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digital.ahrq.gov/sites/default/files/docs/page/ADAMS_3_I.ppt
January 01, 2013 - Adams
President and CEO, Rhode Island Quality Institute, Providence, RI
Faculty, Institute for Healthcare … care system with respect to quality, efficiency and access
Not-for-profit: 501(c)3
Led by experienced … care is Many:One
Plus there is a risk of error in health care that does not exist elsewhere
Imagine … All rights reserved
Health Care Purchasers’ ROI
Assuming Purchasers make 100% of Contributions and … health care cost
Increased confidence in health care system
Providers
Providing good quality health
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digital.ahrq.gov/sites/default/files/docs/citation/teahm_study_action_final061511comp.pdf
June 01, 2011 - ACTION
promotes innovation in health care delivery by accelerating the development, implementation, … care delivery systems. … Research and Quality
BP – Blood Pressure
HCBS – Home and Community-Based Services
HCP – Health Care … (% yes) a 1.8 2.5 1.4
Usual Place for Health Care? … Current Health Care Team (%): Dissatisfied 0.9 2.5 0
Satisfaction with Current Health Care Team (%)
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digital.ahrq.gov/sites/default/files/docs/page/2006BurstinMunier_051111comp.pdf
June 01, 2006 - Morning Plenary: Strengthening the Connections
Agency for Healthcare Research & Quality
Advancing Excellence … Care The “Steeep” Challenge Ahead
Health care in the 21st century must be
based on 6 key dimensions … visit primary care
physician’s office
65 visit CAM provider
21 visit a hospital OPD
14 receive home … Care Systems: Experience of Patients
with Health Problems in 6 Countries” Commonwealth Fund International … Research & Quality
Advancing Excellence in Health Care • www.ahrq.gov
Advancing
Excellence in
Health
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017234-wagner-final-report-2011.pdf
January 01, 2011 - care system is more disempowering
than empowering.” … For some patients, readiness to engage
the health care system may involve “surrendering” decision-making … care system.51
We found
infrequent use of a PHR, no increase in patient activation with PHR access … Finally, health care systems must be ready to have a different kind of patient, one expecting care … care system; a system that incorporates patient-centered care.
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digital.ahrq.gov/sites/default/files/docs/survey/eldertree-baseline-survey.pdf
October 16, 2014 - Live in your own home or apartment
Live in an independent retirement community
Live in the home … Getting to places outside the home
(e.g., drive, take the bus)
b. … b. nights did you spend in an assisted living facility or nursing home? … f. other health care visits (i.e. specialty clinic, physical therapy…)
Please list type of visit and … In home meal
preparation or
meals-on-wheels
c.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023613-choi-final-report-2017.pdf
January 01, 2017 - This
partnership is increasingly recognized as the optimal model for health care delivery, particularly … Health
information technology (IT) offers the potential to overcome constraints in health care delivery … However, a new health care delivery model is emerging that is patient-centered. … care system, an intuitive health IT application designed with content using plain
language may provide … care system and
community engagement in ensuring patient safety in the ambulatory care setting.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017075-sequist-final-report-2010.pdf
January 01, 2010 - care costs. … care delivery system. … Another important aspect of our study
are the implications for achieving high value in health care delivery … care costs. … care and reduce unnecessary
testing.
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digital.ahrq.gov/sites/default/files/docs/publication/r36hs018809-valdez-final-report-2012.pdf
January 01, 2012 - culturally-competent health care to include consumer health IT. … Scope
Background
The provision of culturally-competent health care is one approach to addressing … racial and
ethnic health care disparities that has been advocated by many national bodies, including … and addressing how provider-delivered care, health care
systems, and health promotional campaigns may … As the location of care shifts from health care institutions to home and community based
settings (Bureau
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digital.ahrq.gov/ahrq-funded-projects/ambulatory-electronic-medical-record-and-shared-access/annual-summary/2009
January 01, 2009 - Care Quality Through Information Technology (THQIT)
Grant Number
UC1 HS 016128
Project … care settings in a medically-underserved region of East Central Illinois. … Sarah Bush Lincoln Health Center (SBLHC), a nonprofit community health care corporation, served as the … health information technology by: 1) providing access to patient records across hospital services, home … coordinated care across services by sharing pertinent patient information with the emergency department and home
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/dowding-d-et-al-2009
January 01, 2009 - CDSS was used to monitor patients with chronic obstructive pulmonary disease (COPD) who were living at home … data collection unit which consisted of a screen and some large buttons, which was connected to their home … deteriorating symptoms and the nurse felt that there was cause for concern the patient would be telephoned at home … the patient might be advised to visit a clinic or their own [general practitioner] GP, be visited at home … by a respiratory centre nurse or continue with home management."
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digital.ahrq.gov/sites/default/files/docs/page/2006Ralston_051211comp.pdf
May 01, 2006 - MPH
Some Patient Web Portals
• Palo Alto Medical Foundation
• Beth Israel Deaconess
• Partners Healthcare … ly
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es Pharmacy refills
Lab results
Secure messaging to and
from health … care team
After Visit Summaries
James D Ralston, MD MPH
James D Ralston, MD MPH
Typical Online … se Very Satisfied
Satisfied
Neutral
Dissatisfied
Very Dissatisfied
James D Ralston, MD MPH
Take Home … Take Home Points
Good health
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs014908-bergner-final-report-2005.pdf
January 01, 2005 - System, Barton
Memorial Hospital
§§§ Barton Memorial Community Clinic
****
Office of Education … care
community. … Systems (Barton)
• Barton Memorial Community Clinic (rural clinic)
• El Dorado County Department … care and to foster provider
willingness to care for publicly-insured patients. … Conclusion
As a result of the Agency for Healthcare Research and Quality’s Transforming Healthcare
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs016759-ralston-final-report-2012_0.pdf
January 01, 2012 - Instead of
health care information residing in an archived form in a physician’s clinic, health care … information is dynamic and transparent between patients and health care providers. … This new
approach to health care information may promote a fundamental shift in the patient-provider … The patient centered medical home provides promise as model
to help move towards the larger healthcare … • For patients to use and benefit from shared records and secure messaging, health care
systems
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digital.ahrq.gov/ahrq-funded-projects/ehealth-bp-control-program/annual-summary/2010
January 01, 2010 - Rhode Island
Funding Mechanism
RFA: HS08-269: Exploratory and Developmental Grant to Improve Health … Care Quality through Health Information Technology (R21)
Grant Number
R21 HS 018238
Project … Phase 1 of the study will develop and field-test a PHR, a home BP monitoring (HBPM) device integrated … Patients are recruited through letters sent to the home of potentially eligible patients and a ‘pop-up
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digital.ahrq.gov/2019-year-review/executive-summary
January 01, 2019 - system. … the quality and safety of America's healthcare system. … Program provides foundational research to ensure that digital healthcare systems are designed and implemented … decision making, $71 million to support clinicians’ decision making, and $36 million to improve the delivery … of healthcare at the systems level.
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021781-kelchner-final-report-2014.pdf
January 01, 2014 - This project was funded by The Agency for Healthcare Research and Quality
VI. … Home
practice took place through www.myvoicecare.org. … We certainly acknowledge that there
are numerous healthcare applications sending streams of data to … Because of the
variable nature of the healthcare consumer’s personal technology and regional services … However in our view this factor
will diminish in time with improved initiatives between healthcare and
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021322-sarkar-final-report-2015.pdf
January 01, 2015 - care systems. … The population-based approach to health care delivery embodied by the
dashboard requires a multi-tiered … care systems, resulting in incorrect data in eCW. … Qual Saf Health Care. Feb;19(1):42-7.
17. … What Can the Rest of the Health Care System Learn from the VA's Quality and
Safety Transformation. .
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digital.ahrq.gov/sites/default/files/docs/page/2006Ralston_052411comp.pdf
May 01, 2006 - ly
U
se
rs
/1
,0
00
E
nr
ol
le
es Pharmacy refills
Lab results
Secure messaging to and
from health … care team
After Visit Summaries
James D Ralston, MD MPH
Typical Online Patient In 2004
• 51-year-old … and 50% 1.94 (1.70, 2.22) 0.00
Patients who message with providers
James D Ralston, MD MPH
Take Home … care services … Take Home Points
Good health
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digital.ahrq.gov/sites/default/files/docs/TRANSCRIPT%20OF%20LEVERAGING%20HEALTH%20INFORMATION%20TECHNOLOGY%20FOR%20PATIENT%20EMPOWERMENT_1.pdf
April 08, 2010 - really on supporting
the patient and helping the patient manage their condition and interface with healthcare … The dashboard also provides to the coach the patient's name, their healthcare proxy, and their primary … So I want to thank again AHRQ, UAB Hospital, Viva Healthcare, and a terrific back-to-home support team … would be for the patient and their caregiver to feel like they can navigate,
without distress, the healthcare … system and feel like they have ultimate control over their health and what they can do
about their health
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digital.ahrq.gov/sites/default/files/docs/lesson/08-0063-ef-ambulatory-cpoe.pdf
May 01, 2008 - care system faces enormous cost, quality, and safety challenges. … care; however there is limited evidence about what impact health
IT has on health care quality and … care delivery. … He observed that while clinicians newer
to the health care system tend to adopt faster than veteran … The quality of health care delivered to adults in the United States.