-
digital.ahrq.gov/sites/default/files/docs/page/E_Glossary_1.pdf
June 16, 2021 - Can include patients, health plan members, or personal
representatives of the patient or health plan … Health Plan
A health insurance carrier who provides varying levels of health care service payments … Individually Identifiable Health Information
Medical records, clinical files, health plan claims data … ; or (c) “relates to” the past, present, or future
physical or mental health or condition of, provision … of health care to, or payment for health
care for the individual.
-
digital.ahrq.gov/sites/default/files/docs/page/E_Glossary_0.pdf
June 16, 2021 - Can include patients, health plan members, or personal
representatives of the patient or health plan … Health Plan
A health insurance carrier who provides varying levels of health care service payments … Individually Identifiable Health Information
Medical records, clinical files, health plan claims data … ; or (c) “relates to” the past, present, or future
physical or mental health or condition of, provision … of health care to, or payment for health
care for the individual.
-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-safe-nursing-care
January 01, 2023 - No statement in this report should be construed as an official position of AHRQ or of the U.S. … Hospital
Medical Condition
Chronic Conditions
Population
Nurse … : Think of it as a clinical brain dump. … Essentially, it's a shift-by-shift update of the patient's care plan. … patient shifts -- have a HANDS-based care plan.
-
digital.ahrq.gov/sites/default/files/docs/citation/shareable-cds-efficiencies-final-report.pdf
December 01, 2019 - condition being addressed. … condition being addressed. … How do you define the clinical condition?
2. How do you define the clinical user?
3. … Did you use the clinical condition as defined by the inclusions in the artifact? … If not, how did you define
the clinical condition?
2.
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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/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/sites/default/files/docs/publication/action-cp-cds-training.pdf
February 15, 2008 - Using a Clinical Decision Support Tool to Improve Fall/Injury Prevention Care Planning
Using a Clinical … CDS Tool:
Care Plan Overview
Reviewing Patient Details or Accessing the Chart
Click (+) sign to … plan information
Reviewing the Care Plan Status: Intervention
Example: Both
Fall & Injury Care … - Who is at risk for falling or fall-related injury?
- Is the correct care plan initiated? … Details or Accessing the Chart
Reviewing the CDS Tool Icons
Reviewing the Care Plan Status: Assessment
-
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
-
digital.ahrq.gov/sites/default/files/docs/coordination-patients-complex-needs-slides-022014.pdf
February 20, 2014 - the next
several weeks.
93.4% 86.6% 90.9% 94.3% +
I had a readable and easily understood written plan … I had a good understanding of my health condition and what
makes it better or worse.
88.7% 86.4% … ► Chronic renal disease OR
► End-stage renal disease OR
► Sickle cell disease
56
Information … Clinical and Economic Outcomes
Arm #1
(Control)
Arm #2
(Reports)
Arm #3
(Reports + Care … The IMPACT Study
Study Design
Clinical E-mail Alert
New Complex Medication Management Care Problem
-
digital.ahrq.gov/sites/default/files/docs/2010-02-24%20Transitions%20In%20Care%20(4).pdf
January 01, 2010 - allow, and sometimes cause,
the clinical deterioration that leads to
rehospitalization … Plan
What time of day do
I take this
medicine? … MAIN PROBLEM:
After Hospital Care Plan Maria Johnson 10/11/05
***Bring this Plan to each Appointment … ADEs
Types of Errors Leading to Serious
Preventable ADEs
Patient with
complex
medical
condition … • Clinical trials suggest that 20%-50% of
these rehospitalizations are preventable.
-
digital.ahrq.gov/ahrq-funded-projects/health-information-technology-heart-failure-care
January 01, 2023 - No statement in this report should be construed as an official position of AHRQ or of the U.S. … Academic Medical Center
Inpatient
Medical Condition
Chronic Conditions
Congestive … In the future, the researchers plan to tailor the CDS tool toward patients who may benefit the most, … No statement in this report should be construed as an official position of AHRQ or of the U.S. … "We're almost guests in their clinical care": inpatient provider attitudes toward chronic disease management
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017196-jack-final-report-2011.pdf
January 01, 2011 - Department of Health and Human Services of a particular drug, device, test, treatment, or
other clinical … She also asked if the patient
had returned to the hospital, emergency department or to any clinical … The pharmacist found two problems regarding self-care and management of the health
condition. … The Ambulatory Care Plan. … Care Plan,” which is given at hospital discharge)
that is electronically prepared.
-
digital.ahrq.gov/sites/default/files/docs/citation/appendix-h-cdspain-ehr-clinician-training.ppt
August 12, 2024 - Clinical Decision Support (CDS) for Chronic Pain Management
Clinical Decision Support for Chronic Pain … The slides may also be customized to focus on specific stakeholders or parties who will be responsible … Workflow
*
Customize
Initial Visit
Introduce a Taper
Set Taper Parameters
Confirm Medication Plan … plan
Patient app
We will review each section of the app individually … you have reviewed the information here, you select “Start” to continue to the next screen to create or
-
digital.ahrq.gov/ahrq-funded-projects/implementing-breast-reconstruction-decision-support-tool-diverse-practice
January 01, 2024 - Medical Condition
Breast Cancer
Cancer
Population
Elderly
Female
Women … Type of Care
Surgery
Health Care Theme
Clinical Decision Making
Patient … Optimize and modify BREASTChoice based on stakeholder input and usability testing, and plan for implementation … into routine care. … Implementing an electronic clinical decision support tool into routine care: A qualitative study of stakeholders
-
digital.ahrq.gov/ahrq-funded-projects/hit-service-integration
January 01, 2023 - Setting
Community Health Center
Critical Access Hospital
Medical Condition
Chronic … Acute Care
Ambulatory Care
Health Care Theme
Access to Care
Interoperability … ) to partner with Franklin Foundation Hospital (the lead grantee agency) to establish an integrated clinical … electronic note-writing ability; and establishment of information sharing agreements to allow sharing of clinical … One aspect of this process was to assess the potential to leverage one or more of these initiatives as
-
digital.ahrq.gov/ahrq-funded-projects/patient-provider-electronic-messenger-chronic-illness
January 01, 2023 - Setting
Integrated Delivery Network
Patient Home
Medical Condition
Congestive … The study included a retrospective cohort of health plan enrollees over the age of 18 years who were … with a primary or specialty care provider between January 1st, 2004 and March 31st of 2005. … interval [CI], 1.09-1.19), greater anticipated clinical need (OR, 3.46; 95% CI, 3.11-3.85, comparing … high or very high to very low anticipated clinical need), and the primary care provider's use of SM
-
digital.ahrq.gov/sites/default/files/docs/survey/improving-sickle-cell-transitions-focus-group-moderator-guide-%20it-developers.pdf
June 16, 2021 - Pediatric health care team initiates a jointly developed transition plan
with youth and their parents … Prepare and review with youth and parents written pain action plan
AND emergency care plan
c. … Send transfer letter to adult care provider including medical summary,
pain action plan, and emergency … care plan.
5. … Reminder mechanisms for general (e.g., flu shot) and condition-
specific monitoring or interventions
-
digital.ahrq.gov/ahrq-funded-projects/implementing-personalized-cross-sector-transitional-care-management-promote
January 01, 2024 - Setting
Community Health Center
Medical Condition
Chronic Conditions
Mental/Behavioral … Health
Population
Clinical Staff/Clinician
Individuals with Chronic Care Needs
Individuals … The role of telehealth and clinical informatics in data driven primary care redesign. … The personalized alert will trigger the creation of a comprehensive shared care plan curated by a professional … settings, enhance communication through a shareable comprehensive care plan, and facilitate referrals
-
digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end
January 01, 2023 - Decision Support System
Dashboard
SMART/FHIR
Care Setting
Across the Health Care … System
Medical Condition
Gastrointestinal Disease
Population
Adults … Patient
Physician
Health Care Theme
Adverse Events
Clinical Decision Making
Patient-Centered … The dyads were randomized to either the use of the tool or usual care. … The researchers plan to further evaluate DDInteract to better understand how the tool impacts decision
-
digital.ahrq.gov/sites/default/files/docs/citation/eDecisionsReport.pdf
August 06, 2013 - Organizations
CCD Continuity of Care Document
CCR Continuity of Care Record
CDA Clinical Document … ● Clinicians can import the information to the patient’s managed care plan and continuity of care … ACO considerations,
condition management programs, and associated
withholds or fees for contributors … ❑ Create a project plan beginning with
the clinical measurements you are
trying to achieve
EHR … any time the project plan is
adjusted or milestones are added or
subtracted.
32
Subtask Description