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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign/annual-summary/2012
January 01, 2012 - implementing health IT-enabled care coordination on workflow in small community-based primary care clinics … These clinics, affiliated with Vanderbilt University Medical Center, are at different stages in adoption … study technology-supported workflow for ambulatory care coordination of patients with diabetes in six clinics … interviews, surveys of staff and patients, artifact and spatial data, and software tracking in the clinics … Combining this formal approach with iterative observations and analysis among these clinics over 12 months
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digital.ahrq.gov/ahrq-funded-projects/metro-dc-health-information-exchange-medhix
January 01, 2023 - This research was performed at free clinics, Federally Qualified Health Center safety net organizations … The MeDHIX was deployed at 14 safety net clinics at 40 care sites across three jurisdictions that can … Barriers to effective HIE among safety net clinics and mainstream health care providers include the following … medical priorities, limited paid staff, a heavy volunteer component, lack of technology skills in the clinics … complexity and cost of data interchange systems, privacy concerns, and organizational priorities by both clinics
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digital.ahrq.gov/sites/default/files/docs/page/2006Root_052411comp.pdf
June 16, 2021 - HL7, pdf
Clinics Hospitals (clinical
messages)
Payers (claim
attachments)
History and
Physicals … HL7, pdf
Payer/PBM Hospitals, clinics,
pharmacists
Medication Histories NCPDP,
pdf
Labs
Hospital … upon
adoption rates for each message
uhin
Medication Histories:
Settings
From Payers/PBMs
To clinics … codes for ADEs (administrative
data)
uhin
Discharge Summaries:
Settings
From hospitals
To clinics … H&P
(extrapolated from 2 – 4 above)
uhin
Lab Results:
Settings
From labs and hospitals
To clinics
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hicks-ls-et-al-2008
January 01, 2008 - Context or other IT in place
"All of the clinics involved in the study used EMR [electronic medical … After multivariable adjustment, providers practicing in intervention clinics remained significantly more … without CDS, 786 (39 percent) received care in the clinics with CDS, 120 (6 percent) received care in … clinics without CDS but providing specialized care by nurse practitioners, and 73 (4 percent) received … care in the clinics with CDS that also provided specialized care by nurse practitioners.
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-electronic-medical-record-and-shared-access/annual-summary/2009
January 01, 2009 - However, by the end of 2010, there were 20 providers in 10 clinics fully implemented. … Efforts to expand system implementation beyond the initial 10 clinics to 10 other practices continue. … The project team learned many lessons that will help them implement the program in future clinics. … By the end of 2010, there were 20 providers in 10 clinics fully implemented. … Another 10 clinics are pending implementation.
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digital.ahrq.gov/sites/default/files/docs/citation/ereferralimplementationhandbookfinal.pdf
February 01, 2012 - The clinics include 5 hospital-based primary care clinics, 12 Community-Oriented
Primary Care (COPC) … clinics, and 10 San Francisco Community Clinic Consortium (SFCCC)
clinics. … • COPC clinics include a network of twelve primary care clinics located in neighborhoods
across … • Consortium clinics consist of 10 independent clinics, including 3 Federally Qualified
Health Centers … and three free clinics.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017832-dorr-final-report-2012.pdf
January 01, 2012 - Methods: Six clinics were cluster randomized into two arms: three clinics received incentive payments … (2 clinics). … These sites ranged from
rural clinics to large hospitals. … clinics; expected average from these respondents would be 58%. … care coordination clinics (33%).
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs028119-hartung-final-report-2024.pdf
January 01, 2024 - Scope: We sought to evaluate the integration of PDMP in the EHR in twelve ambulatory primary care
clinics … using a stepped-wedge observational design where
integration was implemented in three waves (four clinics … Setting: The study was conducted in all twelve ambulatory primary care clinics affiliated with the … Study clinics
were located on OHSU’s main Portland campus (n = 3), other locations in Portland (n = … 16, 2019, with 4 clinics implementing the
integration in each wave.
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digital.ahrq.gov/ahrq-funded-projects/use-electronic-referral-system-improve-outpatient-primary-care-specialty-care/annual-summary/2009
January 01, 2009 - Semi-structured interviews with eReferral users in primary care and in specialty clinics to better understand … logistical/scheduling/contact issues that gets attached to the eReferral—used most by primary care clinics … However, in surgical clinics, eReferral reviews were conducted by lower-cost nurse practitioners. … There were substantial savings in staff time in both specialty clinics and PCP offices. … and lower for eReferral to surgical clinics.
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digital.ahrq.gov/ahrq-funded-projects/hit-strategic-plan-sw-minnesota-health-providers
January 01, 2023 - completion of a health information technology (health IT) strategic plan for the region's hospitals and clinics … members include the following: hospitals (almost all critical access hospitals), primary and satellite clinics … , specialty clinics, physicians, and mid-levels.
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digital.ahrq.gov/ahrq-funded-projects/project-echo-extension-community-healthcare-outcomes/annual-summary/2008
January 01, 2008 - Project ECHO’s weekly scheduled telemedicine clinics, which are hosted by University of New Mexico (UNM … In these case-based learning clinics, partners rapidly gained deep domain expertise in HCV as they collaborated … Arora continued to offer teleconference clinics for HCV (during the first 8 months of 2008, 5,993 patient … consultations were provided), while expanding to offer clinics for rheumatology, integrated addiction … Project ECHO will continue to offer clinics and services to rural New Mexico physicians.
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digital.ahrq.gov/ahrq-funded-projects/rural-trial-clinic-order-entry-decision-support/annual-summary/2008
January 01, 2008 - The tool was evaluated in a cluster randomized trial in rural primary care clinics. … This study was conducted in rural primary care clinics throughout Utah, Idaho, and Wyoming. … Clinics that were staffed by at least two primary care providers and did not already use an electronic … One challenge that many study clinics experienced was limited access to reliable high-speed Internet … services, which was a precursor to implementing the health IT intervention into their clinics.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/woods-k-et-al-2000
January 01, 2000 - Over a 36-month study period, 77 telemedicine SCD clinics were held. … This included 60 patients who attended the SCD telemedicine clinics and 60 patients who attended standard … clinics. … The expansion of outreach was accomplished by the addition of five new adult SCD clinics in distant target … Study Participants
During the 36-month study period, there were 77 sickle cell disease telemedicine clinics
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-electronic-medical-record-and-shared-access
January 01, 2023 - Overall, physicians, mid-level providers, and nursing staff in the SBLHC clinics believed that the system … But area clinics had yet to do the same. … To date, six clinics have implemented all of these electronic health systems. … Clinics purchased laptop PCs for all physicians. … To make the transition easier for clinics, the project team tested all new systems before using them
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digital.ahrq.gov/population/dentist
January 01, 2023 - , Joel
Testing Clinical Decision Support for Treating Tobacco Use in Dental Clinics … Testing Clinical Decision Support for Treating Tobacco Use in Dental Clinics - Final Report. … Donna
Project Name
Testing Clinical Decision Support for Treating Tobacco Use in Dental Clinics … Patients
Testing Clinical Decision Support for Treating Tobacco Use in Dental Clinics
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs025654-lenert_final-report-2023.pdf.pdf
January 01, 2023 - Family medicine clinics were chosen because
the demographics of these clinics matched our target population … staff available to support clinics during the intervention period. … Randomized Stepped Wedge design with clinics identified
To prepare clinics for participation, we worked … The number of clinics in the randomized block design and the
types of clinics (exclusion of Internal … Medicine clinics and OB/GYN clinics) were reduced because of ongoing
issues with activation in clinic
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/harno-k-et-al-2000
January 01, 2000 - The internal-medicine outpatient clinics of two Finnish district hospitals were compared - Peijas Hospital … The three primary-care centers studied referred a total of 292 adult patients to the outpatient clinics … Urban
Type of Health IT
Telemedicine
Type of Health IT Functions
Systems permit clinics … Context or other IT in place
An electronic system at both hospitals and the clinics included patient … Participants
The three primary care centers studied referred a total of 292 adult patients to the outpatient clinics
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs017939-carroll-final-report-2013.pdf
January 01, 2013 - The two control
clinics utilized the “traditional” CHICA system that DID NOT include the DSS Module. … 360
children in the intervention and control clinics were included in the developmental screening … Two of the four clinics served as intervention
sites while the other two clinics functioned as control … The four clinics were matched based on the number of clinicians
practicing at each of the clinics before … to the intervention group, while
the remaining two clinics were assigned to the control group.
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digital.ahrq.gov/ahrq-funded-projects/bettering-lives-utilizing-electronic-systems-blues-project-improving-diabetes
January 01, 2023 - Four diabetes management clinics, all using the same model for diabetes care, participated in this study … Two of the clinics were in urban settings and two were in rural settings. … objectives of this project were to:
Implement an EHR system in two existing diabetes management clinics … Substantially lower levels of LDL were seen at follow-up versus baseline in both the urban and rural EHR clinics … , and slight increases in LDL were seen in both the urban and rural non-technology clinics.
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digital.ahrq.gov/principal-investigator/kawamoto-kensaku
June 15, 2023 - Scale
Implementation of lung cancer screening in primary care and pulmonary clinics … Implementation of lung cancer screening in primary care and pulmonary clinics: Pragmatic clinical trial … An Age-Friendly Learning Healthcare System: A Transformative Digital Solution for Geriatrics Clinics … Screening
Implementation of lung cancer screening in primary care and pulmonary clinics … Implementation of lung cancer screening in primary care and pulmonary clinics: Pragmatic clinical trial