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1. How are CHIPRA quality demonstration States testing the Children's Electronic Health Record Format? | Agency for Healthcare Research and Quality
   www.cahps.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight10.html
   August 01, 2014 - Investigating a model format for pediatric electronic health records (EHRs). … Incorporating the Format requirements into current EHRs was challenging. … coaches in North Carolina chose to focus on training practices to improve their use of EHRs. … For instance, they learned more about the capabilities of their EHRs. … The Format has been compared with 10 EHRs.

2. Evaluation Highlight No.10, August 2014 (pdf file)
   www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight10.pdf
   September 08, 2015 - ) • Practices and health systems discovered that their EHRs did not meet many Format requirements, … • Incorporating the Format requirements into current EHRs was challenging. … coaches in North Carolina chose to focus on training practices to improve their use of EHRs … For instance, they learned more about the capabilities of their EHRs. … The Format has been compared with 10 EHRs.

3. AHRQgraphic_EHRdata_phase1_update (pdf file)
   www.cahps.ahrq.gov/sites/default/files/wysiwyg/data/infographics/AHRQgraphic_EHRdata_phase.pdf
   December 01, 2018 - AHRQgraphic_EHRdata_phase1_update What Could Practices Do with Their EHRs before EvidenceNOW? … Use of EHRs before EvidenceNOW 79% 71% 72% incorporated lab results to generate reports reported … Nearly all participating practices used EHRs, and a large number of EHR vendors were represented within … unique EHR systems across EvidenceNOW (32 for one regional cooperative)68 93% 82% used EHRs had … resource(s) 34% had no capacity 19% had in-practice capacity 25% Did EvidenceNOW Practices Use EHRs

4. A Snapshot of EHR Use in Small Primary Care Practices (Text Description) | Agency for Healthcare Research and Quality
   www.cahps.ahrq.gov/evidencenow/research-results/results/infographics/ehr-text.html
   April 01, 2019 - Nearly all participating practices used EHRs, and a large number of EHR vendors were represented within … Use of EHRs Before EvidenceNOW Before EvidenceNOW: 93 percent of primary care practices used EHRs … What Could Practices Do with Their EHRs Before EvidenceNOW? … In relation to use of EHRs for heart health: 42 percent produced quality measure reports on aspirin … Did EvidenceNOW Practices Use EHRs to share Data and Monitor Quality?

5. Spotlight on Pennsylvania -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
   www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-pennsylvania-state-snapshot.pdf
   January 01, 2018 - in order for measures to be calculated, and (2) programing EHRs to generate quality measures. … Compared with their counterparts, health systems using EHRs with advanced reporting capabilities were … Health systems indicated that changing their EHRs was a slow, difficult process. … Health systems indicated that programming their EHRs to calculate measures was resource-intensive and … • Continue improving their EHRs to serve children better.

6. Applying health information technologies (IT) for QI | Agency for Healthcare Research and Quality
   www.cahps.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary5.html
   September 01, 2015 - Key strategies included using combinations of EHRs, personal health record (PHRs), and health information … When these challenges can be overcome, SBHCs find it easier to collect and report data from their EHRs … facilitators can help child-serving practices and health systems maximize the functionality of their EHRs … electronic registry was limited because many providers experienced difficulty in connecting their EHRs … response, State-funded practice facilitators helped practices pull reports directly from practices’ EHRs

7. Vt-Spotlight (pdf file)
   www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/vt-spotlight.pdf
   July 01, 2015 - stores health information that is either uploaded directly from providers’ electronic health records (EHRs … The electronic registry was most useful for practices without EHRs. … entering information into the registry was also duplicative of information that resided in their EHRs … Moreover, by the end of the demonstration, many practices had used their own resources to implement EHRs … electronic registry was limited because many providers experienced difficulty in connecting their EHRs

8. How are CHIPRA Quality Demonstration States encouraging health care providers to put quality measures to work? | Agency for Healthcare Research and Quality
   www.cahps.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/highlight05.html
   November 01, 2013 - Investigating a model format for pediatric electronic health records (EHRs). … Commitment to EHRs as the quality infrastructure. … Regular and better use of EHRs is needed to make measure-driven QI activities the “normal way of doing … and rewards health systems that use EHRs accordingly. … Finally, staff articulated what they need to sustain improvement—EHRs that facilitate documentation and

9. Integrating Clinical Prediction Rules into EHRs to Improve Care, Reduce Waste | Agency for Healthcare Research and Quality
   www.cahps.ahrq.gov/funding/grantee-profiles/grtprofile-mcginn.html
   January 01, 2024 - Grants Management AHRQ Grantee Profiles Integrating Clinical Prediction Rules into EHRs … Contracts Grantee Profile Integrating Clinical Prediction Rules into EHRs … This 3-year grant, which built on his earlier work in EHRs, allowed the researchers to develop, test, … originally created December 2023 Internet Citation: Integrating Clinical Prediction Rules into EHRs

10. Spotlight on Vermont | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/policymakers/chipra/statesummaries/vt-spotlight.html
    July 01, 2015 - stores health information that is either uploaded directly from providers’ electronic health records (EHRs … The electronic registry was most useful for practices without EHRs. … Most practices with EHRs indicated that their systems were not only incompatible with the State’s registry … that entering information into the registry was also duplicative of information that resided in their EHRs … Moreover, by the end of the demonstration, many practices had used their own resources to implement EHRs

11. 2. Synthesis of Key Findings by Category | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/final-report/section2.html
    October 01, 2015 - charts) and developing workarounds with their EHRs. … These strategies included using various combinations of EHRs, personal health records (PHRs), and HIE … The diversity of EHRs used by practices and the amount of modifications needed to those EHRs further … Practice staff often needed training and TA to effectively use their EHRs. … Comparing the Children’s EHR Format with existing EHRs was challenging but valuable.

12. CHIPRA Quality Demonstration Grant Program Evaluation Highlight No. 5 (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/what-we-learned/highlight05.pdf
    September 08, 2015 - • Investigating a model format for pediatric electronic health records (EHRs). … rewards participating health systems for reporting any of the Child Core Set measures from their EHRs … • Commitment to EHRs as the quality infrastructure. … The Pennsylvania project sets its sights on EHRs as the infrastructure for quality measurement and … improvement and rewards health systems that use EHRs accordingly.

13. Chapter 4, Emerging Trends in Care Coordination Measurement | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/ncepcr/care/coordination/atlas/chapter4.html
    June 01, 2014 - use” of certified EHR technology, including use for quality measurement. a Given the potential for EHRs … EHRs contain a trove of clinical data, including information on physician orders, laboratory and imaging … EHRs aim (ideally) to aggregate information for each patient from multiple providers, settings, payers … when used for quality measurement.. a , c Furthermore, many EHRs in use today require significant … Without interoperability, EHRs cannot integrate into their record information about care received from

14. Spotlight on Alaska -- The National Evaluation of the CHIPRA Quality Demonstration Grant Program (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/statesummaries/chipra-750-alaska-state-snapshot.pdf
    January 01, 2018 - Alaska helped practices to use their EHRs to improve population management Alaska initially planned … of health information technology by helping practices to: (1) use their electronic health records (EHRs … The State— • Built practices’ capacity to use EHRs to monitor and improve quality of care. … Two practices, for example, used their EHRs to develop registries of children with special health care … Two practices built developmental screening templates into their EHRs.

15. Maine State at a Glance (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/mestateataglance.pdf
    March 01, 2012 - periodic screening, diagnosis, and treatment (EPSDT) data into pediatric electronic health records (EHRs … support for pediatric‐specific learning sessions, automating Bright Futures in pediatric practices’ EHRs … PCMH pediatric practices have volunteered to (1) track selected measures, (2) pilot Bright Futures in EHRs …  How did Maine integrate data on EPSDT services into pediatric EHRs?

16. Pennsylvania State at a Glance (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/policymakers/chipra/demoeval/demostates/pastateataglance.pdf
    March 01, 2012 - The focus is on gathering core measure data directly from the health systems’ EHRs and reporting measures … collaborate with their EHR vendors to implement and test the model format and determine the extent to which EHRs … staff will develop and test other electronic quality improvement projects based on format‐compliant EHRs … , implement the patient referral/linkage system into EHRs, and link practice sites to the State’s Department

17. EvidenceNOW: A Model for Heart Health and Beyond (pdf file)
    www.cahps.ahrq.gov/sites/default/files/wysiwyg/evidencenow/heart-health/evidencenow-story.pdf
    September 01, 2021 -  Primary care practices are incredibly creative, dedicated, and resilient, even with problematic EHRs …  EHRs often do not provide primary care practices with access to the data they need to improve care … provide timely feedback data to primary care practices to drive QI, given the limitations of current EHRs

18. State at a Glance: Pennsylvania | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/policymakers/chipra/demoeval/demostates/pa.html
    March 01, 2019 - core set of children's quality measures to report directly from patients' electronic health records (EHRs … All seven of Pennsylvania's participating health systems 1 are reporting from EHRs some or all of selected … report the measures, all of the CHIPRA grantee health systems examined the availability of data in their EHRs … their specific clinical goals and will focus on implementing those requirements into their existing EHRs

19. Reporting and using the Child Core Set of quality measures | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/policymakers/chipra/demoeval/what-we-learned/finalsummary/finalsummary2.html
    September 01, 2015 - health systems have not yet developed the infrastructure needed to support data transfer from providers’ EHRs … Furthermore, incomplete or inconsistent documentation in EHRs and paper charts means that practices first … availability of administrative data on behavioral health services and clinical data from practices’ EHRs … response, State-hired practice facilitators helped practices run supplemental reports directly from their EHRs

20. Key Driver 3: Optimize Health Information Systems to Extract Data and Support Use of Evidence in Practice | Agency for Healthcare Research and Quality
    www.cahps.ahrq.gov/evidencenow/tools/keydrivers/optimize-health-it.html
    November 01, 2018 - Responsibilities can include making changes to documentation in EHRs, developing auditing tools, designing … EHRs are nearly universal in primary care practices, yet their potential to be catalysts for the use … However, some EHRs are better at supporting QI and QI measurement than others. … Maximizing the use of EHRs to attain actionable data may require working closely with the EHR vendor.