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digital.ahrq.gov/sites/default/files/docs/page/guide-to-evaluating-hie-projects-appendix-d.pdf
November 14, 2014 - To illustrate the importance of calculating sample size, consider this fictional example:
Before implementation … Experience from other e-prescribing sites suggests
that after implementation of the e-prescribing system … If you select 100 prescriptions at random for review both before and after
implementation of e-prescribing … Random events might even result in one or two fewer errors before
implementation, giving the impression … power of sample size, consider if you could afford to examine 100,000
prescriptions before and after implementation
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digital.ahrq.gov/sites/default/files/docs/activity/stay_at_home_influenza_toolkit_2010_pdf__2.pdf
January 01, 2010 - The package now contains an implementation guide with step-by-step
instructions on how Web administrators … The implementation process began with communication
2 | Stay-at-Home Influenza toolkIt
2010 ContraCt … and obtain information about the utility of the package and
implementation feasibility. … Two practices completed the implementation within 3 weeks of receiving the initial e-mail and
two other … • Alternate implementation approaches may be necessary for small, mid-sized, and large practices
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digital.ahrq.gov/sites/default/files/docs/activity/2011_29007100113_krist_pdf_3.pdf
January 01, 2011 - Separate learning
collaboratives are being conducted at each practice before and after IPHR implementation … The contract was extended due to delays in site implementation to provide additional time to
obtain … post-implementation EMR datasets from all of the study sites. … The research team completed a draft
implementation guide. … had only 0.8 percent of patients
using the IPHR over a 9-month implementation period.
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digital.ahrq.gov/sites/default/files/docs/activity/using_health_information_technology_to_improve_health_care_quality_in_primary_care_practices_2010_pdf__2.pdf
January 01, 2010 - Many medical practices lack managers with the necessary implementation skills
and experience. … Analysis of the results of this implementation will yield generalizable and useful
knowledge about best … connections
between such systems and documents potential benefits from and barriers to implementation … Practice-based pre-
implementation data collection was completed, with the exception of time-motion based … The team worked with their AHRQ project officer to develop a dissemination and implementation plan based
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015354-rachman-final-report-2007.pdf
January 01, 2007 - A formal evaluation combined implementation monitoring with process and
outcome measures. … Scope
The project involved implementation of the EHRS across four Community Health Centers
located … • Clinical leadership consensus in key implementation decisions for set up laid out by
vendor … Milestones:
• Currently provide assistance to other CHCs in planning for EMR implementation. … :
• EHRS implementation had to be the priority project for the year.
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digital.ahrq.gov/sites/default/files/docs/activity/enhancing_quality_in_patient_2009_update_2.pdf
January 01, 2009 - Mechanism: RFA: HS04-011: Transforming Health Care Quality through Information
Technology (THQIT) – Implementation … a data warehouse for National performance measure
reporting, and progressively refine a replicable implementation … A formal evaluation combined implementation monitoring
with process and outcome measures. … (Achieved)
Impact and Findings: The EHR implementation was completed at all health centers with feeds … must be the priority project for the
year, given resource constraints; b) a local implementation team
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digital.ahrq.gov/sites/default/files/docs/activity/2011_018275_parsons_pdf_3.pdf
January 01, 2011 - This study provides information on the effects that supportive EHR implementation, clinical decision … The New York City Primary Care Information Project (PCIP) is comparing the implementation
of EHRs at … The project targets EHR implementation throughout New York City and focuses on some of the
poorest neighborhoods … At 6 months into the implementation of their EHR, each practice was asked to complete a followup survey … The other metric under review is the relationship between IT
implementation and medical-home certification
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digital.ahrq.gov/ahrq-funded-projects/improving-communications-between-health-care-providers-statewide-infrastructure/annual-summary/2010
January 01, 2010 - In the early stages of the project, UHIN completed the initial implementation of a statewide clinical … evaluation of the project. ( Ongoing )
Implement a sustainability model. ( Ongoing )
Community implementation … The consistent implementation of the HL7 Standard across entities can be challenging due to system limitations … The use of UHIN Standards and Specifications found in the statewide implementation guides could provide … Business Goal: Implementation and Use
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digital.ahrq.gov/ahrq-funded-projects/incorporating-health-information-technology-workflow-redesign/annual-summary/2010
January 01, 2010 - It also includes stories drawn from the literature that describe the health IT implementation experiences … Relatively few published articles focus on the topic of clinical workflow change related to health IT implementation … The implementation of electronic prescribing systems also affected the efficiency of processes and processing … However, it is important to consider that the impact of any health IT implementation can be confounded … limited to, system functionality and usability, training, technical support, and the timeline of the implementation
-
digital.ahrq.gov/ahrq-funded-projects/facilitators-and-barriers-adoption-successful-urban-telemedicine-model/annual-summary/2010
January 01, 2010 - Additionally, it will identify facilitators and barriers of implementation, monitor the impact on utilization … patterns, and create and disseminate an implementation and sustainability toolkit. … Monitor impact of the HeA models on utilization patterns. ( Upcoming )
Create and disseminate an implementation … quarter focused on key informant interviews to assess barriers to and facilitators of telemedicine implementation … Business Goal: Implementation and Use
* AHRQ Priority Population .
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digital.ahrq.gov/sites/default/files/docs/A%20National%20Web%20Conference%20on%20the%20Massachusetts%20eHealth%20Collaborative%20Handout.pdf
July 01, 2010 - State-wide
Implementation
MAeHC STRATEGY
• Lots of barriers – need to learn about them
• Replicability … HIE implementation
Evaluation
Formal pilot completion
Presented by: David W. … Implementation Tactics
Does intensive educational outreach
(“academic detailing”), targeting practice … Implementation Tactics
Progress to date
• Protocol development complete
• Conducting implementation … Effects on Quality
What are the effects of EHR implementation
and data exchange on quality of health
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digital.ahrq.gov/sites/default/files/docs/citation/eDecisionsReport.pdf
August 06, 2013 - Implementation Schedule
The implementation schedule should provide the following information:
● Project … Implementation of Clinical Decision Support
Learning Collaboratives
The implementation process described … Describe the timeline of
implementation. … Identify and
troubleshoot implementation problems. … ❑ Publicize the timeline for
implementation.
-
digital.ahrq.gov/sites/default/files/docs/page/Ambulatory%20CPOE%20Issue%20Paper.pdf
May 01, 2008 - One
implementation occurred in a pediatric setting and another occurred in a long-term care facility … IMPLEMENTATION
The implementation of any health IT project can be extremely challenging, and CPOE … Conducting the usability testing and making changes to the tool delayed the
implementation by nearly … One grantee cited a successful implementation and suggested that the intense training
and follow-up … Implementation of physician order entry: user
satisfaction and self-reported usage patterns.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024124-meguid-final-report-2018.pdf
January 01, 2018 - We used this
experience to develop a dissemination and implementation proposal for scaling-up of SURPAS … and implementation in our
broader health system. … We
limited the trial implementation to 6-12 volunteer surgeons. … Research (CFIR) to guide the Implementation
Process. … Research (CFIR) to guide the Implementation
Process.
-
digital.ahrq.gov/sites/default/files/docs/page/7-11-08%20glides-presentation%201.pdf
November 01, 2009 - implementation
Project
Planning
Knowledge
Transformation
Phase 1
Implementation
Asthma Yale … Specialty Phase 2
Implementation
Obesity Yale PC
Nemours Delaware PC
Asthma
Nemours Orlando
Nemours … 4
Pre-implementation work
is complete, and we are
now commencing our
first phase of
Project Timeline … Monitor
Identify Obstacles to Implementation
• GuideLine Implementability Appraisal
• eGLIA
Identify … Obstacles to Implementation
• GuideLine Implementability Appraisal (& eGLIA)
• Provides feedback to
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs017205-davidson-final-report-2010.pdf
January 01, 2010 - This report details the lessons learned regarding the tobacco template implementation. … • Software or hardware downtime due to template implementation.
• Lessons learned. … any specific EHR
vendor support for this implementation. … CCMCN estimated hours for tobacco template implementation by CHC
Table 4a. … and education was 9%
(n=67), post-implementation this rate had increased to 90% (n=60).
-
digital.ahrq.gov/sites/default/files/docs/activity/incorporating_health_information_technology_into_workflow_redesign_2010_pdf__2.pdf
January 01, 2010 - It also includes stories
drawn from the literature that describe the health IT implementation experiences … awareness has been increasing about the value of workflow analysis to ensure successful health
IT implementation … Relatively
few published articles focus on the topic of clinical workflow change related to health IT implementation … The implementation of electronic prescribing
systems also affected the efficiency of processes and processing … However, it is important to consider that the impact
of any health IT implementation can be confounded
-
digital.ahrq.gov/sites/default/files/docs/activity/connecting_healthcare_in_central_2009_update_2.pdf
January 01, 2009 - Business Goal: Implementation and Use
Summary: As an integrated, not-for-profit rural health care system … The
potential outcomes impacted by EMR implementation included: improvement in access to patient
information … (Achieved)
Prepare ARH for further implementation of clinical information system components through … Impact and Findings: Evaluation of the success of the system’s implementation has been measured
through … The success of this implementation has encouraged the ARH system to push forward with
further development
-
digital.ahrq.gov/sites/default/files/docs/page/AHRQ_CDS_TEP_Teleconference_05-06-10.pdf
May 06, 2010 - Demonstrations Team
• Continue coordinating initial work on demonstrations for CDSC implementation at … CDS Integration
• How closely must a CDS consumer abide by a recommendation for CDS
implementation? … planning and focus
– Implementation planning tools: guideline editor, GLIA, etc
• Improve GEM and GEM … CDS Integration
How closely must a CDS consumer abide by a
recommendation for CDS implementation? … Discussion
TEP Questions
for CDSC
40
41
Discussion
We are organizing new implementation partnerships
-
digital.ahrq.gov/sites/default/files/docs/implementation/Shoe-CCCN%205-05.ppt
April 21, 2005 - Community Chronic Care Network
Community Chronic Care Network
Wells Shoemaker MD
Medical Director, PMG
Principal Investigator
Federal Health Research
NIH—What is True?
CDC—What is Happening?
AHRQ—What Works?
Major emphasis upon technology tools to improve safety, consistency, affordability of care.
The …