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digital.ahrq.gov/sites/default/files/docs/citation/r18hs025131-jack-final-report-2022.pdf
January 01, 2022 - The strategies used across pre-implementation, mid-
implementation, and post-implementation intervals … Pre-Implementation Approaches and Strategies Employed across Implementation Stages
1. … Mid-Implementation Approaches and Strategies Employed across Implementation Stages
1. … Monthly Implementation. … Implementation Feasibility.
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digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-primary-care-workflow-and-financial/annual-summary/2011
January 01, 2011 - team and practice physicians, nurses, and office staff preparing for implementation. … , loss of productivity during implementation, interference with workflow, and return on investment. … (Achieved)
Quantify financial and non-financial costs of implementation and maintenance, providing … lower than pre-implementation levels by 12 months post-implementation. … during the first 6 months after EHR implementation, recovering to 4.5 percent lower than pre-implementation
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digital.ahrq.gov/sites/default/files/docs/activity/2011_2900600174_bell_pdf_3.pdf
January 01, 2011 - Building an Implementation Toolset for E-Prescribing
1 | Building an implementation toolset for e-prescriBing … AccelerAting chAnge And trAnsformAtion in
orgAnizAtions And networks (Action)
Building an Implementation … (Achieved)
• Assess contributors to successful implementation of e-prescribing initiatives. … (Achieved)
• Create two draft e-prescribing implementation toolsets. … and training with
their vendor early in the implementation process.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rotich-jk-et-al-2003
January 01, 2003 - After system implementation, patient visits were 22% shorter. … Workflow-Related Findings
Prior to implementation, patients would take paper medical records home … After implementation, many patients would not remember to bring their paper forms to the receptionist … After implementation, clerks spent "more time searching for information (3% vs. 0.5%)." … Before implementation, creating required reports by hand from paper records "took a clerk two weeks.
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digital.ahrq.gov/electronic-health-records
January 01, 2023 - However, successful implementation is not easy. … Each project is contributing to the knowledge base around implementation of best practices and integration … To succeed at implementation, clinicians, including physicians and nurses, must accept and use the EHR … Education and training should be conducted during the planning, implementation, and post-implementation … Moving Healthcare into the 21st Century
Workflow/Process Redesign
Implementation of health
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digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-primary-care-workflow-and-financial
January 01, 2023 - costs and uncertainty regarding its impact on workflow, productivity, and post-implementation revenue … This research sought to estimate the cost and workflow impact of rapid implementation for 26 primary … Quantify financial and non-financial costs of implementation and maintenance, providing information on … perceived barriers and facilitators in the adoption and implementation of the EHR. … For a five physician practice, hardware and software implementation costs were estimated as $162,000,
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digital.ahrq.gov/sites/default/files/docs/activity/implementation_of_health_improve_2009_update_2.pdf
January 01, 2009 - Implementation of Health Improvement Collaboration in Cherokee
IMPLEMENTATION OF HEALTH … Project Title: Implementation … Business Goal: Implementation and Use
Summary: The purpose of this completed study was to implement … HIEs, especially where funds are limited as most exchanges require $1.5 million to
develop a complete implementation … SMRTNET can work with potential members to develop a
complete implementation plan at no charge or a
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015284-reiling-final-report-2008.pdf
January 01, 2008 - Improving Patient Safety/Quality with HIT Implementation
Grant Final Report
Grant ID: UC1HS15284 … Epic Implementation. For these reasons, St. … Joseph’s studied and planned for the
implementation of Epic. … A detailed Epic implementation plan was developed, including the infrastructure needed,
stages of implementation … In: Advances in Patient Safety: From
Research to Implementation.
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digital.ahrq.gov/ahrq-funded-projects/implementation-ddinteract-shared-decision-making-tool-anticoagulant-drug-drug
August 15, 2023 - Implementation of DDInteract: A Shared Decision Making Tool for Anticoagulant Drug-Drug Interactions … Facilitators and barriers will be noted during implementation that will inform an implementation guide … For each of the three organizations, an implementation plan will be developed that is specific to that … Throughout implementation planning and rollout, stakeholders, including providers and patients, will … DDInteract and its implementation guide are currently available at CDS Connect; at the conclusion of
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/computerized-provider-order-entry-cpoe-system-3
A Consensus Statement on Considerations for a Successful CPOE Implementation
In May of 2001, … around the world gathered at a two-day conference to develop a consensus statement on successful CPOE implementation … conference, was used to generate and validate a list of categories and considerations to guide CPOE implementation … During the conference, participants shared success factors they had discovered during their implementation … The general considerations before CPOE implementation include: motivation for implementation; CPOE vision
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digital.ahrq.gov/sites/default/files/docs/activity/r18hs018170-green-annual-summary-2012.pdf
January 01, 2012 - Information Technology Implementation by Cognitive Engineering of Organizational Routines
UTILIZING … (PDSA) cycles without
progress make it clear that implementation will not succeed. … Although this was corrected, it slowed
implementation for this site by a few months. … They have conducted several cycles of PDSA
since implementation. … on the implementation process of Crimson Care.
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digital.ahrq.gov/ahrq-funded-projects/building-implementation-toolset-e-prescribing/annual-summary/2010
January 01, 2010 - Building an Implementation Toolset for E-Prescribing - 2010
Project Name
Building … an Implementation Toolset for E-Prescribing
Principal Investigator
Bell, Douglas … The goal is to develop toolsets to guide community and organizational decisionmaking about and implementation … of e-prescribing initiatives. ( Achieved )
Create two draft e-prescribing implementation toolsets. … Business Goal: Implementation and Use
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/pizziferri-l-et-al-2005
January 01, 2005 - Pizziferri L et al. 2005 "Primary care physician time utilization before and after implementation of … Primary care physician time utilization before and after implementation of an electronic health record … ]: the mean time per patient was 8.75 min pre-implementation and 8.58 min post-implementation. … : 4.23 min vs. 3.51 min post-implementation." … ] versus 6.9 min pre-[implementation]."
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digital.ahrq.gov/sites/default/files/docs/page/implementation-and-evaluation-of-electronic-standing-orders-in-primary-care.pdf
June 02, 2010 - Implementation and Evaluation of Electronic Standing Orders
Practice Partner Research Network (PPRNet … )
Implementation and Evaluation of
Electronic Standing Orders in Primary Care
(Standing Orders-Translating … maximum flexibility
Jt Comm J Qual & Safety, August 2004, 30(8):432-441
Practice Development Model
Implementation … 3313 4
Total 66104 74
18
Approaches to Adoption of SO Protocol
• -Regular meetings to support implementation
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digital.ahrq.gov/sites/default/files/docs/survey/pcip-post-ehr-implementation.pdf
September 14, 2016 - PCIP Post-EHR Implementation Survey of Providers
Primary Care Information Project (PCIP)
Post-Electronic … Health Record Implementation: Survey of Providers
New York City Department of Health and Mental Hygiene … License Number 1
PCIP Post-EHR Implementation Survey of Providers
The New York … Sometimes Never Don’t know
Providers have been included in key decisions related to our EHR implementation … Document title: PCIP Post-EHR Implementation Survey of Providers
pcip_postehr_implementationsurveyproviders_comp_coversheet.pdf
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-optimizing-necrotizing-enterocolitis-prevention
January 01, 2023 - Clinical Decision Support Optimizing Necrotizing Enterocolitis Prevention Implementation in Neonatal … Feasibility and acceptability of a neonatal project ECHO (NeoECHO) as a dissemination and implementation … Support System Population: Infants
Development of the NEC-Zero toolkit: Supporting reliable implementation … Development of the NEC-Zero toolkit: Supporting reliable implementation of necrotizing enterocolitis … Clinical Decision Support Optimizing Necrotizing Enterocolitis Prevention Implementation in Neonatal
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/medication-error-reporting-and
March 01, 2007 - Medication-error reporting and pharmacy resident experience during implementation of computerized prescriber … Purpose of Study: To compare the number and type of medication errors reported before and after the implementation … Impact on patient safety Summary: Settings: Neurosurgical ICU in university hospital Intervention: Implementation … CPOE Evaluation Method: The type, number, and severity of medication errors before and after CPOE implementation … team, and director of pharmacy were all involved in the implementation process.
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digital.ahrq.gov/ahrq-funded-projects/hit-medication-safety-critical-access-hospitals
January 01, 2023 - The purpose of this project was to plan for the implementation of medication-related health IT in Florida's … Two methods were used to plan for the implementation, including an on-site health IT survey, and two … Implementation should concentrate on bringing all CAHs to an equal level. … Health IT desired included three phases of implementation: first, pharmacy information management systems … Barriers to health IT implementation included limited funds, staff resistance to change, staff adaptation
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digital.ahrq.gov/ahrq-funded-projects/information-technology-implementation-cognitive-engineering-organizational/annual-summary/2010
January 01, 2010 - Information Technology Implementation by Cognitive Engineering of Organizational Routines - 2010 … Project Name
Information Technology Implementation by Cognitive Engineering of Organizational … Implementation will focus on training the site staff to work as teams in understanding and modifying … cycles without progress make it clear that implementation will not succeed. … final stages of review and identification at the conclusion of 2010 and will begin implementation in
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digital.ahrq.gov/ahrq-funded-projects/computer-based-provider-order-entry-cpoe-implementation-intensive-care-units/annual-summary/2009
January 01, 2009 - Computer-Based Provider Order Entry Implementation in Intensive Care Units - 2009
Project … Name
Computer-Based Provider Order Entry (CPOE) Implementation in Intensive Care Units (ICUs) … The project used prospective human-factors analysis methods to improve the design and implementation … Carayon and her team sought to: 1) determine the effect of CPOE and EHR implementation on safety and … However, these negative effects disappeared one year post-implementation.