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digital.ahrq.gov/sites/default/files/docs/activity/2011_017261_schillinger_pdf_3.pdf
January 01, 2011 - Dean Schillinger and his research team conducted patient surveys to analyze outcomes such as
perspectives … Specific Aims:
• Measure the effects of a Medicaid health plan-directed ATSM on patient-centered outcomes … communication strategy triggered by pharmacy
claims data—yields differential effects on patient-centered outcomes … Data analysis included: 1) a comparison
of patient-centered outcomes and quality of life among patients … to ATSM-plus for participants transitioning into the intervention
group; 3) an analysis of clinical outcomes
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digital.ahrq.gov/ahrq-funded-projects/improving-adolescent-primary-care-through-interactive-behavioral-health-module/annual-summary/2011
January 01, 2011 - support (CDS), has tremendous potential to improve health care quality and subsequent behavioral health outcomes … it will be piloted in adolescent primary care practices, assessing clinician, adolescent, and system outcomes … approaches and data sources will be utilized to conduct quantitative and qualitative analyses on each of the outcomes … computerized module/screening system in adolescent primary care, assessing clinician, adolescent, and system outcomes
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digital.ahrq.gov/ahrq-funded-projects/enabling-health-care-decisionmaking-through-use-health-information-technology/annual-summary/2010
January 01, 2010 - The project team identified only 25 RCTs assessing the impact of CDSS on clinical outcomes, 20 assessing … costs, and two assessing electronic knowledge management on any outcomes. … Evidence for the effectiveness of CDSS on clinical outcomes and costs and electronic knowledge management … on any outcomes is minimal, and more studies are needed in these areas.
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs018167-roberts-final-report-2013.pdf
January 01, 2013 - Primary outcomes
were closure of prevention and treatment gaps compared between the intervention and … control
group, secondary outcomes included calculations of 10-year cardiovascular risk, changes in … educated patients and improved
outcomes.17,18 However, while experts agree that HIT is critical to … Outcomes: Outcomes are described within the results of each specific aim. … The primary outcomes for Aim 3 were reports and abstractions from focus groups.
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digital.ahrq.gov/ahrq-funded-projects/current-health-it-priorities/clinical-decision-support-cds/chapter-1-approaching-clinical-decision/section-1-introduction
Consider how the “CDS Five Rights” apply to improving processes related to medication use and outcomes … Each step in the medication management process is fraught with opportunities for suboptimal outcomes, … related elements:
The Five Rights of CDS – a framework for supporting clinical decisions to improve outcomes
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digital.ahrq.gov/sites/default/files/docs/biblio/Poon.ppt
August 01, 2006 - Peers
Policy makers
Array of Measures
Quality and Safety
Clinical Outcomes
Clinical Processes … (e.g. mortality) desirable
Justifiable to measure process outcomes (e.g. door to abx time) if relationship … between outcome and process already demonstrated
Will outcomes be impacted by the intervention? … Will impact on outcomes be detectable during the study period?
? … Rare events, e.g. adverse outcomes
? Colon cancer screening
What resources do you have?