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digital.ahrq.gov/program-overview/research-reports/2022-year-review/research-themes-and-findings
January 01, 2022 - differentiating patient portal users from nonusers within population subgroups can inform clear design guidelines … tools that are actively maintained with current evidence has the potential to close the evidence-into-practice … practice through CDS. … , and scalable may allow for wider dissemination of patient-centered outcomes research related guidelines … health records has the potential to scale evidence-based practice across healthcare systems.
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digital.ahrq.gov/health-information-exchange-policy-issues
January 01, 2023 - Background
In today's age of electronic transactions, electronically available health care data, such as clinical … Accountability Act (HIPAA) statutes, which aim to ensure that medical data, including electronically available clinical … The Common Framework is a small set of nationally uniform technical and policy guidelines for health … The guidelines contained in the Common Framework are associated with a specific technical architecture … The guidelines may be adopted by any network, regardless of its size or underlying hardware and software
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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
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-health-information-technology-portfolio-2012-annual-report.pdf
January 01, 2012 - Research
practice. … The networks conduct practice- questions related to community-based practice
based implementation research … The CDS demonstrations
focus on translation of clinical guidelines and
outcomes related to preventive … Comparative impact of guidelines, clinical data, and decision support on
prescribing decisions: an … Using Health Information Technology to Support Population-
Based Clinical Practice NOT-HS-08-014
Yes
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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/sites/default/files/docs/citation/r01hs023306-harle-final-report-2020.pdf
January 01, 2020 - Observational
studies showing benefits are mostly limited to single practice settings. … discussion of opioid-related risks, benefits, and
goals (key concepts in federal opioid prescribing guidelines … Participants’ years in practice ranged from
2 to 34 years. … 5) change in guidelines … information and taking relevant
clinical action (Figure 1).
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digital.ahrq.gov/ahrq-funded-projects/automating-assessment-obesity-care-quality/annual-summary/2010
January 01, 2010 - medical record (EMR) data based upon the National Heart, Lung, and Blood Institute (NHLBI) obesity care guidelines … team will use reasons for visit, orders, referrals, diagnosis codes, laboratory test values, and text clinical … other obesity intervention efforts to investigate associations between obesity care delivery steps and 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/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
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017270_fricton_pdf_3.pdf
January 01, 2011 - This project involved a randomized clinical trial to evaluate the effectiveness of simple reminders in … The impact of two clinical decision support (CDS)
approaches was compared with a usual-care control … This study demonstrated that utilization of clinical guidelines for medically compromised patients can … The third manuscript to result from this project, Electronic Health Records Improve the Use
of Clinical … care guidelines or the alerts became
less effective.
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digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-safety-and-quality-healthcare-information-technology/annual-summary/2008
January 01, 2008 - Business Goal: Knowledge Creation
Summary: Health information technology (IT) and clinical decision … determined effects of Results Manager on the protocol for followup of common tests performed in pediatric practice … Impact and Findings: CDS was found to significantly improve medication safety, practice efficiency, … Improvements were found in all three clinical domains, including preventive services, acute illness care
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digital.ahrq.gov/sites/default/files/docs/activity/automating_assessment_of_obesity_care_quality_2010_pdf__2.pdf
January 01, 2010 - medical record (EMR) data based
upon the National Heart, Lung, and Blood Institute (NHLBI) obesity care guidelines … team will use reasons for visit, orders, referrals, diagnosis codes, laboratory test values,
and text clinical … other obesity intervention efforts to
investigate associations between obesity care delivery steps and 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/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/ahrq-funded-projects/colorado-associated-community-health-information-exchange-cachie/annual-summary/2010
January 01, 2010 - intelligence programming to generate meaningful quality measures and reports at the patient, physician, practice … Although some CHC physician leaders had concerns regarding the need for templates in clinical care and … Clinical reporting allowed providers and practices to “question the data,” a process required to uncover … intelligence tool for self-service and static reporting. ( Achieved )
Guide, support, and evaluate each CHC practice … and best methods for incorporating quality measure reporting as a feedback mechanism to providers and practice
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digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-outpatient-order-entry
January 01, 2023 - Boston
Massachusetts
Project Dates
09/03/2004 - 08/31/2008
Technology
Clinical … ambulatory setting include a high incidence of adverse drug events and lack of compliance to established guidelines … Clinical decision support systems (CDSS) and ambulatory computerized physician order entry (ACPOE) have … Decision Support System , Computerized Provider Order Entry System
Implementing practice-linked … Implementing practice-linked pre-visit electronic journals in primary care: patient and physician use
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digital.ahrq.gov/sites/default/files/docs/lessons-covid19-slides-07012021.pdf
July 01, 2021 - • Potential “Practice-Changer” Notifier (exploring near-term production tool)
o Pre-defined list of sources … for guidelines, systematic review, high impact studies
o Automatically detect and display changes to … Changer Notifier, in near term]
• Computable Clinical Practice
Guideline / CDS authoring Support … action
39
Identified Prostate Cancer
Screening as Target Decision
• Common decision
• Consistent guidelines … • 300 million people worldwide
• 1.75 million ED visits per year in U.S. ($55 billion)
• Guidelines
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digital.ahrq.gov/sites/default/files/docs/page/acts-meeting-with-notes-01302019.pdf
January 30, 2019 - Good Outcomes
Know What Works:
•Clinical evidence
•Clinical guideline
•Best practices
•Analytic results … Guidelines, Evidence, and/or Informed Opinion
3. … Guidelines, Evidence, and/or Informed Opinion
National Guideline Clearinghouse, USPSTF
Systematic Review … Research Evidence Synthesis Translation & Communication Implementation Clinical Practice
Improve … These assets are then implemented to support clinical practice.
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digital.ahrq.gov/ahrq-funded-projects/design-and-testing-mobile-cardiovascular-risk-service-patient-partners
January 01, 2023 - Location
Iowa City
Iowa
Project Dates
04/01/2015 - 03/31/2018
Technology
Clinical … users in the design of a mobile app for disseminating a pharmacist-managed evidence-based CVRS into practice … To examine the feasibility of mHealth technology to disseminate evidence-based risk reduction guidelines … recruited adults over the age of 55 with cardiovascular risks for a focus group session to obtain design guidelines … Partners Document Type: Journal Publication Research Method: Mixed Methods , Qualitative Technology: Clinical
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/unertl-km
January 01, 2023 - CONCLUSIONS: In response to the analysis of workflow and information flow, the authors developed ten guidelines
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digital.ahrq.gov/sites/default/files/docs/page/remote_disease_monitoring__challenges_and_opportunities_for_medicaid___schip_agencies_5.pdf
November 19, 2008 - practice is a significant challenge
What Could Be Going On? … as opposed to focusing on a specific
technology or program
■ Studies need to be performed on “best practice … Manage Care
■ Chronic Disease Management Strategy
■ Adopt Center for Health Care Strategies
(CHCS) Guidelines … Center for Health Care
Strategies (CHCS) Guidelines
■ Center for Health Care Strategies (CHCS) … □ Identify Target Population
□ Use Guidelines and Measures
□ Information Technology
□ Care Management
-
digital.ahrq.gov/sites/default/files/docs/page/improving_quality_through_health_it_and_hie_in_medicaid_schip_programs__5.pdf
November 19, 2008 - practice is a significant challenge
What Could Be Going On? … as opposed to focusing on a specific
technology or program
■ Studies need to be performed on “best practice … Manage Care
■ Chronic Disease Management Strategy
■ Adopt Center for Health Care Strategies
(CHCS) Guidelines … Center for Health Care
Strategies (CHCS) Guidelines
■ Center for Health Care Strategies (CHCS) … □ Identify Target Population
□ Use Guidelines and Measures
□ Information Technology
□ Care Management