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Total Results: 37 records

Showing results for "improving clinical-community linkages in primary care for patients with multiple chronic conditions".

1. Using HIT to Improve Transitions of Complex Elderly Patients from SNF to Home - Final Report (pdf file)
   digital.ahrq.gov/sites/default/files/docs/publication/r18hs017817-field-final-report-2012.pdf
   January 01, 2012 - each patient who had a Reliant Medical Group primary care physician. … with a patient closest in age. … medical group MD 71 (23%) 70 (22%) 0.9238 1.02 (0.70, 1.48) Office visit with primary care MD 34 … Improving primary care for patients with chronic illness. JAMA 2002 Oct 9;288(14):1775-1779. 3. … Improving the quality of transitional care for persons with complex care needs.

2. Final Contract Report -- State and Regional Demonstrations in Health IT: Outline for Final Impact Report (pdf file)
   digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-in-final-report.pdf
   July 01, 2015 - It is also used as the basis for an access control method, which allows a patient’s primary care provider … RTA provides automated alerts to primary care providers (PCPs) for recommended services for their patients … In this pilot study, we evaluated RTA’s performance for alerting PCPs when their patients with asthma … It is also used as the basis for an access control method, which allows a patient’s primary care provider … RTA provides automated alerts to primary care providers (PCPs) for recommended services for their patients

3. Electronic Records to Improve Care for Children (pdf file)
   digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015420-shiffman-final-report-2007.pdf
   January 01, 2007 - with asthma and diabetes having a continuous relationship with a primary care provider is associated … Site Number of pediatric asthma patients Primary care site: PCC 700 Primary care site: Hill Health … Health Record for Health Care Providers in Pediatric Primary Care, School Health, Specialty Care, and … The hand-off of patient care from emergency to primary care providers has been associated with critical … care providers for pediatric patients seeking acute asthma treatment.

4. Electronic Records to Improve Care for Children - 2009 | Digital Healthcare Research
   digital.ahrq.gov/ahrq-funded-projects/electronic-records-improve-care-children/annual-summary/2009
   January 01, 2009 - A shared, community-wide electronic health record (EHR) for health care providers in pediatric primary … in quality of care for children with asthma. … Specific Aims Implement a shared, community-wide EHR for health care providers in pediatric primary … patients with persistent asthma. … Dropping the baton during the handoff from emergency department to primary care.

5. Using Health IT to Improve Care Coordination and Outcomes in Patients with Complex Health Care Needs (pdf file)
   digital.ahrq.gov/sites/default/files/docs/coordination-patients-complex-needs-slides-022014.pdf
   February 20, 2014 - education/information • Nurses: Patient callbacks ► High-risk patients 10 Primary Care Provider … Notification 11 Primary Care Provider Notification (continued) 12 Electronic Health Record … Feldman, P.I. 50 Improving Care Transitions for Complex Patients Through Decision Support Eric … Patients with Complex Health Care Needs Moderator and Presenters�Disclosures Improving Care Transitions … Acknowledgments (continued) Improving Care Transitions for Complex Patients Through Decision Support

6. R18Hs017203-Gurwitz-Final-Report-2011 (pdf file)
   digital.ahrq.gov/sites/default/files/docs/publication/r18hs017203-gurwitz-final-report-2011.pdf
   January 01, 2011 - We developed an automated system to facilitate the flow of information to primary care providers. … The primary care physician was only notified of new prescription medications that the patient filled … the primary care physician following a discharge from the hospital. … Improving primary care for patients with chronic illness. JAMA. Oct 9 2002;288(14):1775-1779. 2. … We developed an automated system to facilitate the flow of information to primary care providers.

7. Cloud Care: A Feasibility Study of Cloud-Based Care Plans for Children With Medical Complexity | Digital Healthcare Research
   digital.ahrq.gov/ahrq-funded-projects/cloud-care-feasibility-study-cloud-based-care-plans-children-medical-complexity
   January 01, 2024 - Cloud Care: A Feasibility Study of Cloud-Based Care Plans for Children With Medical Complexity … children with medical complexity is feasible to implement and may improve care coordination for children … with medical complexity, providing the foundation for a future digital health intervention to address … Project Name: Cloud Care: A Feasibility Study of Cloud-Based Care Plans for Children With Medical Complexity … Cloud Care: A Feasibility Study of Cloud-Based Care Plans for Children with Medical Complexity - Final

8. National Web-Based Teleconference on Health IT: Putting the Patient Back in Patient-Centered Care (pdf file)
   digital.ahrq.gov/sites/default/files/docs/patient-centered-care-slides-033011.pdf
   March 30, 2011 - Usual Care for patients with one or more chronic medical condition (n=170) • Main Outcomes: Patient … Nursing student provides each client with training. … • Providers: Primary care providers have found the records enormously helpful. … Looking Ahead • PHRs may be important tool not only for improving care but for consumer empowerment … Back in Patient-Centered Care Managing Health: EMPOWERing Patients Managing Health: EMPOWERing Patients

9. Findings and Lessons From the Improving Quality Through Clinician Use of Health IT Grant Initiative (pdf file)
   digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-improving-quality-through-clinician-use-of-health-it.pdf
   January 28, 2014 - Twenty-one of the 24 projects took place in primary care settings including pediatric practices. … The responses appeared on a paper report given to the primary care physician prior to seeing the patient … The study team worked with a group of four primary care practices, helping them to implement a Web-based … (R18 HS 017029) used an HIE intervention to notify primary care providers about a patient being discharged … elderly patient from the hospital via the primary care practice’s EHR.

10. Modeling Patient-Centered Medical Home Principles, Attributes, and Patient Experiences - Narrative Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/modeling-pcmh-principles-attributes-patient-experiences-narrative-report.pdf
    November 01, 2014 - In 2007, the main professional societies for primary care (the American Academy of Family Physicians … care that delivers the core functions of primary health care. … Patient-Centered Primary Care Collaborative. Joint principles of the patient-centered medical home. … The Medical Home: Disruptive Innovation for a New Primary Care Model. Deloitte. July 06, 2010. 15. … Patient Centered Primary Care Collaborative.

11. Massachusetts Quality e-Measure Validation Study (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r18hs017048-schneider-final-report-2011.pdf
    January 01, 2011 - primary care environment. … primary care providers (designated based on specialty). … In particular, agreements with patients about the conditions for use of their data by the HIE can be … An important barrier in the HIE setting is that the consent given by patients for sharing of data with … We followed up, but were unable to persuade the leader of this primary care group to participate despite

12. Project ECHO: Extension for Community Healthcare Outcomes - Grant Final Report Grant ID: 5UC1HS015135. (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015135-arora-final-report-2008.pdf
    January 01, 2008 - In fact, providing primary care health practitioners with the ability to safely and effectively treat … patients with Hepatitis C in the state. … In addition, 14 counties are designated as Health Professional Shortage Areas (HPSAs) for primary care … Participants were patients selected by primary care physicians from fourteen community based clinics … New Mexico Health Choice Network primary care association 16 Figure 3.

13. Communication-Focused Technologies: Technologies for Enhancing Access to Health Management (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/teahm_study_action_final061511comp.pdf
    June 01, 2011 - primary care. … Rural elderly often— • Have multiple chronic conditions.7 • Live long distances from acute care … facilities, primary health care providers, pharmacies and other health care resources.8 • Have few … Improving Health Care for Rural Populations. Research in Action fact sheet. … Patient compliance with BP telemonitoring in and of itself will improve patients’ disease self- management

14. eHealth Blood Pressure Control Program (eHealth BP) - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/publication/r21hs018238-eaton-final-report-2012.pdf
    January 01, 2012 - primary care providers; and 5) the office practice system changes necessary for primary care providers … The ‘high-tech’ solution alone in primary care practices with such a patient population/setting may … in primary care was well received by patients, providers, and the health care team. … use of technology in primary care. … this technology to be used in most primary care practices

15. Leveraging Health System Telehealth and Informatics Infrastructure to Create a Continuum of Services for COVID-19 Screening, Testing, and Treatment: A Learning Health System Approach – Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r01hs28284-simpson-final-report-2023.pdf
    January 01, 2023 - • Trends in primary care visits and diabetes control for type 2 diabetes patients over 24 months … Trends in primary care visits and diabetes control for type 2 diabetics before and during the COVID … SC Primary Healthcare Association Annual Meeting. January 15, 2021. 2. … Trends in Primary Care Visits and HbA1C Control for Type 2 Diabetes Patients around the COVID-19 Pandemic … Trends in Primary Care Visits and HbA1C Control for Type 2 Diabetes Patients around the COVID-19 Pandemic

16. PUTTING THE PATIENT BACK IN PATIENT-CENTERED CARE MARCH 30, 2011 (pdf file)
    digital.ahrq.gov/sites/default/files/docs/patient-centered-care-transcript-033011.pdf
    June 16, 2021 - of personal health records for improving medication use quality. … of the oldest old segment of our population; the prevalence of multiple chronic conditions 9 … And patients that were put in a PHR section met with a nurse case specialist that helped patients for … And surprisingly, that once the primary care providers actually saw what became of this, they became … [Juries held] (ph) the PHRs affecting and/or improving the quality of patient provider interactions

17. Patient-Centered Medical Home (PCMH) Information Framework Technical Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/modeling-pcmh-principles-attributes-patient-experiences-technical-report.pdf
    November 01, 2014 - In 2007, the main professional societies for primary care (the American Academy of Family Physicians … that delivers the core functions of primary health care. … Patient-centered primary care collaborative. … The Medical Home: Disruptive Innovation for a New Primary Care Model. Deloitte. … Patient Centered Primary Care Collaborative.

18. Using Social Knowledge Networking (SKN) Technology To Enable Meaningful Use of EHR Technology - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r21hs024335-rangachari-final-report-2018.pdf
    January 01, 2018 - Data for this measure was collected at the patient level, quarterly, for 6 quarters, for all patients … for the patient in the hospital or clinic. … doing nothing, for improving medication-list accuracy across the care continuum, to promote patient … However, MEASURE 2 began declining (improving) for Group 1 after Q4 2017. … right direction for all patients, although there may be a longer learning curve for patients with more

19. The AHRQ Health IT Value Grant Initiative: A Programmatic Review of the Peer-Reviewed Literature (pdf file)
    digital.ahrq.gov/sites/default/files/docs/page/THQITvalue020612.pdf
    June 01, 2010 - As a result, primary care providers are able to understand the full extent of both the diagnosis and … Communication between a specialist and a primary care provider is tenuous at best. … , with the control group having primary care providers receiving usual care dissemination in the form … Trends in primary care clinician perceptions of a new electronic health record. … for medication dosing for patients with renal 19 http://grants.nih.gov/grants/guide/rfa-files/RFA

20. Phenotype Modeling and Outcome Mapping for Pain Management - Final Report (pdf file)
    digital.ahrq.gov/sites/default/files/docs/citation/r21hs022335-juckett-final-report-2017.pdf
    January 01, 2017 - That goes hand-in-hand with the need for more pain management. … decision support tools for the primary care setting. … With the opioid catastrophe gripping medical practice, we need all the tools possible to help primary … care physicians make good choices for their patients. … in choosing the best treatments for their chronic pain patients.