.pdf
January 01, 2018 - 95 years of age, able to communicate in
English, able to use a computer, and either have a chronic condition … or the manager of care for a
person with a chronic medical condition. (1 manuscript7 and 1 poster8) … for reducing adverse
events and unnecessary emergency or urgent care visits.12
5D. … Applied Clinical Informatics. 2018;9(1):174-
184. PMID: 29539648. PMCID: PMC5851788.
8. … Informing, reassuring, or alarming?
-
digital.ahrq.gov/sites/default/files/docs/technologies-underserved-populations-slides-02282023.pdf
February 28, 2023 - Milbank Q. 2019
Requirements for Action on Social Needs Information
During Clinical Care
14
Screening … From the CDC:
Preconception health care is the medical care a woman or man
receives that focuses on … The clinical content of preconception care. AJOG. 2008. 49
Who is Gabby? … to in the future .
12.5 21.9
65.6
No Plan to Yes
Mean Stage of Change by Health Content Area … Delivery Methods Matter
More Evidence of a Digital Divide
Addressing Social Needs in Clinical Care:
-
digital.ahrq.gov/sites/default/files/docs/page/SuccessStoryMold.pdf
January 01, 2012 - -
port the delivery of appropriate, individualized pre-
ventive health services that integrate into clinical … delivery pro-
cess that takes the concept of patient-centered to
a level beyond convenience or satisfaction … The PHR includes patient education
materials, a 3-year patient wellness plan, and an
application that … The PHR interfaces with
the Preventive Services Reminder System, a clinical
information system previously … applica-
tions to monitor personal risk factors and develop and
manage an individualized wellness plan
-
digital.ahrq.gov/ahrq-funded-projects/electronic-support-public-health-vaccine-adverse-event-reporting-system/annual-summary/2010
January 01, 2010 - ESP provides a ready-made platform for automatically converting clinical, laboratory, prescription, and … about the patient, including vaccine type, lot number, and possible adverse effect, to inform their clinical … Clinicians have the option of adding free-text comments to pre-populated VAERS reports or to document … s Immunization Safety Office and eight large managed care organizations. … move forward with discussions regarding the evaluation of ESP:VAERS performance in a randomized trial, or
-
digital.ahrq.gov/sites/default/files/docs/page/privacy-and-security-solutions-for-interoperable-hie-avas-executive-summary.pdf
June 30, 2007 - decision-making issues that are both a clinical and a privacy risk. … Tension exists among health care providers, hospitals, and patients concerning who
controls or … added that state law should
determine general consent requirements, consent principles relative to condition-specific … clinical medicine and
to electronic health information exchange. … opportunities to make the HIEs reimbursable by Medicaid and under the
state employee group health plan
-
digital.ahrq.gov/sites/default/files/docs/page/designing-consumer-health-it-a-guide-for-developers-and-systems-designers.pdf
September 01, 2012 - studies of
care experience … You can also search for condition-specific blogs
with directories such as Technorati. … are stigmatized by the condition. … SNOMED CT
http://www.ihtsdo.org/snomed-ct
An extensive clinical terminology that is concept-oriented … US Federal Government, through
the Consolidated Health Informatics (CHI) Initiative, for several
clinical
-
digital.ahrq.gov/sites/default/files/docs/citation/developmentmethodsguide.pdf
September 01, 2012 - studies of
care experience … You can also search for condition-specific blogs
with directories such as Technorati. … are stigmatized by the condition. … SNOMED CT
http://www.ihtsdo.org/snomed-ct
An extensive clinical terminology that is concept-oriented … US Federal Government, through
the Consolidated Health Informatics (CHI) Initiative, for several
clinical
-
digital.ahrq.gov/sites/default/files/docs/survey/rwhc-thqit-readiness-assessment.pdf
June 16, 2021 - Nursing care plan/orders
c. Medication orders
d. Pharmacist notes
e. … Interfaces for clinical data exchange
c. … Describe/list any quality measures or quality checks currently in use for verifying clinical data and … Established evaluation plan and metrics
22. … Does your organization have a written information technology plan (formal or informal)?
-
digital.ahrq.gov/evaluation
January 01, 2023 - over the long-term, how support will be extended to physicians who fail to qualify for either Medicare or … delivery costs can be reduced by making clinical data available at the time of care in urban emergency … information available through the exchange from other institutions prior to initiating a treatment plan … needs are more suitably addressed at lower costs in ambulatory settings or medical homes. … system will be made possible through the secure exchange of clinical information across regional settings
-
digital.ahrq.gov/ahrq-funded-projects/risk-based-approach-improving-management-chronic-kidney-disease/annual-summary/2012
January 01, 2012 - of comprehensive disease management of CKD and no studies of the impact of patient education on this condition … The study implemented a disease management program at 14 health centers with improved clinical decision … During the first phase of this project in 2010, one health center was selected to pilot test the clinical … Throughout the clinical trial, the time between the primary care provider placing an order for a nephrologist … A 12-month no-cost extension was used to complete the clinical trial and conduct data analysis.
-
digital.ahrq.gov/sites/default/files/docs/page/AppendixB.pdf
February 01, 2012 - table 1. key aReaS and topicS oF checkliSt
Key Area Topic
Leadership Clinical, Administrative & IT … B-3
❍❍ For each “3”, consider developing a plan for moving the item’s score to a “4” or “5”
● Finally … competitors; such competition is simply one of the project factors
that deserves a thoughtful management plan … Project management, including in-project and final evaluation.
1-not at all, 5-world class
Clinical … informatics: capable of matching IT functions to clinical
and operational needs.
1-not at all
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs017191-pohl-final-report-2011.pdf
January 01, 2011 - and experience of care by
clinicians. … How does the use of an EHR affect clinical productivity?
e. … partnership, Alliance, was initially created by a network of federally qualified health centers to plan … performance
feedback and timely implementation of corrective actions (based on the Shewhart /Deming cycle of plan … plan 3 5 5 (n=3) 1 center improved
Diagnostic/treatment plans communicated to
patients and caregivers