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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience-research/goldstein-mk
January 01, 2023 - Functions
"The intervention is a decision support system for hypertension that automates evidence-based guidelines … "The system is intended to be platform-independent and integrate into existing legacy systems."
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016142-sims-final-report-2008.pdf
January 01, 2008 - tools including centralized information systems, patient follow-up tools and
evidence-based treatment guidelines … The single sign-on feature will translate to all legacy systems, to reduce the
number of passwords to … Measure: Data
will be validated from the back end repositories by comparing data sets from the legacy … A weekly
query of the data identified as changed in the legacy systems will be compared using an MS … Measure: Comparison of those authorized, but
not using legacy systems, with those using the portal
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digital.ahrq.gov/sites/default/files/docs/page/Hammond.ppt
June 09, 2005 - Providers still need convincing; vendors are still very much legacy-oriented. … DATA SETS, EHR MODEL, CCR, TRANSFER EHR, other EHR
HL7, ASTM, CEN, openEHR
ELECTRONIC HEALTH RECORD
Guidelines
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digital.ahrq.gov/sites/default/files/docs/AHRQ_Evaluation_Webinar_May08.pdf
May 15, 2008 - • Data remains secure in legacy systems and is secure in portal solution. … • Single Sign On feature translates to legacy systems to reduce number of
passwords to be managed … • Reduction in time on task for manually scanning records from legacy
systems into other existing … • 6) Goal: Data remains secure in legacy systems and is secure in portal solution. … • 7) Goal: Single Sign On feature translates to legacy systems to reduce number of passwords to be
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digital.ahrq.gov/sites/default/files/docs/page/ahrq-health-information-technology-portfolio-2012-annual-report.pdf
January 01, 2012 - Comparative impact of guidelines, clinical data, and decision support on
prescribing decisions: an … /news/enews/enews356.htm#4
http://www.ahrq.gov/legacy/news/enews/enews356.htm#4
http://www.ahrq.gov/legacy … /news/enews/enews343.htm#1
http://www.ahrq.gov/legacy/news/enews/enews343.htm#1
http://www.ahrq.gov/legacy … /legacy/research/jun12/0612RA15.htm
http://www.ahrq.gov/legacy/research/jun12/0612RA15.htm
http://www.ahrq.gov … /legacy/research/jul12/0712RA26.htm
http://www.ahrq.gov/legacy/research/jul12/0712RA26.htm
http://healthit.ahrq.gov
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digital.ahrq.gov/program-overview/research-reports/2023-year-review/dhr-impact-reach
January 01, 2023 - Impact AHRQ Advances Patient-Centered Clinical Decision Support DHR has a storied legacy in the field … Leveraging Digital Health Technologies to Address the Needs of Underserved Populations Transforming Guidelines
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015377-schadow-final-report-2008.pdf
January 01, 2008 - decision support knowledge base content
is concerned (e.g., drug-interactions, contraindications, dosing guidelines … We exported the Regenstrief Gopher knowledge base from its legacy database into an XML
format and into … standard terminology and SPL was possibly and
that such mappings could provide value to improve the legacy
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs026732-usher-final-report-2023.pdf
January 01, 2023 - Table 1: Characteristics of hospitals included in RQ2 and RQ3
Hospital Urban/Rural Teaching Status
Legacy … On average approximately 90 patients
per month are transferred across the two legacy systems compared … We additionally evaluated quality of care among patients who were
transferred across and within legacy … compared against 4.8% of internal transfers within systems and 1.8% of admissions
occurring across legacy … Complete EHR integration across two legacy health systems occurred at the dotted line.
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digital.ahrq.gov/sites/default/files/docs/care-post-treatment-slides-072512.pdf
July 25, 2012 - tracking referrals
O’Malley AS et al, JGIM
15
Barriers: Technical
• Lack of data standards
• Legacy … transition data stored in different systems
16
Barriers: Organizational
• Resistance to changing legacy … Reconcile DC plan with National Guidelines
3. Follow-up appointments
4. Outstanding tests
5.
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digital.ahrq.gov/sites/default/files/docs/biblio/AmbulCompProvidOrderEntry_091911.pdf
May 01, 2008 - systems can improve medication safety,11-14 and
quality of care15-18 as well as improve compliance with guidelines … One of the grantees noted that when competing with an existing legacy system, selling the
added value … team made a scheduling
11
system available to their clinics, when most of the clinics already had legacy … trends toward pay-for-performance programs, have heightened
clinicians’ awareness of clinical care guidelines
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digital.ahrq.gov/sites/default/files/docs/page/AmbulCompProvidOrderEntry_091911.pdf
May 01, 2008 - systems can improve medication safety,11-14 and
quality of care15-18 as well as improve compliance with guidelines … One of the grantees noted that when competing with an existing legacy system, selling the
added value … team made a scheduling
11
system available to their clinics, when most of the clinics already had legacy … trends toward pay-for-performance programs, have heightened
clinicians’ awareness of clinical care guidelines
-
digital.ahrq.gov/sites/default/files/docs/biblio/AmbulCompProvidOrderEntry_091911_0.pdf
May 01, 2008 - systems can improve medication safety,11-14 and
quality of care15-18 as well as improve compliance with guidelines … One of the grantees noted that when competing with an existing legacy system, selling the
added value … team made a scheduling
11
system available to their clinics, when most of the clinics already had legacy … trends toward pay-for-performance programs, have heightened
clinicians’ awareness of clinical care guidelines
-
digital.ahrq.gov/sites/default/files/docs/page/Ambulatory%20CPOE%20Issue%20Paper.pdf
May 01, 2008 - can improve medication safety, and quality
15-18 19,20of care as well as improve compliance with guidelines … One of the grantees noted that when competing with an existing legacy system, selling the added
value … ’s team made a scheduling system available
to their clinics, when most of the clinics already had legacy … trends toward pay-for-
performance programs, have heightened clinicians’ awareness of clinical care guidelines
-
digital.ahrq.gov/sites/default/files/docs/lesson/08-0063-ef-ambulatory-cpoe.pdf
May 01, 2008 - systems can improve medication safety,11-14 and
quality of care15-18 as well as improve compliance with guidelines … One of the grantees noted that when competing with an existing legacy system, selling the
added value … 18
64
system available to their clinics, when most of the clinics already had legacy … trends toward pay-for-performance programs, have heightened
clinicians’ awareness of clinical care guidelines
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digital.ahrq.gov/sites/default/files/docs/health-care-delivery-children-qa-063016.pdf
July 01, 2016 - Its description is as follows: “The system shall provide the ability to access legal guidelines
on consent … available, and to record the age of consent for a specific
treatment when these differ based on legal guidelines … OmitPlacedBitmaps false
/OmitPlacedEPS false
/OmitPlacedPDF false
/SimulateOverprint /Legacy
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs020308-levy-final-report-2013.pdf
January 01, 2013 - Despite widely disseminated
guidelines to providers and patients supporting preventive screening for … creating registries capable of accurate, real-time updates in
ICOs operating numerous and disparate legacy
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year5-final-report-2021.pdf
January 01, 2021 - • Applied Clinical Practice Guidelines (CPG)-on-FHIR® to the Repository to ease
their implementation … In 2020,
the first version of the FHIR Clinical Guidelines
(also known as the CPG-on-FHIR) IG was … will
CDS Connect Maintenance and Update | Final Report
12
support the conversion legacy … The conversion script will list the subset
of legacy CDS artifacts to be converted,
iterate over each … • CDS for Asthma Management
Guidelines.
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024003-tulu-final-report-2018.pdf
January 01, 2018 - treat OA, but are associated with 3,000-16,000 deaths/year from
gastrointestinal complications.8 AHRQ guidelines … Physical activity guidelines for OA patients are
designed to reduce pain and improve function. … 16-18on more than 16,000 knee arthroplasty patients.19 The KOOS includes all
items of the WOMAC, a legacy … of existing pain apps on app stores,
literature review on mobile health app development and design guidelines … This finding is important as we design guidelines
for users.
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digital.ahrq.gov/sites/default/files/docs/publication/guide-to-reducing-unintended-consequences-of-electronic-health-records.pdf
August 01, 2011 - the vendor "nickel and dimed" them, charging them for phone calls, site visits, and
interfaces with legacy … sets (prefilled ordering templates or
electronic protocols derived from evidence-based best practice guidelines … e-mail, instant
messaging, improved access to patient information, and improved access to clinical guidelines … for preventing the EHR from diminishing communication with
other clinicians was to establish clear guidelines … L
Legacy IT
M
Meaningful use
Medicare and Medicaid EHR incentive programs
Multiple causation
When
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digital.ahrq.gov/sites/default/files/docs/citation/cds-evaluation-summary-report-p233201500023I.pdf
March 23, 2022 - Preventive Services Task Force guidelines. … Scaling Patient-Centered CDS for Disseminating Guidelines in
Public Health: A Case Example. … Adapting Clinical Guidelines for the Digital Age. Last Updated
March 23, 2022. … Adapting Clinical Guidelines February 2018 Meeting Summary.
Last Updated March 23, 2022. … OmitPlacedBitmaps false
/OmitPlacedEPS false
/OmitPlacedPDF false
/SimulateOverprint /Legacy