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161. Title Page (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015447-gunter-final-report-2008.pdf
     January 01, 2008 - and could thus play the neutral role needed to bring together the historically competitive systems, hospitals … • In 2007 Taos Holy Cross Hospital staff was able to demonstrate that abnormal hearing screening … This culminated in pilot testing of NMHIC in February 2007 for personnel at Taos Holy Cross Hospital … were not thorough enough in 2007 to save hospital staff time. … At this stage, the HIE network includes the state’s largest healthcare provider (with numerous hospitals

162. AHRQ Presentation Template (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/ahrq-health-it-grantee-and-contractor-meeting.pdf
     July 01, 2010 - Project 2 Post Hospital Discharge Web-based “Louise” • Post-discharge web-based system designed to … emulate the post-hospital phone call • Promote Medication Adherence • Promote Appointment Adherence … IM and LBW • Assess 54 Reproductive Risks in 12 Health Domains • Assess Readiness for change in …  In implementation experience?  In stage of implementation?  Years of using health IT? … Project 2� Post Hospital Discharge Web-based “Louise” Online “Louise” Status Slide Number 36 Project

163. Health Information Exchange Utilization and Inter-hospital Transfer Outcomes - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r01hs026732-usher-final-report-2023.pdf
     January 01, 2023 - of hospitals included in RQ2 and RQ3 Hospital Urban/Rural Teaching Status Legacy hospital System … Of 12 hospitals, 11 were included in the study. … how necessary was it for both hospitals to participate in HIE use to be helpful for inter-hospital … Overall, we found that prediction of transfer timing was fairly accurate with only 22% of transfers falling … in-hospital mortality.

164. Rural Iowa Redesign of Care Delivery with EHR Functions | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/rural-iowa-redesign-care-delivery-ehr-functions
     January 01, 2023 - Report ( PDF , 144.65 KB) Disclaimer Disclaimer The findings and conclusions in … No statement in this report should be construed as an official position of AHRQ or of the U.S. … Electronic Health Record/Electronic Medical Record Care Setting Ambulatory Setting Hospital … rural health care hospital inpatient units, ambulatory care, and two primary care clinics. … After thirty months the hospital and clinics had sustained a 70 percent CPOE rate with over 250 evidence-based

165. Impact of Health IT on Quality Assessment: Innovations in Measurement and Reporting (pdf file)
     digital.ahrq.gov/sites/default/files/docs/HIT_and_Quality_062310_comp.pdf
     June 23, 2010 - 2007 • 119 measures in use for 2008 • 153 measures in use for 2009 7 The Challenge False … and confusing results • Example: A1c lab test result may be in one place if completed in the clinic … Numerator (N) Identify Patients in Numerator (N) Identify Patients in who have valid Denominator … in Denominator (D) Identify Patients in Denominator (D) Identify Patients in Initial Patient … Electronic Medical Record (EMR) Citizens Memorial Hospital EMR Physician Clinic/Ambulatory Quality

166. HIT Support for Safe Nursing Care (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r01hs015054-keenan-final-report-2008.pdf
     January 01, 2008 - Scope: The study protocol was implemented on 8 diverse units located in 4 different hospitals. … second twelve months; b unit decreased beds in first twelve months; c A = university hospital, city … 1, B = large community hospital; city 2, C= large community hospital city 3, D= small community hospital … 1, B = large community hospital; city 2, C= large community hospital city 3, D= small community hospital … Presentation to administrators, staff, and faculty of the three main local hospitals in Rockford, IL

167. Improving Patient Access and Patient-Clinician Continuity through Panel Redesign - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r03hs018795-balasubramanian-final-report-2012.pdf
     January 01, 2012 - Team members: James Stahl, co-Investigator Institute of Technology Assessment, Massachusetts General Hospital … , Mayo Clinic, Rochester, Minnesota and 2) Residency primary care clinics of Massachusetts General Hospital … Teaching hospitals must also take into account the learning requirements of its medical residents. … , Mayo Clinic, Rochester, Minnesota and 2) Residency primary care clinics of Massachusetts General Hospital … Sources We collected encounter data from primary care residency clinics (appendix) at Mass General Hospitals

168. Enhancing Complex Care through an Integrated Care Coordination Information System - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs017832-dorr-final-report-2012.pdf
     January 01, 2012 - Five of the practices have a hospital within their community, and all of the physicians in the six study … These sites ranged from rural clinics to large hospitals. … Difference in difference at 6 months of ED visits and hospital bed days Group Care Coordination Quality … Hospital bed-days did decline in the first 6 months in the care coordination group over the quality … Changes in utilization and efficiency by incentive arm are preliminary but mixed; hospital bed-days

169. Case Study: Developing a Universal Consent Form: Lessons Learned from Florida Medicaid (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/fl_casestudy_final_0.pdf
     September 01, 2010 - Approximately two-thirds of beneficiaries are enrolled in a managed care program. … In response to this barrier, the Florida legislature passed a law in 2009, authorizing AHCA to create … in HIPAA and their limited usefulness to other providers in treatment of the patient. 5 Florida Statute … Large providers (e.g., hospitals and integrated delivery networks) have indicated their support and … Support Agreement (DURSA), which would allow the exchange of clinical information across providers and hospitals

170. Multi-Grantee Technical Assistance Meeting: Privacy and Security Considerations for Health IT Research (pdf file)
     digital.ahrq.gov/sites/default/files/docs/privacy-security-discussion-summary-121511.pdf
     December 15, 2011 - McGraw discussed when consent is needed to collect PHI in research. … least one of the purposes of the project is to contribute to generalizable knowledge, then the project falls … In this situation, the information could be made public as long as the data are presented in a de-identified … outpatient settings at Boston Medical Center, Harvard Vanguard Medical Associates, and Boston City Hospital … He holds a master’s degree in Healthcare Administration from Simmons College in Boston.

171. Methods | Digital Healthcare Research
     digital.ahrq.gov/methods
     January 01, 2023 - David Bates , MD, MSc Chief, General Medicine Brigham and Women's Hospital Simon Cohn , MD, MPH … That project conducted a search of PubMed in November 2003. … They searched for systematic reviews published in English from 1995 to 2003. … Health Affairs has been a leader in publishing articles on this topic in recent years. … Technology, also located in the Boston area, published this report in 2003.

172. Clinical Decision Support | AHRQ Digital Healthcare Research: Informing Improvement in Care Quality, Safety, and Efficiency
     digital.ahrq.gov/key-topics/clinical-decision-support
     November 04, 2009 - Summary: Many hospitals utilize antimicrobial management teams (AMTs) to improve patient care but function … Outcomes assessed were hospital antimicrobial expenditures, mortality, length of hospitalization, and … Hospital antimicrobial expenditures were a savings of $84,194 (23 percent), or $37.64 per patient in … receiving inadequate antimicrobial therapy and to achieve substantial time and cost savings for the hospital … Summary: Healthcare-associated infections (HAIs) are a leading cause of in-hospital mortality and adverse

173. Evaluation of the Agency for Healthcare Research and Quality Patient-Centered Outcomes Research Clinical Decision Support Initiative: Findings and Recommendations for Future Initiatives (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/cds-evaluation-summary-report-p233201500023I.pdf
     March 23, 2022 - in the United States unless materials are clearly noted as copyrighted in the document. … In response to this legislative mandate, AHRQ launched the multifaceted PCOR CDS Initiative in 2016 … participation in balloting efforts, and testing CDS interoperability in sandbox environments … University of Chicago/ Yale University 1 (1.4) University of Pennsylvania Health System 1 (1.4) Children’s Hospital … Lucero August 2020 - July 2022 Brigham and Women's Hospital Primary care fall prevention Patient

174. Multi-Grantee Technical Assistance Meeting — Improving Information Exchange for Care Transitions (pdf file)
     digital.ahrq.gov/sites/default/files/docs/care-transitions-discussion-052313.pdf
     December 01, 2013 - Information Technology for Economic and Clinical Health Act (HITECH) Meaningful Use (MU) incentives to hospitals … Belanger demonstrated that inpatient admission sources vary greatly by hospital. … Hospitals must convey information needed by LTPAC settings in order to care for this patient population … Sixteen health care organizations participated in this process: two hospitals, two large group practices … Researchers will be evaluating 30-day hospital readmission rates, ER visit rates, hospital admission

175. Using Health IT: Eight Quality Improvement Stories (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/EightSuccessStories_092810.pdf
     September 01, 2010 - Each community had one or more hospital able to perform PCI at least part of the time and one hospital … using On-Time are exploring ways to expand it to address other preventable conditions such as resident falls … Oklahoma’s health status is consistently ranked as one of the lowest in the Nation, regularly falling … SMRTNET is currently working with eight hospital systems in Tampa Bay, Florida, to develop an HIE. … 28 hospitals in 17 counties.

176. AHRQ CDS TEP Teleconference – May 2010 (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/AHRQ_CDS_TEP_Teleconference_05-06-10.pdf
     May 06, 2010 - Agreement between Brigham and Women’s Hospital (BWH) and Regenstrief Institute, which is the first … step in obtaining access to ECRS for Regenstrief … Analysis plan for Dashboards is in progress. … – The agreement that KM portal publishers must sign in order to submit content to the portal is in … the consumer’s terminologies, changes in the standard terminologies, and changes in knowledge. 6.

177. Tools & Technology for Improving Care Post Treatment (pdf file)
     digital.ahrq.gov/sites/default/files/docs/care-post-treatment-slides-072512.pdf
     July 25, 2012 - San Diego • 4 Acute Care Hospitals • 3 Specialty Hospitals • 2 Affiliated Medical Groups • Health … coordinator in hospital upon acceptance or in home during 1st home visit • Re-measure (post-intervention … • Possibly related to less ED and Hospital use • In and Outpatient Louise • Provides time and cost … Broad has 15 years of experience in health care at hospitals across the country working extensively … by the ANCC in Cardiac-Vascular nursing.

178. Intro: much to-do around CPOE related primarily to safety, secondarily to general quality improvement; pressure from employers (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/Leapfrog-CPOE_Costs_Benefits_Challenges.pdf
     March 01, 2003 - Investigators conducted a similar study of 15,000 admissions to hospitals in Utah and Colorado in 1992 … Hospitals. … challenge of managing dual processes – with some physicians writing orders on paper, others via CPOE – falls … , the James Cancer Hospital, University Hospitals East, OSU and Harding Behavioral Health, and OSU’s … by a full-scale rollout across the two major hospitals (Ohio State University Hospital and the James

179. Use of Health IT and HIE in Section 2703 Medicaid Health Homes: What Types of Health IT Can Medicaid/CHIP Agencies Support to Build a Health Home Infrastructure for Medicaid Providers and Beneficiaries? (pdf file)
     digital.ahrq.gov/sites/default/files/docs/page/use_of_health_it_and_hie_in_section_2703_medicaid_health_homes_5.pdf
     January 01, 2017 - ■ Links local community providers (health systems, hospitals, health departments, and other community … conditions 31 Practices Want Help to “De-fragment” Care ■ Patient admitted and discharged from hospital … the top 10% in U.S. in HEDIS for diabetes, asthma, and heart disease compared to commercial managed … Costs for non-Community Care patients are higher than expected by 15% in 2008 and 16% in 2009. □ For … ■ Test shared savings models (invest in prevention).

180. Closing the Feedback Loop to Improve Diagnostic Quality - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r18hs017060-weiss-final-report-2011.pdf
     January 01, 2011 - The Emergency Medicine site was Shands Hospital, an affiliate of the University of Florida, in Jacksonville … , while the final discharge diagnoses were maintained in the hospital database. … the hospital from the ED. … would cost the provider to make sure that the patients who could benefit are contacted, so that no one falls … Although we still have had occasional discrepancies in matching cases from the hospital IT system and