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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/research
January 01, 2023 - Eccles M et al. 2002 "Effect of computerised evidence based guidelines on management of asthma and angina …
examines "the effectiveness of CDS, designed to remind physicians about hypertension treatment guidelines … Meigs JB et al. 2003 "A controlled trial of web-based diabetes disease management - the MGH diabetes …
measures "any additional impact on compliance [with evidence-based guidelines] when alerting messages … Tierney WM et al. 2003 "Effects of computerized guidelines for managing heart disease in primary care
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digital.ahrq.gov/ahrq-funded-projects/direct-patient-alert-glycated-hemoglobin-screening-using-prediction-modeling
January 01, 2023 - Device
Text Messaging
Care Setting
Patient Home
Medical Condition
Diabetes … (CDS) calculator for predicting current HbA1c levels in patients without any previous evidence of diabetes … (T2D) and pre-diabetes are significant public health problems. … Characterized by elevated blood glucose levels, T2D and pre-diabetes, with the resulting complications … Despite current screening guidelines, many high-risk patients do not get screened, contributing to approximately
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digital.ahrq.gov/sites/default/files/docs/survey/provider-pre-implementation-survey.pdf
June 16, 2021 - In a typical week, approximately
how many follow-up office visits for
adult patients with diabetes … As you think about the typical
follow-up visit for an adult patient
with diabetes, about how long … MU’s electronic medical record
makes it easy to follow current
diabetes care best practices
[ … As you think about seeing an adult patient with diabetes for a follow-up visit, please
indicate how … glucose levels, etc. as to
whether the patient’s care or status falls
within recommended practice guidelines
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017167-kopal-final-report-2011.pdf
January 01, 2011 - 6.51) 8.97 (6.53) 8.84 (6.62)
Average BMI 32.38 (7.20) *** 31.16 (6.56) 30.81 (5.67) 31.18 (6.20)
Diabetes … However, rates of BP control remained lower than among patients without diabetes. … Correlates of poor BP control were black race,
female gender, income, higher BMI, diabetes and larger … Measurements
around diabetes, asthma, hypertension, prenatal care, well child care, cancer screenings … Effects
of quality improvement strategies for type 2 diabetes
on glycemic control: a meta-regression
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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 … Analysis
Observation
Type Clinic
Specialty care
Type Specific
Cystic fibrosis care, diabetes … Urban
Other Information
3 chronic disease care clinics (Multiple Sclerosis, Cystic Fibrosis and Diabetes
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digital.ahrq.gov/2019-year-review/research-summary/smart-mobile-health-app-improves-screening-for-risks-and-protective-factors
January 01, 2019 - Denver Research Profile: StartSmart(TM): Health Information Technology to Improve Adherence to Prenatal Guidelines … American College of Obstetricians and Gynecologists and the American College of Nurse Midwives have issued guidelines … that can influence outcomes, adherence to these guidelines is limited due to lack of awareness, time … decision support, and brief interventions for weight status and related conditions such as gestational diabetes
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digital.ahrq.gov/ahrq-funded-projects/startsmarttm-health-information-technology-improve-adherence-prenatal
January 01, 2023 - StartSmart(TM): Health Information Technology to Improve Adherence to Prenatal Guidelines … StartSmart(TM): Health Information Technology to Improve Adherence to Prenatal Guidelines - Final Report … StartSmart(TM): Health Information Technology to Improve Adherence to Prenatal Guidelines - Final Report … that can influence outcomes, adherence to these guidelines is limited due to lack of awareness, time … decision support, and brief interventions for weight status and related conditions such as gestational diabetes
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digital.ahrq.gov/ahrq-funded-projects/using-telemedicine-system-promote-patient-care-among-underserved-individuals/annual-summary/2011
January 01, 2011 - controlling hypertension and the availability of therapy, the clinical application of well-established guidelines … Patients completed one of seven lessons per login, after which they received an automated reminder of the guidelines … measured as steps per day, weight, cardiovascular disease knowledge, number of patients meeting medication guidelines … (Achieved)
Determine the percentage of patients meeting guidelines for anti-hypertensive medication
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digital.ahrq.gov/ahrq-funded-projects/using-precision-performance-measurement-conduct-focused-quality-improvement/annual-summary/2010
January 01, 2010 - Status as of
December 2010
Target Population: Adults, Chronic Care * , Diabetes … programs that examine EHR data to measure quality of care for coronary artery disease, heart failure, diabetes … forms of quality improvement, including: 1) peer review of all medical reasons for not adhering to guidelines … followed by academic detailing if a clinician enters an unjustified reason for not following guidelines
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-consortium/activity/clinical-decision-support/annual-summary/2011
January 01, 2011 - representing and sharing clinical knowledge in a computable form; 2) difficulty developing clinical practice guidelines … translated into a computable form; 3) absence of a central repository or knowledge resource where computable guidelines … The CDS Consortium is developing a series of service-oriented CDS interventions focused on diabetes, … Target Population: Adults, Coronary Artery Disease, Diabetes, Hypertension
Strategic Goal: Develop
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digital.ahrq.gov/ahrq-funded-projects/identification-patients-low-life-expectancy
January 01, 2023 - Processing System
Care Setting
Ambulatory Setting
Medical Condition
Diabetes … Decision Making
Patient-Centered Care
Clinical decision support (CDS) has been used to bring guidelines … population is equally accurate in patients with chronic conditions on the example of patients with a) diabetes … The second aim was not able to be completed because patients with diabetes, hypertension, and osteoporosis
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digital.ahrq.gov/sites/default/files/docs/page/McColmSuccessStory2009_0.pdf
December 01, 2009 - improvement process has been shown to improve clinicians’ and organizations’ compliance with
clinical guidelines … on
their performance on quality measures has been shown to improve their compliance with clinical
guidelines … selected for the purposes of this project could be manually coded, three quality measures related
to diabetes … Coding completeness was low for the manual coding; only 20 percent of the eligible cases for the diabetes … lipoprotein
(LDL) cholesterol <100 mg/dl
FIGURE 1: REPORTING RESULTS FROM THE AUTOMATED CODING OF THREE DIABETES
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026172-obrien-final-report-2022.pdf
January 01, 2022 - test results in the diabetes range, diabetes
diagnosis codes documented in the EHR, or antidiabetic … patients with the last creatinine value >1.4mg/dL in women and >1.5mg/dL in men
because some prescribing guidelines … Due to small numbers of patients with gestational diabetes and a family history of diabetes,
Fisher … Diabetes Care. 2017;40(7):887-893.
9. YMCA's Diabetes Prevention Program. … American Diabetes Association.
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-support-clinical-decision-making-obesity-care
January 01, 2023 - Summaries
Publications
Providing training and support to providers around obesity guidelines … technology to provide clinical decision making and tailored patient education improves adherence to guidelines … there has been an emergence of associated comorbidities such as dyslipidemia, hypertension, type 2 diabetes … Guidelines exist for obesity prevention among youth; however, research has indicated that guidelines … satisfied with the virtual collaborative, and participation improved providers' adherence to obesity guidelines
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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-use-and-care-coordination/annual-summary/2012
January 01, 2012 - examined the association between EHR use and care coordination and clinical care quality for patients with diabetes … guideline-adherent prescription drug use and laboratory monitoring, and physiologic disease control for diabetes … the outpatient EHR was associated with improvements in glycemic and lipid control for patients with diabetes … significant interaction effect between team cohesion and EHR use on clinical outcomes for patients with diabetes … Target Population: Adults, Chronic Care*, Diabetes
Strategic Goal: Develop and disseminate health
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017059-wu-final-report-2010.pdf
January 01, 2010 - Without diabetes: Systolic <140, Diastolic <90
With diabetes: Systolic <130, Diastolic <80
Cholesterol … CDSS allows providers to take appropriate action to meet recommended clinical
preventive care guidelines … number of patients with hypertension and blood pressure controlled to goals
according to recommended guidelines … All components of PCIP were developed with an emphasis on integrating evidence based
prevention guidelines … PCIP and eClinicalWorks
had different interpretations of the reporting and application of recommended guidelines
-
digital.ahrq.gov/ahrq-funded-projects/using-telemedicine-system-promote-patient-care-among-underserved-individuals
January 01, 2023 - The project incorporated hypertension treatment guidelines and quality measures, as well as automated … Determine the percentage of patients meeting guidelines for anti-hypertensive medication therapy. … Telemedicine System to Promote Patient Care Among Underserved Individuals Document Type: Clinical/Practice Guidelines … Telemedicine System to Promote Patient Care Among Underserved Individuals Document Type: Clinical/Practice Guidelines
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digital.ahrq.gov/sites/default/files/docs/resource/Mostashari_List_of_Measures_TCNY_AQA_eQARR_Crosswalk_1_30_08_Mostashari.pdf
June 16, 2021 - (Commercial,
Medicaid)
BP Control in
Hypertensive
Patients
without IVD or
Diabetes
Patients … (Commercial,
Medicaid)
Cholesterol
Screening for
patients
without IVD or
Diabetes
Male patients … >=
35 years of age
and female
patients >=45
years of age
without IVD or
Diabetes who
have a total … and
the rate at which
they received
necessary
components of
diabetes care. … a
diagnosis of CAD,
who were prescribed
a lipid – lowering
therapy (based on
current ACC/AHA
guidelines
-
digital.ahrq.gov/sample-questions-answers-2
January 01, 2023 - Thus, these results are best used as general guidelines for determining costs and benefits rather than … measure improvements in the quality of care is to look for increased adherence to standardized practice guidelines … of upper-GI radiology tests that conformed to guideline indications after the implementation of the guidelines
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017016-williams-final-report-2010.pdf
January 01, 2010 - in which guidelines changed during the observation period. … The length of that excluded interval depends on
patient management guidelines. … References
ADA (American Diabetes Association). … Treatment of
hypertension in adults with diabetes. Diabetes Care
2003;26, Suppl 1:580-82. … /aggressive-
hypertension-therapy-for-diabetes-patients>.