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digital.ahrq.gov/sites/default/files/docs/epc-hit-slides-072011.pdf
July 20, 2011 - Key Questions
1) What evidence exists that CHI
applications impact:
– Health care process outcomes … – Intermediate health outcomes (e.g. … – Relationship-centered outcomes (e.g. … – Clinical outcomes (including quality of
life) among users? … – Economic outcomes (e.g., cost and
access to care) among users?
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digital.ahrq.gov/sites/default/files/docs/citation/k08hs024134-smith-final-report-2019.pdf
January 01, 2019 - Patient-centered outcomes, including
symptoms, functional status, and medication adherence, represent … The purpose of this study is to explore novel strategies, which incorporate patient-centered outcomes … Pignone will ensure that my research
design is rigorous, feasible, and assesses relevant QI outcomes … Key Outcomes/Achievements: A successful mHealth intervention was developed and iteratively optimized … Key Outcomes/Achievements: In progress.
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digital.ahrq.gov/ahrq-funded-projects/nursing-home-information-technology-it-optimal-medication-and-care-delivery/annual-summary/2008
January 01, 2008 - modules in 15 participating nursing homes (NHs) and evaluate impact on care processes; resident health outcomes … , focusing on: clinical practices, including documentation and care planning; clinical outcomes, including … Impact and Findings: Each facility team monitored outcomes and processes pre-and post-implementation … Health Outcomes: How are changes in clinical practice using health IT associated with improved health … outcomes for NH residents?
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/electronic-alerts-prevent-venous
March 10, 2005 - assess the use of a computer alert program to encourage prophylaxis for deep vein thrombosis on patient outcomes … Outcomes: Patient outcomes. … Evaluation Method: 90-day follow up of patient outcomes.
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs021008-sockolow-final-report-2014.pdf
January 01, 2014 - Effects on Outcomes and Quality of Care [11] - the effects of the system on patient
care outcomes and … Outcomes and Analytic Plan
Aim 1. … EHR impact on patient
outcomes was limited to some behavioral outcomes. … impact on patient outcomes. … Related to Aim 1
Outcomes Related to Aim 2
Outcomes Related to Aim 3
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/clinical-trials-interactive
July 01, 1997 - Purpose of Study: Assess the effect of computerized patient education on processes and outcomes of care … Outcomes: Process and outcomes of care.
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digital.ahrq.gov/sites/default/files/docs/activity/r21hs021008-sockolow-annual-summary-2012.pdf
January 01, 2012 - available in real time, a home care
EHR has the potential to improve health care decisionmaking and outcomes … data were collected
to understand how EHR implementation affects patient, workflow, and financial outcomes … impact of the EHR and identifying EHR characteristics associated with better adoption
and clinical outcomes … (Ongoing)
2012 Activities: Analysis of the workflow and financial outcomes before and after home … The data extraction and analysis for patient outcomes were ongoing throughout 2012. Dr.
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digital.ahrq.gov/sites/default/files/docs/activity/randomized_control_trial_embedded_in_an_ehr_2010_pdf__2.pdf
January 01, 2010 - tools, and reminders to promote self-management,
increase safer clinical transitions, and improve outcomes … A 12-month randomized controlled trial is evaluating the impact of the ePHR on clinical outcomes
including … changes in patient behaviors such as adherence to antiretroviral medications and tobacco use; clinical
outcomes … (Ongoing)
• Assess outcomes, including quality of patient-provider interactions, changes in patient … behaviors,
clinical outcomes, safety, and health services utilization.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/descriptive-feast-evaluative
January 01, 2001 - Outcomes: Effects of computers on the visit process, on general practitionerÕs task performance, patient … outcomes, potential barriers to effective implementation and doctorÕs or patientÕs attitudes toward … Studies on patient outcomes were rare. … Only 17 such studies were identified and the results on patient outcomes were mixed.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computer-adjusted-dosage
January 01, 1998 - Assess the effect of the computerized dosing treatment to conventional dosing treatment on patient outcomes … Outcomes: Outcomes N/A or N/R Summary: Intervention: Use of a computer program to assist in dosing
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/do-internet-interventions
January 01, 2002 - Outcomes: A variety of measures of knowledge and health behaviors. … provide consumers with necessary information and support in a timely manner to achieve positive health outcomes … finding was the lack of rigorous research regarding the effects of consumer internet use on health outcomes
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digital.ahrq.gov/sites/default/files/docs/publication/r36hs021988-hessels-final-report-2013.pdf
January 01, 2013 - in which care is provided, affect both the processes of care and the outcomes of
care (Donabedian, … Patient
outcomes data covers the 13-month period that encompasses the 2006 nurse survey. … EHR adoption stage was a non- significant
predictor of all other adverse outcomes. … were measured using the PSI algorithm
and patient outcomes data from the HCUP SIDS data. … The following may explain the lack of an effect on all other adverse outcomes in this study.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/electronic-communication
July 09, 1997 - Purpose of Study: Assess the relationship between the use of electronic communication and processes or outcomes … Outcomes: Processes or outcomes of care.
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/evaluation-documentation-and
Years of study: 1995-1997 Study Design: Time series Outcomes: Impact on health care effectivness/quality … Evaluation Method: Measures of documentation completeness of nurse assessments of patient outcomes ( … NASSESS), achievement of patient outcomes (NGOAL), and nursing interventions done (NQUAL).
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/improving-drug-prescribing
March 01, 1984 - Purpose of Study: Increase use of generic drugs Years of study: 1979-1981 Study Design: RCT Outcomes … Clinical Outcomes: Generic prescribing outcomes: The authors report that the rate of use of generic
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/overview-effect-computer
January 01, 1998 - Assess the effect of the computerized dosing treatment to conventional dosing treatment on patient outcomes … Outcomes: Outcomes N/A or N/R Summary: Intervention: Use of a computer program to assist in dosing,
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digital.ahrq.gov/sites/default/files/docs/page/alternate-findings-and-lessons-from-the-ahrq-ambulatory-safety-and-quality-program.pdf
August 09, 2013 - for Vulnerable Populations 11
Impact on Outcomes 12
Process Outcomes 12
Intermediate Outcomes 13
Health … Outcomes 14
Economic Outcomes 15
Conclusion 16
References 17
Figures
1 IOM Priority Areas Addressed … process outcomes,2 intermediate outcomes,3 health
outcomes,4 and economic outcomes.5
Process Outcomes … Intermediate Outcomes
Several ASQ projects also demonstrated improve-
ments in intermediate outcomes, … for Vulnerable Populations
Impact on Outcomes
Process Outcomes
Intermediate Outcomes
Health Outcomes
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digital.ahrq.gov/sites/default/files/docs/page/findings-and-lessons-from-the-ahrq-ambulatory-safety-and-quality-program.pdf
August 09, 2013 - for Vulnerable Populations 11
Impact on Outcomes 12
Process Outcomes 12
Intermediate Outcomes 13
Health … Outcomes 14
Economic Outcomes 15
Conclusion 16
References 17
Figures
1 IOM Priority Areas Addressed … process outcomes,2 intermediate outcomes,3 health
outcomes,4 and economic outcomes.5
Process Outcomes … Intermediate Outcomes
Several ASQ projects also demonstrated improve-
ments in intermediate outcomes, … for Vulnerable Populations
Impact on Outcomes
Process Outcomes
Intermediate Outcomes
Health Outcomes
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/intensive-care-unit-telemedicine
December 01, 2000 - Outcomes: linical outcomes and economic outcomes. … Evaluation Method: Chart abstraction and measurement of patient outcomes and cost data.
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digital.ahrq.gov/sites/default/files/docs/activity/r18hs018167-roberts-annual-summary-2012.pdf
January 01, 2012 - SMART Appraisal of an Integrated
Personal Health Record project was designed to improve health care outcomes … Primary outcomes included the closure of prevention and treatment gaps. … Secondary outcomes
included calculations of 10-year cardiovascular risk, changes in cardiovascular risk … trial of the effectiveness of passive and active PHR systems
for improving adherence and clinical outcomes … Data for the secondary
outcomes came from a computerized baseline data form, a health literacy questionnaire