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digital.ahrq.gov/sites/default/files/docs/page/Crandall.ppt
September 01, 2005 - Operating revenues of $5.3 billion
44,000 FTEs
7,582 physicians – 95% private practice community hospital … based
45 hospitals (29 owned and 16 managed)
OUR GOAL:
LEADER IN THE UNITED STATES IN IMPROVING … (-0-)
Project Definition
(-22 months prior to G0-Live)
Systems Readiness
[one iteration per system]
Hospital … STUDY LOOKED AT OVER 160,000 INPATIENTS ADMITTED TO SEVEN OF OUR HOSPITALS WITH ADE SYSTEMS IN PLACE. … WHEN COMPARED TO CONTROL GROUP HOSPITALS WITHOUT ADE
FOUND STATISTICALLY SIGNIFICANT REDUCTIONS IN
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digital.ahrq.gov/sites/default/files/docs/page/Zimmerman.ppt
June 09, 2005 - (Health, Human Services)
No local or county health departments
3 major health insurers
2 major hospital … systems
15 Hospitals (7 are independent)
3 very large group practices
1 Quality Improvement … Quality Institute
Rhode Island Quality Institute (RIQI)
RIQI’s Mission:
A collaboration among hospitals
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs020270-alpern-final-report-2017.pdf
January 01, 2017 - Colorado
(main and satellite ED), The Children’s Hospital of Philadelphia (main), Children’s
National … Medical Center (main and satellite ED), and Cincinnati Children’s Hospital
Medical Center (main and … Limitations: Homogeneity of the participating hospitals may be considered a limitation of
this proposal … The four institutions are all tertiary, academic, pediatric hospitals. … there is documented variability in quality performance measures even within
freestanding children’s hospitals
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs021236-franklin-final-report-2017.pdf
January 01, 2017 - These hospitals varied in the acuity and volume of patients seen. … Nine
additional emergency departments from within the same hospital system as hospitals 1 and 3 were … each at hospital 1; 10 physicians for 19 sessions and 10 nurses for two sessions each
for hospital … Observation
Ethnographic observation was repeated at hospitals 1 and 3. … Hospital 3 was brought into the study
following implementation of the dashboards by the hospital system
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digital.ahrq.gov/sites/default/files/docs/page/6_StakeholderMeetingDiscussionGuide_1.pdf
June 16, 2021 - Patient Care Scenario A
Overview:
The emergent transfer of health information between two hospitals … health delivery system composed of ten critical
access hospitals and one large tertiary hospital, DEF … ABC Health Care has requested that its critical access hospitals submit monthly
reports containing patient … Scenario A
ABC Health Care is an integrated health delivery system composed of ten critical access
hospitals … ABC Health Care has requested that its critical access hospitals submit monthly reports
containing
-
digital.ahrq.gov/sites/default/files/docs/page/6_StakeholderMeetingDiscussionGuide_0.pdf
June 16, 2021 - Patient Care Scenario A
Overview:
The emergent transfer of health information between two hospitals … health delivery system composed of ten critical
access hospitals and one large tertiary hospital, DEF … ABC Health Care has requested that its critical access hospitals submit monthly
reports containing patient … Scenario A
ABC Health Care is an integrated health delivery system composed of ten critical access
hospitals … ABC Health Care has requested that its critical access hospitals submit monthly reports
containing
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digital.ahrq.gov/ahrq-funded-projects/using-location-based-smartphone-alerts-within-system-care-coordination
January 01, 2023 - The app asks patients to confirm “Are you a patient in the ED/hospital now?” … PCPs learned their patients received emergency care at many area hospitals that otherwise were not communicating … information about the hospital visit to them. … PCPs learned their patients received emergency care at many area hospitals that otherwise were not communicating … information about the hospital visit to the PCP.
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digital.ahrq.gov/sites/default/files/docs/care-transitions-slides-092619.pdf
September 26, 2019 - (42)
36
Beta Test: Results
• Participants obtained care at 7 regional hospitals … ► 5 ED/inpatient encounters (4 hospitals)
► 9 outpatient visits
► 7 other events (e.g. visiting loved … Implementation Barriers
Observed Barriers Changes for Study Phase 2
Limited cell service inside
hospitals … battery saver
settings
• Information sources FQHC used to identify
encounters (N=23 encounters at 12 hospitals … )
► App: 7
► Hospitals: 7
► Patient self-report: 6
► Payer-linked portal: 10
40
Encounters
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/fitzmaurice-da-et-al
January 01, 2023 - Computerized decision support (DSS) has been shown to be effective in hospitals for improving clinical … In the practice where patients were randomized to either DSS or hospital dosing, logistic regression … Computerized DSS enables the safe and effective transfer of anticoagulation management from hospital … Blood samples were sent to the local hospital laboratory for testing and results were faxed back to the … Hospital-dosed patients had their cards posted after a decision by a consultant haematologist; copies
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digital.ahrq.gov/ahrq-funded-projects/showing-health-information-value-community-network/annual-summary/2008
January 01, 2008 - community network from the perspective of specific stakeholder groups, including patients, providers, hospitals … The net effect of the intervention was to decrease ED use and inpatient reimbursements (for ED and hospital … There were no hospital effects for patients in the two other intervention groups. … providers may see patients in more appropriate settings and feel that they are delivering better care; hospitals
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digital.ahrq.gov/health-information-exchange-2
January 01, 2023 - The United Hospital Fund sponsored a meeting to address HIE evaluation. … We observed a trend toward cost savings at one of two hospitals and no differences in the quality measures … systems (15 hospitals), the county and state public health departments, and Indiana Medicaid and RxHub … It provides cross-institutional access to physicians in emergency rooms and hospitals based on patient-physician … proximity or on hospital credentialing.
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/privacy-and-security-project/wyoming
January 01, 2023 - including (but not limited to): licensed health care professional groups, federal health facilities, hospitals
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digital.ahrq.gov/health-care-theme/meaningful-use
January 01, 2023 - Interoperability domains and developed recommendations to improve them and increase their value to hospitals
-
digital.ahrq.gov/program-overview/research-stories/visual-learning-displaying-data-hypertension-management
January 01, 2023 - Meaningful and Effective Electronic Patient-Reported Outcomes Use in Clinical Settings Understanding Hospitals
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digital.ahrq.gov/program-overview/research-stories/improving-electronic-health-record-usability-patient-safety
January 01, 2023 - design and usability hurts patients and burns out providers While EHRs are used almost universally by hospitals
-
digital.ahrq.gov/ahrq-funded-projects/connecting-healthcare-central-appalachia
January 01, 2023 - Technology
Electronic Health Record/Electronic Medical Record
Care Setting
Hospital … With hospitals, clinics, home health agencies, and home care stores, the rural location and wide range … The rollout of ARH's electronic medical records began in the system's Whitesburg ARM Hospital and Hazard … essential hardware components to initiate the kick-off, training for project core team members and hospital
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digital.ahrq.gov/sites/default/files/docs/page/percentage-of-orders-entered-using-cpoe-quick-reference-guide.pdf
February 01, 2009 - Hospitals: results of a 2002 Survey. J Am Med
Inform Assoc 2004 Mar Apr;11(2):95 9.
3. … hospitals. Health Aff(Millwood) 2004 Jul
Aug;23(4):184 90.
6.
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digital.ahrq.gov/sites/default/files/docs/survey/national-electronic-health-records-survey-2012.pdf
January 01, 2012 - about ambulatory care, that is, care for pati ents receiving health services without admission to a hospital … □1 Private office–based solo or group practice
□2 Freestanding clinic/urgicenter (not part of a
hospital … emergency department
□10 None of the above
If you only answered hospital emergency department or
none … Do you share any patient health information
electronically (not fax) with other providers
including hospitals … Hospitals
with which
you are
affiliated
Ambulatory
providers
inside your
office/group
Hospitals
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digital.ahrq.gov/2019-year-review/research-summary/using-smartphone-location-data-care-coordination
January 01, 2019 - or ER is a simple, potentially scalable approach to improve care coordination after a hospital visit … The app asks patients to confirm “Are you a patient in the ER/hospital now?” … when real-time location data in their smartphone indicates that the patient is at a hospital. … PCPs learned their patients received emergency care at many area hospitals that otherwise were not communicating … information about the hospital visit to the PCP.
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digital.ahrq.gov/ahrq-funded-projects/evaluation-stage-3-meaningful-use-objectives-analysis-nc-and-tn
January 01, 2023 - Care Setting
Academic Medical Center
Ambulatory Setting
Emergency Department
Hospital … What will increase the value for hospitals and ambulatory practices implementing the proposed Stage 3