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digital.ahrq.gov/sites/default/files/docs/improve-medication-management-slides-091318.pdf
September 27, 2018 - , Prospective single group trial n=19;
subjects used anti-hypertensive, used texting,
had Internet; data … subjects in
Priority Health plan with anti-hypertensive
PDC<0.5 in past year, used texting, had Internet;
data … excellent and
very good)
83.3% 91.7%
PDC (previous 1 year) 0.38 (0.12) 0.41 (0.82)
¹missing data … • Tracks and sends adherence data to PCP;
link embedded in electronic health record.
– Also available … Role of Inpatient Team in
Intervention
• Perform discharge medication reconciliation and
send prescriptions
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-and-improving-medication-use/annual-summary/2011
January 01, 2011 - Project 4: Ambulatory Medication Reconciliation Following Hospital Discharge . … prescription review and data analysis. … This project developed medication-related CDS rules for EHRs in inpatient and outpatient settings. … entry to prevent errors such as structured data entry with mandatory data fields to prevent omitted … Primary care providers (PCPs) are in the best position to identify and correct errors of inpatient medication
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digital.ahrq.gov/sites/default/files/docs/care-transitions-qas-092619.pdf
September 26, 2019 - though there are many potential applications beyond our initial
approach to coordinating emergency/inpatient … All data was transmitted securely to study
servers, and in newer versions of the app data has been encrypted … Warehouse using flags for inpatient, emergency, and outpatient
utilization and diagnosis codes from … though there are many potential applications beyond our initial approach to coordinating emergency/inpatient … All data was ...
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs022578-kharrazi-final-report-2015.pdf
January 01, 2015 - Around 18% of inpatients are readmitted to hospitals
within 30 days3. … Evidence suggests this can be accomplished by increased discharge data
timeliness, data completeness … Similar to other HIEs, HL7 ADT-messages29 (admission, discharge,
and transfer) are the most common data … Payment policy for inpatient
readmissions. 2007. http://www.medpac.gov/chapters/Jun07_Ch05.pdf. … Effect of discharge summary availability during post-discharge visits on hospital readmission.
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digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2010
January 01, 2010 - patients were cared for by their primary care physician (PCP), facilitating continuity of care between inpatient … and communication portals, medication lists electronically delivered at admission and discharge, and … immediate notification of discharge with pertinent clinical details. … To evaluate the impact of Virtual Continuity, a pre-post study will compare the frequency of discharge … Patient recruitment and pilot data collection began in September 2010.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017795-eisenstein-final-report-2012.pdf
January 01, 2012 - Admission 0
Control Dual Eligible Inpatient
Discharge 0 0 0 0
Control Dual Eligible Specialty … Admission 1
Control Straight
Medicare
Inpatient
Discharge 1 0 0 0
Control Straight
Medicare … Admission 0
Reports Dual Eligible Inpatient
Discharge 0 1 1 1
Reports Dual Eligible Specialty … Admission 1
Reports Straight
Medicare
Inpatient
Discharge 1 1 1 1
Reports Straight
Medicare … Admission 1
Reports + Straight
Medicare
Inpatient
Discharge 1 1 1 1
Reports + Straight
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018250-vawdrey-final-report-2011.pdf
January 01, 2011 - Scope: The study was conducted using data obtained from inpatient and ambulatory care
encounters in … Methods: Data were obtained retrospectively from six community-based primary care clinics
and two inpatient … Medications were entered as coded data elements, and included optional fields such as form,
dose, route … admission,
an inpatient discharge, and a second outpatient visit. … The accuracy of medication
data in an outpatient electronic medical record.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024587-schnipper-final-report-2019.pdf
January 01, 2019 - Eligible patients included
adults admitted to any inpatient medical service (including general medicine … Once enrolled, patients’ PCPs and inpatient providers
were contacted informing them of study enrollment … RAs contacted each subject’s inpatient unit each weekday to identify those being discharged that day. … We obtained these data from the Epic EHR (last values during the 6-
month post-discharge period) as … We made several changes to our protocol to improve
communication between study staff and the inpatient
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025412-bajaj-final-report-2024.pdf
January 01, 2024 - Dyads randomized 1:1 into
HIT (PBA) vs (standard-of-care) SOC & followed for 30 days post-discharge. … Methods (Study Design, Data Sources/Collection, Interventions, Measures, Limitations). … 30 days post-discharge. … The primary endpoint was avoidable readmissions in HIT vs SOC group within 30 days
of discharge to home … them into standard-of-care, for 30 days after discharge.
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digital.ahrq.gov/ahrq-funded-projects/improving-post-hospital-medication-management-older-adults-health-information/annual-summary/2010
January 01, 2010 - It also focuses specifically on the transition from inpatient to ambulatory settings for older adults … The project’s health IT intervention begins with medication reconciliation at the time of hospital discharge … Complex information management and coordination of data sharing across multiple settings often hamper … The project team is also reviewing the data collected from project members regarding the time invested … extension and is focused upon continuing implementation of the intervention, and collecting and analyzing data
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs023395-kent-final-report-2017.pdf
January 01, 2017 - We
then developed an app and tested its usability with nine postoperative inpatients on the vascular … Following app redesign, we recruited 40 postoperative inpatients to use the app at home. … Following discharge, they were asked to complete the app and
transmit data daily for 14 days. … data is deleted. … Following discharge, they were asked to complete the app and transmit
data daily for 14 days.
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digital.ahrq.gov/ahrq-funded-projects/developing-interactive-patient-centered-mhealth-tool-enhance-post-cystectomy
January 01, 2023 - 04/01/2016 - 03/31/2019
Technology
Internet
Mobile Device
Patient-Generated Health Data … Transitions in Care
Quality of surgical care has traditionally been evaluated based on inpatient … More recently, quality assessment and reimbursement are being based on post-discharge outcomes. … as a model, this research developed and tested a mobile health (mHealth) tool that collects this PCO data … Journal Publication Research Method: Qualitative , Review Technology: Patient-Generated Health Data
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digital.ahrq.gov/ahrq-funded-projects/electronic-medication-management/annual-summary/2011
January 01, 2011 - Before the adoption of this intervention, pre-admission medications and discharge medications were kept … From this screen, a provider could identify discrepancies between the lists and update the inpatient … A medication reconciliation reminder in the inpatient EHR was implemented so that a reminder dialog was … (Ongoing)
2011 Activities: Data were obtained retrospectively from six community-based primary care … admission, an inpatient discharge, and a second outpatient visit.
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digital.ahrq.gov/ahrq-funded-projects/medication-reconciliation-improve-quality-transitional-care
January 01, 2023 - The list of reconciled medications was available for use during ordering of inpatient medications. … At discharge, the system prompted clinicians to indicate reasons for not creating new prescriptions for … The project team conducted a randomized controlled study in which the intervention inpatient medicine … Using a 6-month ambulatory followup period after discharge from the hospital, medical records were reviewed … Analysis of the data is underway.
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digital.ahrq.gov/sites/default/files/docs/page/length-of-stay-quick-reference-guide.pdf
March 01, 2009 - the impact of implementing health
information technology (health IT) with the intent
to decrease inpatient … Source of Data for the Measure: Medical Records
(Discharge Summaries, Daily Notes); Computerized
Information … Warehouse; Claims Data. … Guided
medication dosing for inpatients with renal
insufficiency. … Physician inpatient order writing on
microcomputer workstations.
-
digital.ahrq.gov/technology/clinical-messaging
January 01, 2023 - Information Technology on Healthcare Provider Communication
Tests Pending at Discharge … Survey
Description
This is a questionnaire designed to be completed by physicians in an inpatient … Automated communication tools and computer-based medication reconciliation to decrease hospital discharge … Zikmund-Fisher, Brian
Project Name
Systematic Design of Meaningful Presentations of Medical Test Data … Improving Management of Test Results that Return After Hospital Discharge - Final Report.
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digital.ahrq.gov/sites/default/files/docs/publication/u18hs016970-bates-final-report-2012.pdf
January 01, 2012 - inpatient medication reconciliation process was done optimally according to the physician
who is most … Data Sources: Prior to discharge, after confirming eligibility criteria and obtaining informed consent … Evaluation of an inpatient computerized medication
reconciliation system. … Classifying and predicting errors of inpatient medication
reconciliation. … Effect of Patient- and Medication-Related Factors on
Inpatient Medication Reconciliation Errors.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017203-gurwitz-final-report-2011.pdf
January 01, 2011 - Our focus was the transition from the inpatient to
the ambulatory setting by older adults with multiple … ; 2) be discharged from the
primary inpatient facility serving Fallon Community Health Plan Senior Plan … medication reconciliation list, this was not
possible as the hospitalist physicians working in the inpatient … setting conducted hospital
discharge efforts specific only to the inpatient setting, and which could … of medication monitoring compared to EHR data.
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digital.ahrq.gov/ahrq-funded-projects/improving-post-hospital-medication-management-older-adults-health-information/annual-summary/2011
January 01, 2011 - EpicCare Ambulatory electronic medical record (EMR), and focused specifically on the transition from inpatient … information to outpatient clinicians in the management of ambulatory elderly patients after hospital discharge … Management of complex information and coordination of data sharing across multiple settings often hamper … steps in the transition of care from the hospital to home, including: 1) expediting and facilitating discharge … For the same period, again looking at the 30-day period following hospital discharge of the patient,
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018151-smith-final-report-2013.pdf
January 01, 2013 - if they were admitted to the UPMC Presbyterian General Medicine,
Geriatrics, Cardiology, or Surgery inpatient … , and
discharge medications. … hospital discharge. … , and discharge medications. … Classifying and
predicting errors of inpatient medication reconciliation.