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digital.ahrq.gov/sites/default/files/docs/epc-hit-qas-072011.pdf
December 01, 2010 - National Web-Based Teleconference on Findings from Evidence-Based Practice Centers for Health IT
National … (As a result of their
concerns, we are encountering pushback when introducing clinical decision support … Yet, there
are few published findings of how health IT can be used to improve either process or
clinical … (p.10) Poor usability of health IT applications has a substantial negative
effect on clinical efficiency … These guidelines are
however voluntary, and there is some resistance within the vendor/developer
community
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digital.ahrq.gov/ahrq-funded-projects/guidelines-decision-support-glides/annual-summary/2010
January 01, 2010 - Guidelines into Decision Support (GLIDES) - 2010
Project Name
Guidelines Into Decision … evaluation of demonstrations that advance the understanding of how to best incorporate computerized clinical … School of Medicine’s Department of Pediatrics and the Center for Medical Informatics and is assisted by clinical … The overall goal of the project is to recommend methods to assist clinical organizations across the country … Focus on new guidelines and implementation partnerships.
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digital.ahrq.gov/sites/default/files/docs/survey/pcip-evaluation-provider-survey.pdf
September 14, 2016 - Applying clinical practice
guidelines
11. … What is your primary clinical specialty? … General Practice
Family Practice
Internal Medicine
Ob/Gyn
Pediatrics
Behavioral specialist … How many years have you been in practice? _____________
52. … In a typical week, how many hours do you work at this practice?
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digital.ahrq.gov/sites/default/files/docs/page/flu-vaccine-due-asthma.pdf
July 29, 2005 - asthma
http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5408a1.htm
http://www.cispimmunize.org/
Primary Clinical … Area Pediatrics
Secondary Clinical Area Vaccinations
Risk Group Definition
age ≥ 24 months … 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
-
digital.ahrq.gov/sites/default/files/docs/page/flu-vaccine-due-flu-season.pdf
July 29, 2005 - Notes
Rule category Influenza
Rule title Due for Influenza vaccine in flu season
Primary Clinical … Area
Pediatrics
Secondary Clinical
Area
Vaccinations
http://www.cdc.gov/mmwr/preview/mmwrhtml … 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
-
digital.ahrq.gov/sites/default/files/docs/page/flu-vaccine-due-sickle-cell-anemia.pdf
July 29, 2005 - Rule category Influenza
Rule title
Due for Influenza vaccine with Sickle
Cell Anemia
Primary Clinical … rr5408a1.htm
http://aappolicy.aappublications.org/cgi/content/full/pediatrics;121/4/e1016
Secondary Clinical … :
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
-
digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-10-references
December 12, 2008 - ActiveGuidelines: Integrating Web-based guidelines with computer-based patient records. … Automating complex guidelines for chronic disease: lessons learned. … A roadmap for national action on clinical decision support. … joint clinical decision support workgroup. … Dispensing errors and counseling in community practice. Am Pharm. 1995; NS35(12):25-33.
-
digital.ahrq.gov/sites/default/files/docs/citation/cedar_environmental_scan.pdf
April 01, 2023 - o Key Finding: A wide variety of CDS applications are used in clinical practice by
medical and healthcare … apps that provide point of care access to evidence-based, best-
practice clinical guidelines to users … guidelines, ID mgmt.,
clinical calculators, CME
PubMed Free App MeSH-based search of MEDLINE and … Paid Web Drugs, diagnostic & treatment guidelines, ID mgmt.,
Clinical decision support
Clinical … & treatment guidelines, mgmt., clinical
calculators, CME, procedures
57 In partnership with the
-
digital.ahrq.gov/sites/default/files/docs/page/clinical_decision_support_systems___critical_health_it_tools_for_interoperable_health_information_exchange_5.pdf
September 01, 2008 - Clinical Decision Support Systems – Critical Health IT Tools for Interoperable Health Information Exchange … Grace, MHA
Presentations
Clinical Decision Support Systems
Presented by Eta S. … Understand the purpose and scope of
clinical decision support (CDS) systems
2. … cdsroadmap.pdf
Knowledge
General Knowledge
Disease, diagnosis, medications, treatments
Formularies, guidelines … guidelines more mixed
results, fewer trials in practice settings
Evaluation must look at the impact
-
digital.ahrq.gov/ahrq-funded-projects/enhancing-quality-patient-care-equip-project
January 01, 2023 - Illinois
Project Dates
09/30/2004 - 08/31/2007
Technology
Data Warehouse
Clinical … In partnership with the American Medical Association, GE Clinical Data Systems, First Consulting Group … decision support and performance measures tied to evidence-based practice guidelines. … Informatics staff are continuing to refine clinical decision support algorithms for an expanding number … Trend data already indicate modest improvements in health status and adherence to practice guidelines
-
digital.ahrq.gov/sites/default/files/docs/page/2-CDSC-Legal_Issues.pdf
January 01, 2011 - • Collect CDS artifacts in various formats, ranging from
unstructured human readable guidelines to … Pragmatics of implementing guidelines
on the front lines. … Assure the most recent clinical guidelines and the best
practice logic is utilized by the services … Provide timely notice to all consumers if definitions,
classifications, or practice logic used by the … We do not practice medicine.
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017017-logan-final-report-2009.pdf
January 01, 2009 - Scope: Resources of the Clinical Outcomes Research Initiative (CORI), whose mission is to
study practice … practice. … The primary mission of CORI is to study endoscopic practice and outcomes
in diverse practice settings … The discrete data needed must be recoverable and complete,
and guidelines for automated categorization … Most endoscopists felt that they were
performing within guidelines and would be willing to share their
-
digital.ahrq.gov/ahrq-funded-projects/flualert-influenza-vaccine-alerts-providers-electronic-health-record
January 01, 2023 - New York City
New York
Project Dates
09/30/2009 - 07/31/2013
Technology
Clinical … Guidelines recommend that all children age 6 months and older receive the influenza vaccine. … Clinical decision support in electronic health records (EHRs) can remind providers about adherence to … practice guidelines. … Document Type: Journal Publication Research Method: Cross-Over Study , Quantitative Technology: Clinical
-
digital.ahrq.gov/ahrq-funded-projects/automating-assessment-obesity-care-quality/annual-summary/2012
January 01, 2012 - 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, prescription medication, and other care recommended by the guidelines … Specific Aims:
Develop obesity care quality measures based on updated NHLBI guidelines to evaluate … association between measures of obesity guideline adherence to recommended obesity care processes and clinical
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_019789_baer_pdf_3.pdf
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
-
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
-
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
-
digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-improving-quality-through-clinician-use-of-health-it.pdf
January 28, 2014 - and guidelines and clinical information
about specific patients from registries and other
sources … This includes
the provision of clinical recommendations and
guidelines and clinical information about … practice guidelines, clinicians face a challenge
in maintaining current knowledge of prevention and … A rules engine translated guidelines-
based clinical algorithms into specific rules based
on information … Clinical practice improvement and
redesign: how change in workflow can be supported by
clinical decision
-
digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-documentation-templates/adhd-diagnosis-and-assessment
January 01, 2023 - & Assessment Template was designed to aid in the documentation of ADHD symptoms and adherence with clinical … guidelines in the assessment and management of children with ADHD. … This web site includes views of each page of the template, as well as a sample clinical note. … Template/Example Completed Clinical Note
History of Present Illness
Existing Problem … These guidelines, and their interpretation by clinicians at Partners Healthcare System, may not represent
-
digital.ahrq.gov/sites/default/files/docs/survey/health-ehearts-physician-survey.pdf
September 28, 2016 - Does your practice engage in any of the
following activities? … receive
recommended care (e.g., mammograms,
immunizations, tests for cholesterol level)
Patients’ clinical … What is the purpose of current quality measurement
activities in your practice? … Have you ever looked at quality of care data for the
following cardiovascular clinical measures? … How many Uyears U have you been in practice? ______yrs
29.