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digital.ahrq.gov/sites/default/files/docs/page/TEP_Feb_2010_Challenges.pdf
January 01, 2010 - TEP GLIDES Challenges
AHRQ / TEP Update
Feb 1 – 2, 2010
Key Challenges
Key Challenges
• Project Organization … Approaches For Different
Communities
• Implementation and Roll-Out
• Technical Challenges
2
Project Organization … richard.shiffman@yale.edu�
AHRQ / TEP Update �Feb 1 – 2, 2010�Key Challenges
Key Challenges
Project Organization
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digital.ahrq.gov/sites/default/files/docs/survey/health-information-technology-value-project-chief-information-officer-interview-guide.pdf
October 02, 2014 - What is or was the timeframe for implementation – staged, rollout, and entire
organization?
5. … How does or did the organization expect to benefit from this information
technology investment? … If there is a blood bank at your organization, is there cross matching of products
and verification
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digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-project/annual-summary/2010
January 01, 2010 - The Chronic Care Technology Project
Principal Investigator
Nashan, Georges
Organization … In addition, several organizations provided information technology (IT) and program support. … Impact of Technology Adoption on Practice Efficiency and Patient Safety: For most organizations, the … transmitted information, timelier receipt and transmittal of information, and reductions in cost to the organization … Additionally, unlike organizations that came into The Collaborative with major technology projects in
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digital.ahrq.gov/sites/default/files/docs/20070112%20First_Consulting_Tool.pdf
January 12, 2007 - So the critical part
of this test is giving feedback to an organization. Are you overloading? … That will only be
given back to the organization which takes the test. … And then underneath it will show the organization what the score
means in terms of criteria. … at the
local organization. … What are you thinking in terms of helping an organization progress?
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digital.ahrq.gov/sites/default/files/docs/activity/2900900002i3-penoza-annual-summary-2012.pdf
January 01, 2012 - United States Health Information Knowledgebase (USHIK)
Principal Investigator: Penoza, Chuck, M.B.A
Organization … (ISO/IEC 11179 is an international standard for representing
metadata for an organization in a metadata … This registry has been developed through the collaboration of several health information organizations … Collectively, these
organizations recognize the need for a net-enabled registry of health care standards … The standards portal is currently reserved for metadata
rom specific Standards Developing Organizations
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digital.ahrq.gov/sites/default/files/docs/activity/2011_019726_kahn_pdf_3.pdf
January 01, 2011 - Organization: University of Colorado Denver
Mechanism: PAR: HS08-269: Exploratory and Developmental … ePrescribing, capture of fulfillment data, and clinician use of fulfillment data at all DARTNet
organizations … (Ongoing)
• Assess the data’s comprehensiveness and clinical utility in five DARTNet organizations … with subjective assessments
of utility by survey and group interviews of clinicians in one DARTNet organization … Colorado Multiple Institutional Review Board (COMIRB), developing the
initial survey among DARTNet organizations
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digital.ahrq.gov/sites/default/files/docs/activity/the_chronic_care_technology_project_2010_pdf__2.pdf
January 01, 2010 - Organization: Aroostook Medical Center
Mechanism: RFA: HS05-013: Limited Competition for AHRQ Transforming … In addition, several organizations provided information technology (IT) and program support. … Impact of Technology Adoption on Practice Efficiency and Patient Safety: For most organizations, the … transmitted information, timelier receipt and transmittal of information, and
reductions in cost to the organization … Additionally, unlike organizations that came into The Collaborative with major technology projects in
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shachak-et-al-2009
January 01, 2009 - PARTICIPANTS: Twenty-five primary care physicians from the northern district of the largest health maintenance organization … RESULTS: The comprehensiveness, organization, and readability of data in the EMR system reduced physicians … negative influence on communication, a problem that can be partially addressed by improving the spatial organization … Geography
Urban, suburban, and rural
Other Information
The Israeli health maintenance organization … They were satisfied with the EMR system, especially with its data-related comprehensiveness, organization
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digital.ahrq.gov/ahrq-funded-projects/evaluation-interactive-social-media-web-site-parents-who-are-concerned-about/annual-summary/2011
January 01, 2011 - are Concerned about Immunizing their Children
Principal Investigator
Glanz, Jason
Organization … and physicians of Kaiser Permanente Colorado (KPCO), a closed-panel, group-model health maintenance organization … Several participants remarked that they were happy to see that the money did not come from a private organization … , or an organization known for pushing a particular vaccine agenda.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/return-investment/cost-benefit-analysis
medical record systems in ambulatory primary care settings from the perspective of the health care organization … record system in primary care can result in a positive financial return on investment to the health care organization
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digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-information-technology/annual-summary/2008
January 01, 2008 - Healthcare Quality via Information Technology
Principal Investigator
Hayden, Avis
Organization … The original scope of this project was to implement EHR technologies throughout SVHC’s several organizations … standardization of clinical practice, the use of IT, and the promotion of a "culture of safety" throughout the organization … information, and a more frequently articulated sense that a "culture of safety" was important to the organization
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digital.ahrq.gov/ahrq-funded-projects/guidelines-decision-support-glides/annual-summary/2010
January 01, 2010 - Organization
Yale University
Contract Number
290-08-10011 20
Project Period
March … The overall goal of the project is to recommend methods to assist clinical organizations across the country … The GLIDES team worked with two national guideline development organizations, the American Academy of … The team also worked with four leading hospital organizations, including Yale New Haven Hospital, Nemours … reflect differences in the guidelines being implemented, in the systems development practices of each organization
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/privacy-and-security/state-based-approach
Ensuring the privacy and security of electronic health information is a key challenge for organizations … For the past three years, a collaboration of states and territories has examined the variation in organization-level … difficulty accommodating the current variation in policy requirements; therefore, it is important for organizations
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digital.ahrq.gov/sites/default/files/docs/page/E-PrescribingPhysicianTool4.1.xlsx
October 01, 2011 - Lack of organization-wide readiness and unrealistic expectations about what the process entails contribute … Readiness Assessment
Answer each question in the following tabs from the perspective of one site or organization … If none of the options is an exact match for your organization, try to identify the description that … Our office staff is… -
A large number of “A” responses indicates that your organization needs to further … Your practice can use your answers as a guide to identifying what aspects of the organization need to
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digital.ahrq.gov/sites/default/files/docs/activity/taconic_health_information_2009_update_2.pdf
January 01, 2009 - Organization: Taconic Independent Practice Association (TIPA)
Mechanism: RFA: HS04-011: Transforming … Fifty providers from a large physician organization made up of
independent practitioners, a regional … (Achieved with THINC Regional
Health Information Organization [RHIO])
* This aim was not completed … The organization THINC RHIO, which had arisen during the course of the project to promote
multi-payer
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digital.ahrq.gov/sites/default/files/docs/page/Fritz.ppt
June 09, 2005 - Inland Northwest Health Services Story
Thomas Fritz, CEO
This presentation will highlight a unique organization … on the same network
Governance needs to be neutral, not favoring any competitor
Neutral governance organization … agreements on common issues (MPI, network standards, etc)
What we have learned
Community governance organizations … position
Members have to be willing to set aside self-interest
Everyone has to keep working at it
Organization
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digital.ahrq.gov/sites/default/files/docs/activity/improving_healthcare_quality_2009_update_2.pdf
January 01, 2009 - Organization: Southwest Vermont Health Care Corporation
Mechanism: RFA: HS04-011: Transforming Healthcare … The original scope of this project was to
implement EHR technologies throughout SVHC’s several organizations … standardization of clinical practice, the use of IT, and the promotion
of a “culture of safety” throughout the organization … information, and a more frequently articulated
sense that a “culture of safety” was important to the organization
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digital.ahrq.gov/sites/default/files/docs/activity/guidelines_into_decision_support__glides__2010_pdf__2.pdf
January 01, 2010 - Organization: Yale University
Contract Number: 290-08-10011 20
Project Period: March 2008 – February … The overall goal of the
project is to recommend methods to assist clinical organizations across the … The GLIDES team worked with two national guideline development organizations, the American
Academy of … The team also worked with four leading hospital
organizations, including Yale New Haven Hospital, Nemours … reflect differences in the guidelines being implemented, in the systems development
practices of each organization
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digital.ahrq.gov/sites/default/files/docs/activity/patient_safety_metadata_2010_pdf__2.pdf
January 01, 2010 - Organization: Data Consulting Group
Contract Number: 290-08-10005M
Project Period: January 2008 – … This registry, which meets the
requirements of the International Organization for Standardization and … International Electrotechnical
Commission, has been a collaborative effort among several health information organizations … providing a platform
for maintaining and harmonizing standardized, approved data artifacts across multiple organizations
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digital.ahrq.gov/ahrq-funded-projects/patient-safety-metadata/activity/patient-safety-metadata/annual-summary/2010
January 01, 2010 - Project Name
Patient Safety Metadata
Principal Investigator
Penoza, Chuck
Organization … This registry, which meets the requirements of the International Organization for Standardization and … International Electrotechnical Commission, has been a collaborative effort among several health information organizations … providing a platform for maintaining and harmonizing standardized, approved data artifacts across multiple organizations