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261. Final Evaluation Report -- State and Regional Demonstration in Health Information Technology: Indiana (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-in-evaluation-report.pdf
     July 01, 2015 - involves restructuring the reimbursement system to reward physicians for adhering to evidence-based guidelines … For example, when practice guidelines were first introduced, physicians resisted adopting them based … Barriers to the adoption of practice guidelines, such as increased costs, poor reimbursement, and insufficient … For example, when practice guidelines were first introduced, physicians resisted adopting them based … Barriers to the adoption of practice guidelines, such as increased costs, poor reimbursement, and insufficient

262. Impact of Health IT on Primary Care Workflow and Financial Measures (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/ImpactHealthITPrimaryCareWorkflow.pdf
     September 19, 2011 - The careful application of these time-series methods adheres to proposed guidelines for stronger evidence … Financial: Practice Expense per Work RVU. Practice Expense per Total RVU. … H is a vector of patient and practice level covariates (including the practice characteristics. …  Promise of EHR includes clinical decision support & effectiveness research. 16 ©2009 Baylor … Draft publication guidelines: the beginning of a consensus project. Qual Saf Health Care.

263. Impact of Health IT on Lab Order Use in Community Health Centers - Implementation Handbook (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/healthitandlabordersimplementationhandbook.pdf
     November 01, 2011 - science for a patient and what actually happens in clinical practice.7 EHR in Use Throughout … practice is helpful … Since this implies that clinical staff will need to document in the course of practice and while face … Just implementing an EHR system gives a clinical practice the opportunity to improve the care delivered … Electronic access to laboratory results has also made tracking provider compliance with clinical practice

264. Secure Messaging in a Pediatric Respiratory Medicine Setting Implementation Handbook (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/SecureMessagingPediatricRespiratorySettingHandbook.pdf
     January 01, 2012 - ................................................................................. 1 Implementation Guidelines … triage process • Documentation • Marketing • Instructions Phase I: Planning Implementation Guidelines … Clinical expert(s) (1-2 representatives from the practice area that will pilot the system: representatives … Include demonstration with time to practice. b. … Monitor clinical messages in secure messaging system 6.

265. Health Information Technology in Heart Failure Care | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/health-information-technology-heart-failure-care
     January 01, 2023 - Project Dates 09/30/2014 - 09/29/2018 Technology Artificial Intelligence Clinical … Many of these individuals do not receive heart failure guidelines-based care, putting them at high risk … A clinical decision support (CDS) tool has the potential to enhance clinician compliance with guidelines … to all providers in a daily provider checklist in the EHR and could also be accessed through a ‘best practice … Decision Support System Population: Clinical Staff/Clinician Early identification of patients

266. Tolar M, Balka E. "Caring for individual patients and beyond: enhancing care through secondary use of data in a general practice setting." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tolar-m
     January 01, 2023 - Caring for individual patients and beyond: enhancing care through secondary use of data in a general practice … Caring for individual patients and beyond: enhancing care through secondary use of data in a general practice … Finally, the clinic was able to evaluate their own practice and present the results to varied stakeholders … Workflow-Related Findings Practice search mechanism allows for a wide range of indicators for the … The practice of reminding patients of preventive care measures entails additional tasks for doctors.

267. Improving the Delivery of Health Services at the Health Systems Level - Emerging Research | Digital Healthcare Research
     digital.ahrq.gov/2020-year-review/research-summary/improving-delivery-health-services-health-systems-level-emerging-research
     January 01, 2020 - AHRQ-funded research is evaluating how telehealth can be more seamlessly integrated into clinical care … outcomes research (PCOR) findings within repositories maintained by AHRQ’s Center for Evidence and Practice … research team hypothesizes that by using CDS implemented with standards and service-oriented architecture, guidelines … be implemented throughout the healthcare system, allowing for faster dissemination and updates when guidelines … practice.  

268. Patient-Generated Health Data I Patient-Reported Outcomes | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/patient-generated-health-data-patient-reported-outcomes
     January 01, 2023 - Health Records in Ambulatory Care Settings To promote the collection, integration, and use of PGHD in clinical … ePROs in Clinical Care The ePROs in Clinical Care toolkit provides evidence-based guidelines and strategies

269. Goetz Goldberg D, Kuzel AJ, Feng LB, et al. "EHRs in primary care practices: benefits, challenges, and successful strategies." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/goetz-goldberg-d-kuzel
     January 01, 2023 - medication ordering reminders and/or drug interaction data, laboratory findings, automatic lab data, clinical … guidelines, patient registries, e-prescribing, patient electronic access to scheduling appointments … Several have electronic connections with hospital EHRs and clinical decision support tools. … work processes to support EHR functions and difficulty customizing templates and EHR features to meet practice

270. Patients Take a Bite of Prevention Apple with Web-based Interactive Personal Health Record (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/SuccessStory_Krist_7312012.pdf
     July 01, 2011 - Preventive  recommendations were  worded  in  lay  language  and  personally  tailored  based  on  clinical … was created by programming logic to generate actionable patient recommendations based on USPSTF guidelines … The project team examined the effects of the IPHR on clinical preventive services such as cancer screenings … Recommendations: Applies logic from 8 key guidelines to the patient’s information to generate an individualized … Through  a  mixed  methods  analysis   f  learning  collaborative  transcripts  and  use  and  clinical

271. Using mHealth and Patient-Reported Outcomes to Deliver Evidence-Based Asthma Care | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-mhealth-and-patient-reported-outcomes-deliver-evidence-based-asthma-care
     January 01, 2023 - Recent updates to existing guidelines call for providers to adjust treatment based on serial monitoring … used to facilitate collection of asthma-related patient-reported outcomes (PROs) for routine use in clinical … Understand the benefits and barriers to integrating the practice model into clinical care from the clinician … mHealth app for asthma symptom monitoring can achieve high patient engagement when integrated into clinical … Interview , Survey Technology: Dashboard , Mobile Device , Patient-Generated Health Data Population: Clinical

272. Research Overview | Digital Healthcare Research
     digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-overview
     January 01, 2021 - guidelines and decision support. … Clinical Decision Support to Improve Blood Pressure Translating hypertension guidelines into a patient-facing … Emerging Integrating patient-generated health data Guidelines for Meaningful and … practice. … collaboration and promotes the opportunity for these stakeholders to understand critical issues in practice

273. Structuring Care Recommendations for Clinical Decision Support | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/structuring-care-recommendations-clinical-decision-support
     January 01, 2023 - Structuring Care Recommendations for Clinical Decision Support Project Final Report … By developing such a process, the ability to integrate robust clinical decision support (CDS) rules into … recommendations more precise and easier to translate into automated clinical reminders. … for Clinical Decision Support - 2010 × Disclaimer Disclaimer details Close … Structuring Care Recommendations for Clinical Decision Support - Final Report.

274. Executive Summary | Digital Healthcare Research
     digital.ahrq.gov/2020-year-review/executive-summary
     January 01, 2020 - Its use also can inform the design of health IT solutions to improve effectiveness of clinical work in … In 2020, AHRQ funded 23 new research projects to address priority areas, including improving clinical … kidney injury in the emergency department may improve the quality of kidney care and generate best practice … methods to advance the application of artificial intelligence as well as develop a scalable clinical … decision support, may promote adherence to clinical practice guidelines and may improve long-term cardiovascular

275. Studying the Accuracy of Symptom-Checker App in Diagnosing Strokes in a Real-World Setting | Digital Healthcare Research
     digital.ahrq.gov/program-overview/research-stories/studying-accuracy-symptom-checker-app-diagnosing-strokes-real
     January 01, 2023 - Millions use healthcare apps for diagnosis, but little research proves their accuracy in practice Many … Hamish Fraser, an associate professor of medical science and health systems policy and practice at Brown … information also will be evaluated by physicians who are not treating the patient to establish a third-party clinical … The clinical data collected in the study will also be used to test the WebMD symptom checker and different … Outputs will be compared with existing symptom checkers, algorithms, and guidelines on diagnosis and

276. Ambulatory Care Compact to Organize Risk and Decisionmaking (ACCORD) - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/ambulatory-care-compact-organize-risk-and-decisionmaking-accord/annual-summary/2010
     January 01, 2010 - quality of care, focusing on a relatively narrow set of quality measures, and increasing emphasis on care guidelines … have transformed the practice of medicine in ways that are both good and bad for patients and clinicians … ACCORD), will allow patients to collaborate with clinicians to establish, monitor, and track shared clinical … Integration tasks underway during this timeframe included: 1) generating clinical documentation with … Linkage of clinical documentation generated by ACCORD into the local EHR has shown to be more complicated

277. Clinical Decision Support Optimizing NEC Prevention Implementation in NICU - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/k08hs022908-gephart-final-report-2020.pdf
     January 01, 2020 - and practice guidelines into four areas: 1) Feeding protocols and transfusion, 2) promoting human … Adapt to practice variations. … address: 1) stopping empiric antibiotics by day 5 of treatment; 2) avoidance of antacids; 3) feeding guidelines … Nurse practitioner clinical decision- making and evidence-based practice. … Fostering Best Practice: Strategies for Writing Evidence-Based Practice Briefs.

278. Spreading and Scaling Use of Patient-Reported Outcomes for People with Rheumatoid Arthritis | Digital Healthcare Research
     digital.ahrq.gov/program-overview/research-stories/spreading-and-scaling-use-patient-reported-outcomes-people
     January 01, 2023 - A wide body of evidence and guidelines from the American College of Rheumatology (ACR) supports using … Clinical learning network supports use of PROs for patient care Teaming with the ACR, Dr. … Yazdany convened a clinical learning network, with a focus on public hospital systems, to advance PRO … This NLP system reliably extracted PROs from clinical notes in more than 300 rheumatology practices, … through the RISE registry; and a nursing staff training guide about effective collection of PROs in practice

279. Archived Tools & Resources | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/archived-tools-resources
     January 01, 2023 - Pediatric Resources Pediatric Documentation Templates These example templates, based on national guidelines … They may be modified to suit a particular clinical practice's needs.   … Pediatric Rules and Reminders These example rules and reminders, based on national guidelines, may be … used when designing ambulatory electronic pediatric clinical decision to support child health maintenance … They may be modified to suit a particular clinical practice's needs.

280. Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/implementation-novel-multi-platform-evidence-based-clinical-decision-support
     January 01, 2024 - Implementation of a Novel Multi-Platform Evidence-Based Clinical Decision Support System … practice. … practice using CDS. … Transforming Guidelines into Action: Clinical Decision Support at the Point of Care AHRQ hosted a presentation … implemented in different types of electronic health records has the potential to scale evidence-based practice