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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
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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
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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
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digital.ahrq.gov/ahrq-funded-projects/evaluation-computerized-clinical-decision-support-system-and-electronic-health/annual-summary/2010
January 01, 2010 - Evaluation of a computerized clinical decision support system and EHR-linked registry to improve management … community-based health centers - 2010
Project Name
Evaluation of a Computerized Clinical … The hypothesis of the study is that clinical decision support (CDS) and electronic registry-linked performance … large number of minority and low-income patients served by Open Door CHCs, as well as the existing practice-based … Post-intervention surveys were conducted among providers to measure attitudes on the CDS tools and use of guidelines
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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
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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
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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
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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
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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
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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
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Disclaimer
Disclaimer details
Close … Structuring Care Recommendations for Clinical Decision Support - Final Report.
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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
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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.
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digital.ahrq.gov/decisionmaker-brief-telehealth
January 01, 2023 - implementing telehealth -- the use of electronic information and telecommunications technologies to support clinical … Guidelines for reimbursement of telehealth are necessary for sustainability. … Medicare & Medicaid Services (CMS) and some third-party payers have created telehealth reimbursement guidelines … should be integrated with electronic health record (EHR) systems to promote continuity of care across clinical … A project using telehealth to create online communities of practice among clinicians has successfully
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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.
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-through-health-information-technology-testing-feasibility-and/annual-summary/2009
January 01, 2009 - of care by reducing duplicate tests and lost results and increasing adherence to treatment followup guidelines … The EHR has the capability for clinical decision support, evidence-based protocols, and automated feedback … Achieved )
Illustrate how health IT tools can improve compliance with evidence-based laboratory test guidelines … Impact and Findings:
Adherence to guidelines
Implementation of the EHR had limited measurable short-term … areas that have relatively low rates of clinical adherence.
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digital.ahrq.gov/sites/default/files/docs/page/08-0045_telehealth_1.pdf
August 01, 2008 - implementing
telehealth—the use of electronic information and telecommunications technologies to support
clinical … Guidelines for reimbursement of telehealth are necessary for sustainability. … Medicare & Medicaid Services (CMS) and some third-party payers have created
telehealth reimbursement guidelines … should be integrated with electronic health record (EHR) systems to
promote continuity of care across clinical … A project using telehealth to create online communities of practice among clinicians has
successfully
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digital.ahrq.gov/ahrq-funded-projects/improving-post-hospital-medication-management-older-adults-health-information
January 01, 2023 - Worcester
Massachusetts
Project Dates
09/01/2007 - 08/31/2011
Technology
Clinical … changes and monitoring recommendations and followup appointment reminders in a large multispecialty group practice … Document Type: Journal Publication Research Method: Randomized Controlled Trial (RCT) Technology: Clinical … Decision Support System
Development and pilot testing of guidelines to monitor high-risk medications … Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting
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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
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digital.ahrq.gov/sites/default/files/docs/page/2006Davidson_051711comp.pdf
December 31, 2006 - General Internal Medicine small grant
• Purpose:
– To document the frequency and type of unavailable clinical … Relative costs: Medium, requires interviews
• Time frame: 7/1/06 – 6/30/07
8
Improving Performance in
Practice … Foundation, AHRQ
• Purpose:
– To document how practitioners can use the RHIO to effect change in their
practice … providers
• Potential impact:
– Model for communication between sites; capacity for MPI to solve
clinical … BioSense and RHIO
Evaluation of User Interface and Usability
Practice-based research network
Technology
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digital.ahrq.gov/sites/default/files/docs/page/Davidson_5-V.pdf
December 31, 2006 - General Internal Medicine small grant
• Purpose:
– To document the frequency and type of unavailable clinical … costs: Medium, requires interviews
• Time frame: 7/1/06 – 6/30/07
8
Improving Performance in
Practice … providers
• Potential impact:
– Model for communication between sites; capacity for MPI to solve
clinical … Evidence-based Guideline Implementation
Attitudes to PHR in patients/ providers
Improving Performance in Practice … BioSense and RHIO
Evaluation of User Interface and Usability
Practice-based research network
Technology