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41. Interactive Patient-Centered Discharge Toolkit - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r21hs024751-dalal-final-report-2019.pdf
    January 01, 2019 - Despite the 35 million patient discharges each year, attempts at standardizing the process through … During hospitalization, discharge planning is often initiated late, and input from patients regarding … Despite the 35 million patient discharges from U.S. hospitals each year, most reported attempts at … Improve Patient … Discharge.

42. Identifying Patients with High Need During Care Transitions to Improve Care and Meet Social Needs | Digital Healthcare Research
    digital.ahrq.gov/program-overview/research-stories/identifying-patients-high-need-during-care-transitions-improve-care-and-meet-social-needs
    January 01, 2023 - Identifying Patients with High Need During Care Transitions to Improve Care and Meet Social Needs Theme: Engaging and Empowering Patients Subtheme: Improving Care During Patient Transitions Using health information exchange to identify high-need patients during care transitions can facilit…

43. Virtual Continuity and its Impact on Complex Hospitalized Patients' Care - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2010
    January 01, 2010 - Virtual Continuity and its Impact on Complex Hospitalized Patients' Care - 2010 Project Name Virtual Continuity and its Impact on Complex Hospitalized Patients' Care Principal Investigator Smith, Kenneth J. Organization University of Pittsburgh at Pittsburgh Funding M…

44. A National Web Conference on Using Health IT to Improve Care Coordination and Outcomes in Patients with Complex Healthcare Needs | Digital Healthcare Research
    digital.ahrq.gov/events/national-web-conference-using-health-it-improve-care-coordination-and-outcomes-patients-complex-needs
    January 01, 2023 - This information is for reference purposes only. It was current when produced and may now be outdated. Archive material is no longer maintained, and some links may not work. Persons with disabilities having difficulty accessing this information should contact us at: https://digital.ahrq.gov/contact-us . Let us know th…

45. Care Planning Clinical Decision Support Tool Specifications (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/action-cp-cds-tool-specifications.pdf
    May 23, 2013 - Care Planning Clinical Decision Support Tool Specifications Care Planning Clinical Decision Support Tool Specifications Purpose: The CP-CDS tool was designed to: • Facilitate the care and treatment of patients by assisting in the identification of patients who are at ris…

46. Physician | Digital Healthcare Research
    digital.ahrq.gov/population/physician
    January 01, 2025 - Cross, Dori Project Name Use of Electronic Health Record Metadata to Assess Hospital Discharge … Planning for Post-Acute Transitions Advancing patient-centered clinical decision

47. Virtual Continuity and its Impact on Complex Hospitalized Patients' Care (pdf file)
    digital.ahrq.gov/sites/default/files/docs/activity/virtual_continuity_and_its_impact_on_complex_hospitalized_patients__care_2010_pdf__2.pdf
    January 01, 2010 - Virtual Continuity and its Impact on Complex Hospitalized Patients' Care Virtual Continuity and its Impact on Complex Hospitalized Patients’ Care Principal Investigator: Smith, Kenneth J., M.D., M.S. Organization: University of Pittsburgh at Pittsburgh Mechanism: PAR: HS08-270: Utilizing Health Infor…

48. Planning and Conducting a Cost-Benefit Analysis of Health IT and HIE Projects: A Workshop for Medicaid/CHIP Agencies (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/planning_and_conducting_a_cost_benefit_analysis_of_health_it_and_hie_5.pdf
    August 13, 2009 - Planning and Conducting a Cost-Benefit Analysis of Health IT and HIE Projects: A Workshop for Medicaid/CHIP Agencies Planning and Conducting a Cost- Benefit Analysis of Health IT and HIE Projects: A Workshop for Medicaid/CHIP Agencies A Web-based Workshop 1:00 p.m. – 4:00 p.m. (EST) August 13, 2009 Wo…

49. Utah | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/past-initiatives/state-and-regional-demonstration-projects/utah
    January 01, 2023 - Utah Project Overview | Data and Functionality | Technical Design and Architecture   Project Overview The Utah Health Information Network (UHIN) is a broad-based coalition of health care insurers, providers, and other interested parties, including State government. UHIN participant…

50. Grant Final Report: Virtual Continuity and its Impact on Complex Hospitalized Patients' Care - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs018151-smith-final-report-2013.pdf
    January 01, 2013 - complete summary of a patient’s hospital discharge findings reported electronically and automatically at patient … discharge to PCPs) being rolled out on October 8, 2010. … It could be argued that the automated mandatory medication reconciliation process at patient discharge

51. Telehealth and Rural Practices…the Road Less Traveled (ppt file)
    digital.ahrq.gov/sites/default/files/docs/page/Nocella.ppt
    January 01, 2004 - Living in SE Kern 2004 Hospital Discharges of Patients Living in SE Kern 2003 (Source: OSHPD Hospital Patient … Discharge Data) Hospital Discharges of Patients living in southeast Kern 47.0% 10.0% 9.5%

52. The Effectiveness of an HIT-based Care Transition Information Transfer System to Improve Outpatient Post-Hospital Care for Medically Complex Patients - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017864-ciemins-final-report-2012.pdf
    January 01, 2012 - discharge medication list. … discharge medication list. … discharge list.” … discharge medication list. … Comprehensive discharge planning for the elderly. Res Nurs Health. Oct 1990;13(5):327-347. 6.

53. Supporting Clinicians to Improve Decision Making and Patients' Care | Digital Healthcare Research
    digital.ahrq.gov/program-overview/impact-stories/supporting-clinicians
    January 01, 2019 - Supporting Clinicians to Improve Decision Making and Patients' Care Impact Stories Designing Intelligent Systems to Support Cognitive Work of Clinical Providers in Emergency Departments The use …

54. Virtual Continuity and its Impact on Complex Hospitalized Patients' Care | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care
    January 01, 2023 - Virtual Continuity and its Impact on Complex Hospitalized Patients' Care Project Final Report ( PDF , 159.53 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent…

55. Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims Data - 2010 | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/design-toolkit-add-electronic-clinical-data-statewide-hospital-administrative/annual-summary/2010
    January 01, 2010 - Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims Data - 2010 Project Name Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims Data Principal Investigator Levit, Katharine Organization T…

56. Electronic Health Record/Electronic Medical Record | Digital Healthcare Research
    digital.ahrq.gov/technology/electronic-health-recordelectronic-medical-record
    January 01, 2025 - Cross, Dori Project Name Use of Electronic Health Record Metadata to Assess Hospital Discharge … Planning for Post-Acute Transitions Electronic health record-based screening

57. A Patient-Facing App to Improve Care Transitions from Hospital to Home | Digital Healthcare Research
    digital.ahrq.gov/program-overview/research-stories/patient-facing-app-improve-care-transitions-hospital-home
    January 01, 2023 - A Patient-Facing App to Improve Care Transitions from Hospital to Home Theme: Engaging and Empowering Patients Subtheme: Using Digital Healthcare Tools in Chronic Disease Self-Management A patient-facing app simplifying the information patients and caregivers receive has the potential to b…

58. Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims Data (pdf file)
    digital.ahrq.gov/sites/default/files/docs/activity/design_of_a_toolkit_to_add_electronic_clinical_data_to_statewide_hospital_administrative_claims_data_2010_pdf__2.pdf
    January 01, 2010 - Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administrative Claims Data 1 | Design of a ToolkiT To aDD elecTronic clinical DaTa To sTaTewiDe HospiTal aDminisTraTive claims DaTa 2010 ContraCt Summary Design of a Toolkit to Add Electronic Clinical Data to Statewide Hospital Administra…

59. Research Dissemination | Digital Healthcare Research
    digital.ahrq.gov/program-overview/research-reports/2021-year-review/research-dissemination
    January 01, 2021 - Research Dissemination The impact of AHRQ-funded research goes beyond the studies themselves, as the dissemination of research findings from the DHR program is critical to the transfer of successful digital healthcare knowledge, tools, and strategies that improve healthcare delivery, optim…

60. A National Web Conference on Using Health IT to Enable Greater Care Coordination Across Acute and Outpatient Settings of Care | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
    digital.ahrq.gov/events/national-web-conference-using-health-it-enable-greater-care-coordination-across-acute-and
    May 14, 2013 - A National Web Conference on Using Health IT to Enable Greater Care Coordination Across Acute and Outpatient Settings of Care Event Details Date: May 14, 2013 Time: 1:30pm to 3:00pm Presenters: Ilana Graetz, Ph.D., David Dorr, M.D., and Anuj Dalal, M.D., F.H.M. Overall Purpose: The Agency for …