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digital.ahrq.gov/ahrq-funded-projects/patient-centered-informatics-system-enhance-health-care-rural-communities/annual-summary/2010
January 01, 2010 - , Diabetes, Heart Disease, Hypertension, Rural Health *
Summary: This is a demonstration project to … for patient self-management of acute and chronic diseases; supports the reconciliation of medication … patient’s information from the PHR into their EMR which may include new prescriptions, symptoms, or diseases … the patients, clinically significant to the providers, linkable to International Classification of Diseases … , or chronic obstructive pulmonary disease.
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digital.ahrq.gov/ahrq-funded-projects/longitudinal-telephone-and-multiple-disease-management-system-improve/annual-summary/2010
January 01, 2010 - A Longitudinal Telephone and Multiple Disease Management System to Improve Ambulatory Care - 2010 … Project Name
A Longitudinal Telephony and Multiple Disease Management System To Improve … TLC-C uses conversational computer telephony to monitor patients’ multiple diseases and clinical status … the electronic health record with information collected by TLC for these chronic diseases. … Subjects who do not have any of the listed diseases will not get disease-specific guidance on the phone
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023989-shah-final-report-2019.pdf
January 01, 2019 - Use of Mobile Technology to Improve Acute Care Utilization in Sickle Cell Disease - Final Report … Shah, MD
R21 HS23989
Use of Mobile Technology to Improve Acute Care Utilization in Sickle Cell Disease … Schnog, J.B., et al., Sickle cell disease; a general overview. … Grossi, Compliance with penicillin prophylaxis in patients with sickle
cell disease. … Davies, Penicillin prophylaxis in children with sickle cell disease
in Brent.
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digital.ahrq.gov/ahrq-funded-projects/health-it-enhanced-family-health-history-documentation-management-primary-care/annual-summary/2011
January 01, 2011 - Amount
$1,111,483
Summary: The growing understanding of the genetic and hereditary components to disease … Develop a patient-reported, EHR-integrated, personalized risk assessment module to provide tailored disease … reduction information for these four common conditions (breast cancer, colorectal cancer, coronary heart disease … augmented through a literature review of metrics associated with lifestyle risk factors for the targeted diseases … The team has expanded the disease categories to include ovarian, prostate, endometrial, and lung cancer
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digital.ahrq.gov/ahrq-funded-projects/evaluating-effectiveness-health-information-technology-self-management-program/annual-summary/2012
January 01, 2012 - Evaluating the Effectiveness of a Health Information Technology Self-Management Program for Chronic Disease … Evaluating the Effectiveness of a Health Information Technology Self-Management Program for Chronic Disease … The target population is patients who have diabetes mellitus, chronic obstructive pulmonary disease, … Specific Aims:
Develop the interface between the EMR and the patient portal with the disease-specific … Target Population: Adults, Chronic Care*, Chronic Obstructive Pulmonary Disease (COPD), Congestive Heart
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digital.ahrq.gov/2020-year-review/research-summary/engaging-disadvantaged-patients-using-mobile-technology-share
January 01, 2020 - patient-reported outcomes that can be integrated into electronic health records to improve chronic disease … Populations with higher health disparities and lower access to care usually have a higher burden of chronic diseases … their provider to help inform care delivery, care management, and shared decision making around chronic disease … used to engage disadvantaged populations and believe this can help make strides to improve chronic disease
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tolar-m
January 01, 2023 - collected can be used for secondary purposes which extend beyond individual patient care (e.g., for chronic disease … physicians increased awareness of specific initiatives and guideline compliance in terms of chronic disease … process which can be seen as a shift in paradigms from a focus on individual patient care to chronic disease … health center that were necessary in order to make EMR data useful for secondary purposes - chronic disease … support activities beyond one-to-one clinical encounters, such as identification of patients with chronic diseases
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/bonnevie-l-et-al-2005
January 01, 2005 - Abstract
"Background: The [risk management tool] program has been used for electronic cardiovascular disease … Objective
To report the use of and attitudes toward an electronic risk management tool on cardiovascular disease … of Health IT Functions
"The [risk management tool] calculates the absolute risk of coronary heart disease … infarction, stroke or any fatal event in patients under the age of 70 and without existing [cardiovascular disease … The calculations are based on sex, age, and family predisposition for CHD, diabetes, previous heart disease
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digital.ahrq.gov/ahrq-funded-projects/improving-population-health-through-enhanced-targeted-regional-decision-support/annual-summary/2011
January 01, 2011 - AHRQ Funding Amount
$2,041,559
Summary: Clinical providers often underreport population-level disease … Underreporting and incomplete reporting can lead to inaccurate assessments of the disease burden in a … is captured increasingly in electronic form, there is potential for more comprehensive assessment of disease … electronic laboratory reporting system that leverages data from an integrated HIE can overcome some of the disease … reporting and case followup, increase data completeness, and capture a greater portion of communicable disease
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017016-williams-final-report-2010.pdf
January 01, 2010 - Cardiovascular Disease. … reducing the risk of stroke, congestive heart failure, myocardial
infarction, and other cardiovascular diseases … Overview of Prevention Indices and Disease Management Indices
Definitions. … • A Disease Management Index is a measure of how effectively a disease or condition was
managed … events are less important in population-level
analyses of common services related to high prevalence diseases
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digital.ahrq.gov/ahrq-funded-projects/incorporating-pro-data-ra-clinical-encounters-using-health-it-pact/citation/peer
January 01, 2023 - Peer support in rheumatic diseases: A narrative literature review. … Peer support in rheumatic diseases: A narrative literature review. … Document Type
Journal Publication
Medical Condition
Arthritis and Rheumatic Disease
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digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr/annual-summary/2009
January 01, 2009 - Target Population: Acute Respiratory Infections, Adults, Chronic Care * , Diabetes, Heart Disease … note generation, and actionable CDS at the point-of-care to help physicians manage chronic and acute disease … , including coronary artery disease (CAD), diabetes mellitus (DM), and acute respiratory infection (ARI … Acute Respiratory Infection Smart Form Randomized Controlled Trial (ARI SF RCT)
Coronary Artery Disease … Respiratory Infection Quality Dashboard Randomized Controlled Trial (ARI QD RCT)
Coronary Artery Disease
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digital.ahrq.gov/ahrq-funded-projects/patient-readiness-use-internet-health-resources/annual-summary/2011
January 01, 2011 - March 2009 - February 2014
AHRQ Funding Amount
$723,592
Summary: As the burden of chronic disease … Care Model suggests processes and systems that can help optimize the care of patients with chronic disease … examination of preferences for use of Web-based health resources among ambulatory patients with chronic disease … projects, systems, and policies that seek to use the online environment as part of a comprehensive disease
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digital.ahrq.gov/ahrq-funded-projects/patient-readiness-use-internet-health-resources/annual-summary/2012
January 01, 2012 - March 2009 – February 2014
AHRQ Funding Amount
$723,592
Summary: As the burden of chronic disease … Care Model suggests processes and systems that can help optimize the care of patients with chronic disease … examine the preferences for use of Web-based health resources among ambulatory patients with chronic disease … will inform systems and policies that seek to use the online environment as part of a comprehensive disease
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/gilmet-gp-et-al-1998
January 01, 1998 - The authors have created a powerful disease management capability that generates dynamic, disease-specific … Objective
To "describe the initial design of a disease management report and data set characteristics
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digital.ahrq.gov/program-overview/research-stories/asthmaxcel-voice-mobile-application-improve-chronic-disease
January 01, 2023 - ASTHMAXcel Voice Mobile Application to Improve Chronic Disease Management and Patient Outcomes … Empowering Patients and Caregivers
Subtheme:
Using Patient-Reported Outcomes for Chronic Disease … concerns, or transportation to medical appointments, and can all have a negative impact on chronic disease … A multidisciplinary approach may improve chronic disease management The updates to the tool, now called … If successful, the team will enhance the platform to support other chronic diseases in the future.
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digital.ahrq.gov/ahrq-funded-projects/evaluating-smart-forms-and-quality-dashboards-electronic-health-record-ehr-3
January 01, 2023 - Improving management of chronic diseases with documentation-based clinical decision support: results … Improving management of chronic diseases with documentation-based clinical decision support: results … Individuals with Chronic Care Needs
Medical Condition
Respiratory Infection
Coronary Artery Disease
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digital.ahrq.gov/ahrq-funded-projects/improving-sickle-cell-transitions-care-through-health-information-technology/annual-summary/2012
January 01, 2012 - Project Period
August 2012 – May 2014
AHRQ Funding Amount
$630,811
Summary: Sickle cell disease … meets patients’, families’, and providers’ needs to aid adolescents and young adults with sickle cell disease … current facilitators and barriers, health data use and needs of key stakeholders affected by sickle cell disease … Target Population: Chronic Care*: Sickle Cell Disease, Pediatric*, Teenagers
Strategic Goal: Develop
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digital.ahrq.gov/principal-investigator/selby-joe
January 01, 2023 - , Joe
Improving treatment intensification to reduce cardiovascular disease … Improving treatment intensification to reduce cardiovascular disease risk: a cluster randomized trial … Feedback of Intensifying Treatment (FIT) Data to Reduce Cardiovascular Disease - Final Report. … Risk
Feedback of Treatment Intensification Data to Reduce Cardiovascular Disease … Risk
Description
This study looked at patients at high risk for cardiovascular disease who
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs02257502-hewner-final-report-2017.pdf
January 01, 2017 - Transitions project is to improve the quality of
transitions of care of adults with multiple chronic diseases … Once segmented into a cohort, the algorithm allocates the group
with multiple chronic diseases to … critical in
developing a patient-centered plan of care for complex patients with multiple chronic diseases … case identification and incorporation of a
discharge alert for individuals with multiple chronic diseases … Integrating care for persons, not only diseases.