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digital.ahrq.gov/ahrq-funded-projects/implementation-health-information-technology-long-term-care-settings-findings
January 01, 2023 - Implementation of Health Information Technology in Long-Term Care Settings: Findings from the AHRQ Health … Implementation of Health Information Technology in Long-Term Care Settings: Finding from the Health IT … Implementation of Health Information Technology in Long-Term Care Settings: Findings from the AHRQ Health
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digital.ahrq.gov/sites/default/files/docs/citation/healthitandlabordersimplementationhandbook.pdf
November 01, 2011 - Selection, Development, and Implementation
D. … Important elements of implementation to consider are as
follows:
• Selection of the implementation … Key attributes of an implementation team
Implementation Team Attributes
▪ Team comprises cross-departmental … , a problem that persisted after implementation. … Selection, Development, and Implementation of CDS
Identification of an Implementation Team
Workflow
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/long-term-care/technology-implementation-and
Technology implementation and workarounds in the nursing home
This study examined workarounds … related to implementation of an electronic medication administration record and medication safety practices … As a part of a larger study, this qualitative evaluation identified workarounds associated with the implementation … important practical examples of how nursing home staff work around work flow blocks encountered during the implementation … Year: 2008 Publication Month: Jan-Feb Volume: 15 Issue: 1 Page Number: 114-9 Link: Technology implementation
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digital.ahrq.gov/ahrq-funded-projects/human-factors-considerations-design-and-implementation-telemedicine-integrated
January 01, 2023 - Human Factors Considerations in the Design and Implementation of Telemedicine-Integrated Ambulance-Based … Iteratively develop and refine guidelines and recommendations for large-scale implementation of telemedicine … Human Factors Considerations in the Design and Implementation of Telemedicine Integrated Ambulance-Based … Human Factors Considerations in the Design and Implementation of Telemedicine Integrated Ambulance-Based … Investigator: Chalil Madathil, Kapil Project Name: Human Factors Considerations in the Design and Implementation
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/implementation-hospital
Implementation of hospital computerized physician order entry systems in a rural state: feasibility and … systems in hospitals in a rural state and to evaluate the financial implications of statewdie CPOE implementation … urban, 7 rural referral, 44 rural, and 45 critical access hospitals Intervention: hypothetical CPOE implementation … and testing, training, and other), initial vs. ongoing costs, and "low" or "high" estimates Cost of Implementation … : CPOE implementation cost will increase a hospital's operating cost by a significant amount and proportion
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digital.ahrq.gov/sites/default/files/docs/activity/r03hs020684-handley-annual-summary-2012.pdf
January 01, 2012 - Implementation Outcomes of a Health Information Technology Program For Vulnerable Diabetes Patients … HEALTH CARE QUALITY THROUGH HEALTH
INFORMATION TECHNOLOGY (IT) (R03)
Implementation … The objective of this study was to describe implementation fidelity—the degree to which the intervention … fidelity as well as adaptations of ATSM from planned to actual
implementation. … Implementation fidelity was high.
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digital.ahrq.gov/sites/default/files/docs/successful-hit-implementation-slides-071514.pdf
July 15, 2014 - A National Web Conference on Managing Change to Achieve Successful Health IT Implementation
A National … Web Conference on Managing
Change to Achieve Successful Health IT
Implementation
July 15, … Managing Change in Health IT
Implementation:
A View from Human Factors and Systems
Engineering … • Various approaches to change
management for health IT
implementation include:
► Kotter’s Change … Health IT Design and Implementation – Human Factors
Human Factors and Systems Engineering
1.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/nursing-informatics/outcomes-assessment
Outcomes assessment of clinical information system implementation: A practical guide
Healthcare … Consequently, increasing numbers of clinicians have been involved in HIS implementation, particularly … Implementation of these systems is a major organizational investment, and its outcomes must be assessed … outcomes assessment is essential for the success of healthcare information technology, and the CIS implementation … Volume: 55 Issue: 6 Page Number: 282-288 Link: Outcomes assessment of clinical information system implementation
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/unexpected-increased-mortality
December 01, 2005 - Unexpected increased mortality after implementation of a commercially sold computerized physician order … commercially sold "add-in" to an existing system (Millenium; Cerner) Strategy: 3 months prior to CPOE implementation … Hospital-wide implementation occurred over a 6-day period, experts were available to provide hand-on … Safety Outcome: Risk-adjusted mortality increased form 2.80% (average) in the 4 quarters prior to CPOE implementation … to 6.57% (average) in the 2 quarters after implementation.
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-mt/annual-summary/2012
January 01, 2012 - However, the implementation of new health IT systems can change established clinical work processes and … Anticipated benefits of health IT are therefore difficult to achieve unless implementation and workflow … The overall objective of this project is to study the impacts of health IT implementation on workflow … motion study; 4) an exploratory log analysis of audit trails and time-stamped clinical data; 5) post-implementation … Project Objective:
Study the impacts of health IT implementation on workflow processes in six primary
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digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-primary-care-workflow-and-financial/annual-summary/2010
January 01, 2010 - team and practice physicians, nurses, and office staff preparing for implementation. … , loss of productivity during implementation, interference with workflow, and return on investment. … through comparisons of pre- and post-implementation data. … time in relation to implementation (prior to implementation, 1 to 6 months, 7 to 12 months, and greater … than 12 months post-implementation).
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digital.ahrq.gov/sites/default/files/docs/implementation/Keenan.ppt
January 01, 2004 - Care Planning Process (CPP) encompassing both the planning and provision of care
To demonstrate that implementation … Terms
Focus on Outcomes
Training
Tool
CPP Rules
Expected Outcomes
Safety Emphasis
Implementation
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digital.ahrq.gov/sites/default/files/docs/implementation/Blair.ppt
June 09, 2005 - June 9, 2005
Strategy: Human Resources
MedAllies
Change Management expertise
Planning, Training, Implementation … Strategy: Human Resources
Industry average
7.5 hours per physician – Year 1
Phone support – Post-implementation
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digital.ahrq.gov/sites/default/files/docs/implementation/Kraus.ppt
December 16, 2004 - Project Manager
Nada Lariccia, Project Specialist�
TECHNICAL TEAM�
Regional
Resident Advisory Group TBA�
IMPLEMENTATION … Warfield Interface Specialist ITD
Michael Bossart�
Cleveland Clinic Health System Eastern Region
EMR IMPLEMENTATION … OFFICE
Sue Kraus, Manager PMO
Bonnie Briggs, EMR Project Manager
Nada Lariccia, Project Specialist
IMPLEMENTATION … Warfield
Interface SpecialistITD
Michael Bossart
Cleveland Clinic Health System Eastern Region
EMR IMPLEMENTATION
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digital.ahrq.gov/ahrq-funded-projects/implementation-outcomes-health-it-program-vulnerable-diabetes-patients/annual-summary/2011
January 01, 2011 - Implementation Outcomes of a Health IT Program For Vulnerable Diabetes Patients - 2011 … Project Name
Implementation Outcomes of a Health Information Technology Program For Vulnerable Diabetes … fidelity as well as adaptations of ATSM from planned to actual implementation. … efforts and create an ATSM implementation guide for dissemination. … (Ongoing)
Over the course of SMART-Steps implementation, identify differences in average length of
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digital.ahrq.gov/sites/default/files/docs/implementation/Bellamy.ppt
April 01, 2005 - Barriers to Implementation
Lack of IT Infrastructure in rural areas of West Virginia
Peer Review Statutes
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digital.ahrq.gov/sites/default/files/docs/implementation/Gorman508c.pdf
December 26, 2012 - RxSafe: Using IT to Coordinate Medication Reconciliation
Oregon Practice Based Research Network
RxSafeRxSafe: Using IT to Coordinate: Using IT to Coordinate
Medication ReconciliationMedication Reconciliation
RxSafeRxSafe ProjectProject
Lincoln City, OregonLincoln City, Oregon
(also Ashlan…
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digital.ahrq.gov/sites/default/files/docs/implementation/Lobach.ppt
August 12, 2005 - Structuring Clinical Practice Guidelines in a Relational Database Model for Decision Support on the Internet
©2005 David F. Lobach
Showing
Health Information Value in a Community Network
David F. Lobach, MD, PhD, MS
Division of Clinical Informatics
Department of Community and Family Medicine
Duke University Me…
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digital.ahrq.gov/sites/default/files/docs/implementation/Goldberg.ppt
June 09, 2005 - Interrupting the disease of heart failure.
Selection of a Survey Instrument for a Heart Failure Disease Management Study
Lee R. Goldberg, MD, MPH
Heart Failure/Transplant program
University of Pennsylvania
June 9, 2005
Start with defining the question
Exactly what question do you want to answer? – know your hyp…
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digital.ahrq.gov/sites/default/files/docs/implementation/McConnochie.ppt
May 01, 2005 - Economic Model of Organizational Architecture* to Guide Design and Performance Evaluation in an Urban, Primary Care Telemedicine Network
Economic Model of Organizational Architecture*
to Guide Design and Performance Evaluation
in an Urban, Primary Care Telemedicine Network
Kenneth M. McConnochie, MD, MPH
…