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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/systematic-review-interactive
February 01, 2006 - via telephone or computer Intervention: Any Internet, telephone, or computer-assisted integration of clinical … Description: Studies include computerized patient education, and interventions that integrated electronic practice … guidelines, reminder systems, and feedback of clinical data Cost of HIT systems: Varied by system.
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/MGMA_IT_Assessment_Part_I.pdf
January 01, 2003 - • Does your clinical technology
enhance or provide value to your
physicians’ daily practice
operations … Practice management systems: There must be a better way! … , prescription
refills, billing inquiries and/or clinical
Q & A? … Our providers have off-site access to patient information
essential in quality clinical decision-making … system support
Health Insurance Portability and
Accountability Act (HIPAA)
security and privacy guidelines
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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
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digital.ahrq.gov/events/national-web-conference-using-clinical-decision-support-make-informed-patient-care-decisions
September 19, 2008 - A National Web Conference on Using Clinical Decision Support To Make Informed Patient Care Decisions … Overall Purpose:
The first in a series of four national Web conferences on clinical decision support … , this national Web conference addressed how clinical decision support-a clinical system, application … Guidelines Into Decision Support (GLIDES). … decision support elements across multiple clinical sites and ambulatory practices.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/randomized-trial-using
July 01, 2002 - 17 Issue: 7 Pages: 493-503 HIT Description: Electronic health record and decision support with guidelines … presented to primary care physicians via an electronic medical record (EMR) system can potentially improve clinical … effectivness/quality Summary: Settings: The study was conducted at an academically affiliated primary care practice … Clinical Outcomes: No statistically significant difference in depression symptoms scores or on the delivery
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digital.ahrq.gov/ahrq-funded-projects/structuring-care-recommendations-clinical-decision-support/annual-summary/2011
January 01, 2011 - Structuring Care Recommendations for Clinical Decision Support - 2011
Project Name … Structuring Care Recommendations for Clinical Decision Support
Principal Investigator
Osheroff … care recommendations (also known as clinical guideline narratives), into clinical decision support ( … Structured, coded clinical logic statements that can be electronically processed can increase the speed … make their recommendations more precise and easier to translate into automated clinical reminders.
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs020696-ballard-final-report-2013.pdf
January 01, 2013 - guidelines available at the point of care and/or provide active evidence-based clinical decision
support … guidelines. … Guidelines. … Improving clinical practice using clinical decision
support systems: a systematic review of trials to … Impact
of EHR-based clinical decision support on adherence
to guidelines for patients on NSAIDs: a
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tierney-wm-et-al-2003
January 01, 2003 - Tierney WM et al. 2003 "Effects of computerized guidelines for managing heart disease in primary care … Effects of computerized guidelines for managing heart disease in primary care - a randomized, controlled … Physicians viewed guidelines as providing helpful information but constraining their practice and not … Workflow-Related Findings
Reminders did not significantly affect practice. … Study Design
Randomized controlled trial (RCT)
Study Participants
Participants were practice
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digital.ahrq.gov/sites/default/files/docs/page/chlamydia-screening-due.pdf
January 01, 2003 - American College of Preventive Medicine
practice policy statement. … Implementation Notes
Rule category Chlamydia Screening
Rule title Due for Chlamydia screen
Primary Clinical … Area
Pediatrics
Secondary Clinical
Area
Risk Group
Definition
gender is Female and age … These guidelines, and their
interpretation by clinicians at Partners Healthcare System, may not represent … Moreover, guidelines change over time (for example, the age range for children who
should receive influenza
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digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-rules-and-reminders/%20chlamydia-ocp-medication-list-and-last-screen-12-months-due-chlamydia-screen
January 01, 2003 - Hollblad-Fadiman K,GoldmanSM.AmericanCollegeof Preventive Medicine practice policy statement. … Rule category
Chlamydia Screening
Rule title
Due for Chlamydia screen
Primary Clinical … Area
Pediatrics
Secondary Clinical Area
Risk Group Definition
gender is … These guidelines, and their interpretation by clinicians at Partners Healthcare System, may not represent … Moreover, guidelines change over time (for example, the age range for children who should receive influenza
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digital.ahrq.gov/sites/default/files/docs/activity/2011_018157_hazlehurst_pdf_3.pdf
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 … the association include: reasons
for visit; orders; referrals; diagnosis codes; vital signs; text clinical … 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
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digital.ahrq.gov/ahrq-funded-projects/designing-user-centered-decision-support-tools-chronic-pain-primary-care
January 01, 2023 - Indianapolis
Indiana
Project Dates
09/30/2015 - 07/31/2020
Technology
Clinical … Therefore, research is needed to characterize clinical work environments, information needs and use, … practice guidelines
Prototype and preliminarily evaluate new decision support designs to meet clinicians … This study demonstrated the value of a user-centered approach to designing clinical decision support … Four design approaches were found to be key for EHR and clinical decision support developers to help
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digital.ahrq.gov/sites/default/files/docs/activity/improving_quality_through_decision_support_for_evidence_based_pharmacotherapy_2010_pdf__2.pdf
January 01, 2010 - medication management with the goal to
promote increased adherence to evidence-based pharmacotherapeutic guidelines … safety and
quality from this project will be improved adherence to evidence-based pharmacotherapy guidelines … This project involves a three-arm randomized controlled clinical trial (RCT) within COACH to evaluate … programs were developed for practices using different health information technology
vendor-based practice … survey of the intervention at the four clinic sites with the highest point-of-care report volume for practice
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digital.ahrq.gov/sites/default/files/docs/page/practical_approaches_to_using_health_it_to_improve_quality_and_business_processes_in_medicaid_chip_agencies_summary_5.pdf
October 27, 2009 - and guidelines (6/12 studies)
• Patient outcomes (0/6 studies)
• Increased user and patient satisfaction … Examples of Studies
Implementing clinical guidelines in the treatment of hypertension in general
practice … Effect of computerised evidence-based guidelines on management of asthma and
angina in adults in primary … • EHRs have largely been crafted to digitize clinical
practice as we have known it for the last few … • Productive interactions
• Self-management support
• Clinical decision support
• Clinical information
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017190-chueh-final-report-2011.pdf
January 01, 2011 - practice-based research network (PBRN) to create and
track these clinical compacts and to make visible … Failure to followup abnormal tests and failure of care providers to adhere to recommended
guidelines … Providers from the largest practice within the Massachusetts General Primary Care Practice-
Based Research … Guidelines for Template Authors. … Issues that have evidence-based
guidelines are best, and referencing the guidelines is useful.
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digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-rules-and-reminders/sickle-cell-anemia-due-influenza-vaccine
January 01, 2008 - Influenza
Rule title
Due for Influenza vaccine with Sickle Cell Anemia
Primary Clinical … Area
Pediatrics
Secondary Clinical Area
Vaccinations
Risk Group Definition … H':
Disclaimer
These rules and/or reminders were created using national, state and local guidelines … These guidelines, and their interpretation by clinicians at Partners Healthcare System, may not represent … Moreover, guidelines change over time (for example, the age range for children who should receive influenza
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digital.ahrq.gov/ahrq-funded-projects/use-electronic-health-records-addressing-overweight-and-obesity-primary-care/annual-summary/2011
January 01, 2011 - This includes reminders, clinical decision support (CDS), and information for clinicians and patients … to developing and evaluating strategies to address obesity and other modifiable risk factors in the clinical … setting; and 2) to teach and mentor individuals who wish to pursue careers in clinical epidemiology … The research team completed a needs assessment of current clinical practice guidelines on the identification … Baer presented to the practice leadership team in October to get the buy-in and support for primary care
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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/sites/default/files/docs/page/Materials%20Management%20and%20Production%20Processes.pdf
May 25, 2010 - ;
(iii) they have high confidence in their own judgment compared
with low confidence in clinical … practice guidelines and other
sources of evidence; and (iv) journal summaries of the latest
research … related to a subject are the most useful resources in
clinical practice ..” … Surgeons' Attitudes towards and usage of evidence-based medicine in surgical
practice: A Pilot study … Source – NOH at ASU Dissemination Conference
25 Health sector supply chain initiatives
Tensions in Practice
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/electronically-distributed
January 01, 1996 - Electronically distributed, computer-generated, individualized feedback enhances the use of a computerized practice … Fall Symp Publication Date: 1996 Pages: 493-7 HIT Description: Computerized decision support with guidelines … Purpose of Study: Assess if computer-generated, individualized feedback regarding adherence to care guidelines