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digital.ahrq.gov/sites/default/files/docs/survey/it-primary-care-practice.pdf
September 14, 2016 - Information Technology in Primary Care Practice
Information Technology in Primary Care Practice
University … :
FP About how many hours per week do you
spend doing clinical work:
In your average hour at work … Patient
Encounter (CMR)
(with the patient)
Internet
(world wide web)
Decision Support
(guidelines … It is appropriate to use computers in
practice.
17. … Using a computer in practice would
conflict with guidelines concerning
acceptable medical practice.
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digital.ahrq.gov/sites/default/files/docs/page/acts-meeting-01302019.pdf
January 30, 2019 - Good Outcomes
Know What Works:
•Clinical evidence
•Clinical guideline
•Best practices
•Analytic results … Outside Care Delivery Organization Within Each Care Delivery Organization
(HIT vendors, clinical … Guidelines, Evidence, and/or Informed Opinion
3. … Guidelines, Evidence, and/or Informed Opinion
National Guideline Clearinghouse, USPSTF
Systematic Review … Centers Reports(EffectiveHealthcare)
• Systematic Reviews Database (SRDR+)
• Guidelines & Quality
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015420-shiffman-final-report-2007.pdf
January 01, 2007 - practice guidelines for the management of asthma in
adults and children. … including support for flexible charting of growth parameters, prescription
by weight, immunization practice … Over 5 quarters, residents practicing in our pediatric Primary Care Center and advanced
practice RNs … AHRQ Expert Panel on Electronic
Guidelines, Washington, DC. December 12, 2006. … Electronic
Medical Records in a Sub-Specialty Practice: One Asthma
Center’s Experience.
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digital.ahrq.gov/sites/default/files/docs/page/engaging-patients-and-primary-care-clinicians-through-a-wellness-portal-to-Improve-the-health-of-oklahomans.pdf
August 31, 2010 - Preventive Services Reminder System
Risk Processor
(HRA)
Prioritizes available
interventions from
clinical … guidelines
by outcome and
size of effects
Prioritized
Recommendations Lists
Wellness
Plan
Decision … attributes,
values,
goals,
preferences,
constraints
ClinicianPatient
Wellness
nurse
Evidence-based guidelines … HRA
6
Goal-directed Care Through
Shared Decision-Making
7
Clinician Report: evidence-based and clinical … Addressing the Problem of Maintaining
the Level of Engagement
• Connecting periodically used clinical
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digital.ahrq.gov/program-overview/directors-corner
September 01, 2024 - guidelines and decision support. … using PROs and results of surveillance imaging, coupled with telehealth visits, to improve surveillance guidelines … practice and to help make the right thing to do, the easy thing to do. … narrative guidelines into formats that can be used by multiple EHR systems for implementing CDS across … DARTNet customized screening for depression to workflow of each practice site.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hicks-ls-et-al-2008
January 01, 2008 - After adjustment for patients' demographic and clinical characteristics, number of prior visits, and … Objective
"To examine the effectiveness of CDS [clinical decision support], designed to remind physicians … about hypertension treatment guidelines with the goals of: (1) improving levels of blood pressure control … Type of Health IT
Computerized clinical reminders (CRs) and alerts
Type of Health IT Functions … Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure] guidelines
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digital.ahrq.gov/sites/default/files/docs/page/6-CDCS_0201_TEP_1_StatusReport.pdf
April 18, 2010 - to
– help clinicians improve diagnosis
– increase quality and patient safety
– improve adherence to guidelines … is limited
due to a variety of reasons, including
• Difficulty developing clinical practice guidelines … • Absence of a central repository or knowledge resource where
computable guidelines can be shared … of organizational and social issues relating
to clinical decision support. … Studying Clinical Decision Support in the Field
J. Ash
• AMIA-0023-A2009.R1.
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digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology/annual-summary/2010
January 01, 2010 - While the use of clinical decision support systems (CDSS) has the potential to make evidence-based practice … guidelines available to clinicians at the point of care, there is uncertainty and concern about workflow … disruption, usability in practice, and utility of the content. … In 2009, Duke University’s Evidence-based Practice Center (EPC) was awarded a contract to develop a synthesis … report summarizing the evidence on the use and effectiveness of CDSS across clinical settings.
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digital.ahrq.gov/location/usa-or-portland
January 01, 2023 - Controlling High Blood Pressure (COACH) application--evaluate its implementation into three diverse clinical … Implementing USPSTF Recommendations for Breast Cancer Screening and Prevention by Integrating Clinical … Principal Investigator(s)
Cohen, Deborah Jill
Translating Hypertension Guidelines … into Practice: Development of Interoperable Clinical Decision Support
Description
This research … outpatient and inpatient health information system by assessing adherence to evidence-based treatment guidelines
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digital.ahrq.gov/funding-mechanism/disseminating-and-implementing-patient-centered-outcomes-research-pcor-evidence
January 01, 2023 - Disseminating and Implementing Patient-Centered Outcomes Research (PCOR) Evidence into Practice through … Interoperable Clinical Decision Support (R18)
Development of SMART … on FHIR Interoperable Clinical Decision Support for Emergency Department Patients with Pneumonia and … Clinical Decision Support for Disseminating and Implementing Patient-Centered Outcomes Research Clinical … patient-centered outcomes research guidelines around advanced diagnostic imaging using standards to
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digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall
January 01, 2023 - practice. … Transforming Guidelines into Action: Clinical Decision Support at the Point of Care AHRQ hosted a presentation … primary care practice. … Fall risk management using clinical decision support in a rural nursing-led primary care practice. … practice, and patients are able to actively participate in their healthcare to minimize the risk of
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015226-gandhi-final-report-2008.pdf
January 01, 2008 - Atrius Health is an integrated multispecialty group practice with approximately 250 primary
care physicians … tracks new orders for
laboratory tests and colonoscopies and produce reports viewable by physicians, practice … Cluster randomization will be at the physician level, with half the physicians within a practice
randomized … A survey was conducted at three Atrius
Health clinics, an integrated multispecialty group practice, … their own earning potential improved (56% were neutral), and 20% agreed that revenue
for the entire practice
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digital.ahrq.gov/health-care-theme/clinical-decision-making
January 01, 2023 - Clinical Decision Making
Machine-Learning Prediction Model for Personalized … guidelines that help doctors select the most effective antibiotics for each patient, reduce unnecessary … decision support, and reduce the manual burden on clinical staff in routine care. … Decision Support
Description
The study will develop and test a vendor-compatible clinical … practice and institutional decision-making.
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digital.ahrq.gov/ahrq-funded-projects/core-functionality-pediatric-ehrs
January 01, 2023 - The project team developed a technical brief on the state of practice and the current literature around … core functionalities for pediatric EHRs to describe current practice and to provide a framework for … outcomes associated with the introduction of a pediatric EHR or for implementation of systems such as clinical … desire to support and maintain patient safety; and (3) the increasing presence of pediatric-specific clinical … Understanding the importance of computability and specificity of guidelines, as well as motivations for
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digital.ahrq.gov/ahrq-funded-projects/guidelines-decision-support-glides/annual-summary/2011
January 01, 2011 - Guidelines Into Decision Support (GLIDES) - 2011
Project Name
Guidelines Into Decision … and evaluation of demonstrations that advance the understanding of how to incorporate computerized clinical … The overall goal of the project is to recommend methods to assist clinical organizations across the country … School of Medicine's Department of Pediatrics and the Center for Medical Informatics, and is assisted by clinical … American Academy of Otolaryngology, the American Urological Association, and the American Society for Clinical
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digital.ahrq.gov/ahrq-funded-projects/improving-otitis-media-care-electronic-health-record-ehr-based-clinical/annual-summary/2010
January 01, 2010 - Improving Otitis Media Care with EHR-based Clinical Decision Support and Feedback - 2010 … Project Name
Improving Otitis Media Care with Electronic Health Record (EHR)-based Clinical Decision … the treatment of otitis media (OM) in children arise from physicians’ lack of awareness of national guidelines … The report also includes the performance of providers with the highest (top 10 percent) adherence to guidelines … Feedback was analyzed at the physician, practice, and network levels and given to both intervention and
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs018538-gesteland-final-report-2014.pdf
January 01, 2014 - Using Health Information Technology to Support Population-Based Clinical Practice - Final Report … Importance of population-based principles in clinical practice of ARI. … c) Evidence-based practice: Knowledge of guidelines for antibiotic use in ARI and efficacy of over-
the-counter … clinical guidelines into an organized clinical response. … practice and actual use in clinical practice we conducted structured observations and
contextual interviews
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digital.ahrq.gov/ahrq-funded-projects/automating-assessment-obesity-care-quality/annual-summary/2011
January 01, 2011 - medical record (EMR) data based upon the National Heart, Lung, and Blood Institute (NHLBI) obesity care guidelines … The study team is investigating associations between obesity care delivery steps and clinical outcomes … counseling, weight-loss program referral, medication prescription, and other care recommended by the guidelines … Specific Aims:
Develop obesity care quality measures based on updated NHLBI guidelines to evaluate … : Study staff identified the content-specific rules and codes required to distinguish the relevant clinical
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digital.ahrq.gov/sites/default/files/docs/citation/09-10-0091-2-EF.pdf
October 01, 2009 - • Identifying and evaluating existing evidence-based style sheets and guidelines for EHRs. … Include EHR design and functionality in standards and guidelines. … practice.
9
10
Chapter 3. … practice. … Include EHR design and functionality in standards and guidelines.
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digital.ahrq.gov/medical-condition/breast-cancer
January 01, 2024 - Mary
Project Name
Implementing a Breast Reconstruction Decision Support Tool in Diverse Practice … Implementing a Breast Reconstruction Decision Support Tool in Diverse Practice Settings – Final Report … and Implementing Patient-Centered Outcomes Research Clinical Evidence
Use of … Outcomes Research Clinical Evidence
Description
This research will create clinical decision … support artifacts for three patient-centered outcomes research guidelines around advanced diagnostic