-
digital.ahrq.gov/sites/default/files/docs/page/08-0087-EF.pdf
October 01, 2009 - home residents are at higher risk than noninstitutionalized elderly of adverse health
events such as falls … decreased lengths-of-stay in hospitals and an increased proportion of Medicaid
residents in LTC facilities … Falling through the cracks: challenges and opportunities for improving transitional care for
persons … , adopted by hospital staff in other units, and remains in use today.
36
BARRIERS NoTED:
Nursing … in order to facilitate the coordination of care between the hospital and nursing
home.
-
digital.ahrq.gov/sites/default/files/docs/citation/r03hs024623-mendonca-final-report-2018.pdf
January 01, 2018 - unplanned return to
the hospital is almost $10,000. … Scope
One in five patients discharged from Wisconsin hospitals returns to the hospital within 30 days … Most efforts to improve the discharge process focus on in hospital
communications among providers (YALE … Most of the work planning discharge involves in hospital coordination of teams or ensuring effective … Metanalysis determined that context aligned interventions were best at
reducing hospital readmissions
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024750-sherwin-final-report-2019.pdf
January 01, 2019 - our hospital system and all other sepsis CDS tools in the
literature is that they lack any mechanism … = 18 years at time of visit) seen in the ED of Sinai Grace hospital (Detroit, Michigan) between
(inclusive … our
hospital system (called the St. … National inpatient hospital costs: the most expensive conditions by payer, 2011: statistical brief #160 … Journal of hospital medicine 2015.
23. Whittington J, White R, Haig KM, Slock M.
-
digital.ahrq.gov/sites/default/files/docs/care-transitions-slides-052313.pdf
May 23, 2013 - encourage improvement
of information flows to support transitions
– Meaningful use incentives to hospitals … savings models
10
Where do they come from…
Inpatient admissions by admission source – 26 NH hospitals … Inpatient discharges by patient destination – 26 NH hospitals
12
Source: Massachusetts eHealth Collaborative … are discharged to
traditional LTPAC settings (SNF, Home Health,
Inpatient Rehab Facility, etc…)
• Hospitals … PCP, HHA, etc…
• SNF, PCP, etc… to HHA
31
Testing the Dataset
Spring 2012, on paper:
2 hospitals
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs024537-sockolow-final-report-2020.pdf
January 01, 2020 - The urban agency had in-
teroperability with its health system’s tertiary care hospitals where the EHR … (H11)
Pre Visit and Visit Policy Driven “9 weeks, just the way how it falls, 9 weeks falls on a Sunday … Deficits in communication
and information transfer between hospital-based and primary care physicians … Patients in transition--improving hospital-home care collaboration
through electronic messaging: Providers … patients after hospital discharge.
-
digital.ahrq.gov/sites/default/files/docs/citation/r03hs027689-orenstein-final-report-2023.pdf
January 01, 2023 - with 3 freestanding children’s hospitals. … 3
freestanding hospitals including one academic tertiary care center (hospital A), one community … This was expanded to all services at both hospitals on 9/8/2021. … In run charts comparing the two hospitals' vaccination rates, there was not a clear temporal
association … implementation of
the same intervention in hospital B.
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015076-rosa-final-report-2007.pdf
January 01, 2007 - Order Entry, Medication Management and Nursing documentation at Huron
Hospital. … All are widely prevalent in the local population served by Huron Hospital. … to make sure the hospital
administration did everything possible to encourage adoption. … The 1st phase focused on hospital employees whose use of the EMR was mandated. … achieved through mandate, which
Huron Hospital management does not have.
-
digital.ahrq.gov/sites/default/files/docs/E-Perscribing%20Event%20Transcript%20FINAL.pdf
January 01, 2012 - required to have a medication reconciliation process when patients are admitted and
discharged from the hospital … , Standard Registry, Doctor First
and others that deliver medication history via their products to hospital … The incentives through Medicaid are for
both hospitals and for physicians; hospitals can get up to a … total payment of $10 million plus per hospital,
based on discharge bonuses and other parameters. … areas like health information exchanges or
hospitals.
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs022305-manojlovich-final-report-2019.pdf
January 01, 2019 - One hospital was an academic medical center in
Kentucky, one was a VA hospital affiliated with a medical … center in Iowa, and the other two hospitals
were community hospitals, one in Iowa and the other in … We selected a variety of hospital types and included two VA hospitals as well. … 2 (Site A – Community hospital in Michigan; Site B – Community hospital in Iowa; Site
C – Academically … affiliated VA hospital in Iowa; Site D – Academic medical center in Kentucky).
-
digital.ahrq.gov/sites/default/files/docs/citation/k08hs018582-lafleur-final-report-2015.pdf
January 01, 2015 - malabsorption, and symptoms
concerning nutrition, metabolism, and development
c Fall risk includes history of falls … the
US,33 as well as Ettinger’s updates to Melton’s numbers, based on 2006 hospital discharge data … in 11 studies,
non--‐vertebral fractures in 27 studies, and hip
fractures in 10 studies. … 27 primary care and specialty clinicians at Salt Lake City VA, Richmond VA, and University of
Utah Hospitals … We analyzed data in
the University of Utah Hospitals and Clinics to determine whether this type of
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017196-jack-final-report-2011.pdf
January 01, 2011 - and
frequently poor in quality.1 One in five hospital discharges is complicated by an adverse event … In these past studies, the VPA conversed with patients only in-hospital at the point of
discharge, on … (no final In-hospital Louise, no AHCP, no
interaction with Post-hospital Louise). … the expansion of the commercial side of the In-hospital Louise and Post-hospital
Louise systems. … four
Massachusetts hospitals.
-
digital.ahrq.gov/sites/default/files/docs/citation/r03hs028033-frey-final-report-2024.pdf
January 01, 2024 - This program of patient-centered asthma
education was feasible to deliver in both hospital and home … ’s
hospital in urban Rochester, NY that is part of the University of Rochester Medical Center. … both hospital
and virtual home settings. … Although two participants were lost to follow-up after leaving the
hospital, most participants in TEACHH … Rates
and Impact of Potentially Preventable Readmissions at Children's Hospitals.
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016142-sims-final-report-2008.pdf
January 01, 2008 - Historically, users, departments, hospitals, clinics, payers (self, private,
state, federal, etc), and … Four of the area hospitals
receive Radiology services from Valley Radiologists, PA for interpretation … These four hospitals are those served by Valley Radiologists. … Records falling below that threshold are held in a queue within the integration engine and
matched administratively … The majority of patients in the New England region is transient and has
encounters at multiple hospitals
-
digital.ahrq.gov/sites/default/files/docs/Impact%20of%20Health%20IT%20on%20Quality%20Assessment.pdf
April 25, 2013 - has had a long term care visit, they've been in the hospital--just a test patient. … The hospital, homecare, long term care and the physician practices. … It's
a data extraction system that we use in the acute care side of the hospital to extract quality measures … It's a safety net hospital here in
Denver. … they extract it out of the proprietary data base directly from our system, and
they only work with hospitals
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018158-stockwell-final-report-2013.pdf
January 01, 2013 - up-to-date (UTD) status, based on a real-time query of hospital and city
immunization registries. … Hospital in the Northern Manhattan area of New
York City.
3
Methods and Results
Phase … Eclipsys SCM Ambulatory application,
to retrieve immunization information, via a web service, from the hospital … The year after the grant ended, providers requested that the hospital integrate the influenza
reminder … The hospital is
implementing the alert as part of regular care.
12
Conclusions
We found
-
digital.ahrq.gov/program-overview/directors-corner
September 01, 2024 - In addition to telehealth research, AHRQ is interested in research exploring the efficacy and safety … in 49 States. … The remission rate of children in the registry improved from 55 percent in 2007 to 79 percent in 2015 … all hospitals in Washington State. … The sharing of surgical checklists, and clinical data about procedures and outcomes, among Washington hospitals
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024335-rangachari-final-report-2018.pdf
January 01, 2018 - In other words, there is “limited-use” of EHR MedRec technology, in hospitals across the U.S,
as opposed … of EHR MedRec in
hospitals/health systems, i.e., low physician engagement, translating to limited-use … for the patient in the hospital
or clinic. … Innovation Implementation in Hospitals and Health Systems: Lessons Learned and
Strategies for Success … Innovation Implementation in Hospitals and Health Systems: Lessons Learned and Strategies for
Success
-
digital.ahrq.gov/sites/default/files/docs/publication/p20hs015325-hartzema-final-report-2005.pdf
January 01, 2005 - access hospitals under the
Medicare Rural Hospital Flexibility Program. … Critical Access Hospitals in Florida
CAH City County Became a CAH
Calhoun Liberty Hospital Blountstown … place in the hospitals. … Finally, barriers to HIT implementation in CAHs also included limited space in the hospitals for HIT … FLORIDA CRITICAL ACCESS HOSPITALS
Hospital Name: _______________________________________________
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016130-lewis-final-report-2009.pdf
January 01, 2009 - especially important group as they are the most financially and
technology constrained class of providers, falling … Six area hospitals participated actively in the project: Washington Hospital
Center in DC, a major tertiary … care teaching hospital, and five community hospitals located in
Montgomery County: Holy Cross Hospital … In fiscal year 2009 ED charges for the five hospitals in Montgomery County exceeded $13
million for … In another
case, the hospital was in the midst of installing a comprehensive hospital information system
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs018678-nkoy-final-report-2015.pdf
January 01, 2015 - PCH is located in Salt Lake City and is the only
children’s hospital in Utah. … in hospital
resource use and no change in PICU transfer or death. … Improving Pediatric Asthma Care and Outcomes Across Multiple
Hospitals. … Teicholz, Uninsured patients in District of Columbia hospitals. … study
Useful for tracking
symptoms
YES
It helps see what triggers asthma and how
many down falls