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digital.ahrq.gov/ahrq-funded-projects/improving-care-transitions-complex-patients-through-decision-support/annual-summary/2011
January 01, 2011 - inter-provider communication and care coordination significantly lowers care quality and compromises patient … As part of these visits, the contextual evaluations are being conducted with clinic staff personnel as … They modified their patient contact protocol so that patients are called a week rather than a month after … an event to lessen the impact of elapsed time on patient recall. … Finally, the research team, with the assistance of clinicians, has continued to work on their patient
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digital.ahrq.gov/ahrq-funded-projects/care-coordination-enabled-health-information-technology-what-will-it-take
January 01, 2023 - The care coordination objectives included dashboards to track patient referrals in real time, a care … transition record, and electronically notifying care teams of significant patient health care events. … Identify organizational and contextual factors that distinguish practices with a higher versus lower … Health IT-enabled care coordination: a national survey of patient-centered medical home clinicians. … Health IT-enabled care coordination: a national survey of patient-centered medical home clinicians.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017072-lobach-final-report-2011.pdf
January 01, 2011 - Site visits, contextual evaluation and user surveys
suggested that the failure to improve adherence … data from a client application. … recommendations to the client
application.
6
Settings
The specific partners participating … The contextual evaluation involved observing every interaction that clinic
personnel experienced with … Recurrent themes from the contextual evaluation regarding the impact of the reports on the
clinical
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digital.ahrq.gov/program-overview/research-stories/using-machine-learning-military-service-members-and-veterans-risk
January 01, 2023 - “Using machine learning will give clinicians a more comprehensive understanding of patients through summarized … stakeholders with data-driven guidance on addressing suicide risk factors with observable and personal, contextual … Postoperative Handoff Communication with Telemedicine and Machine Learning Machine Learning to Improve Patient
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/zheng-k-et-al-2009
January 01, 2009 - events, constituting time-stamped event sequences, were used to replay how the EHR was used in actual patient … physicians used the system to document clinical findings, prescribe medications, enter orders, and generate patient-specific … "This finding suggests that either certain critical patient care procedures (e.g., physical examination … In either case, quality of care may be undermined and patients may be exposed to a higher risk of adverse … 'Encounter Memo' allows clinicians to document contextual information that may not fit in any other categories
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-mt/annual-summary/2012
January 01, 2012 - These organizations serve different patient populations living in areas with distinct geographic and … Specifically, Billings Clinic is planning to implement an electronic patient homepage in their existing … electronic health record (EHR) that will aggregate patient information; a standardized message center … New features will include automatic telephone patient reminders and followup for no-shows, a patient … The components of the evaluation will include: 1) non-participant observations and contextual inquiries
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024983-pratap-final-report-2019.pdf
January 01, 2019 - and contextual data from two distinct
pediatric surgical sites of a single institution; and to identify … specific and contextual data from two distinct pediatric surgical sites of a single institution, together … Most patients
at the Liberty campus live in the Cincinnati area, but many patients at the Burnet campus … Likewise, patient race perhaps represents a mixed group of
patients including a substantial socioeconomically … Mining patient-specific and contextual data with machine learning
technologies to predict cancellation
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digital.ahrq.gov/ahrq-funded-projects/scaling-interoperable-clinical-decision-support-patient-centered-chronic-pain-care
January 01, 2023 - Clinical experts have expressed concerns of such efforts for patients who are impacted by the decrease … in opioid prescribing, specifically among patients who may benefit from opioid-related treatment. … care providers and their patients in chronic pain treatment plan selection. … mixed-methods study and evaluate the implementation process by assessing adaptation, feasibility, and contextual … “We will work to bring patients and clinicians closer together to share their experiences, share patient-reported
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digital.ahrq.gov/ahrq-funded-projects/veterans-administration-va-integrated-medication-manager/annual-summary/2011
January 01, 2011 - However, in 2006, 25 percent of hypertensive patients did not reach the performance standards. … through decisionmaking for a patient using the EHR. … Participants were asked to review 10 patient cases and write assessments and plans for each patient. … Impact and Findings: The translation of the theory "Hollnagel's Contextual Control Model" to analyze … The largest improvement in time was the case of interruptions in considering complex patients.
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-mt
January 01, 2023 - These organizations serve different patient populations living in areas with distinct geographic and … electronic health record (EHR) that aggregates patient information; 2) a standardized message center … New features were to include automatic telephone patient reminders and followup for no-shows, a patient … portal, patient kiosks at the clinic, computerized order system with tracking, integrated education … The components of the planned evaluation included: 1) non-participant observations and contextual inquiries
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digital.ahrq.gov/ahrq-funded-projects/assessing-impact-dynamic-chronic-care-registry-quality-care
January 01, 2023 - These three interventions included: patient report cards both mailed to the patient quarterly and given … Despite finding that many providers and the majority of patients thought that the report card was an … Distribution of patient report cards to patients at the time of their visits also did not improve intermediate … However, patients at clinics with patient-level provider performance feedback were found to have better … critical need to obtain provider buy-in; the need for qualitative analysis to fully understand the contextual
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/carayon-p-et
January 01, 2023 - The EHR implementation did not change the amount of time spent by physicians with patients. … The interviews provided important contextual information regarding EHR implementation, and showed some … After EHR implementation, "[c]linical staff spent more time on the following functions: accompanying patients … implementation, "[c]linical staff spent less time in contact with doctors and nurses, but more time with patients … The time the physician spent on the phone providing instruction and information to the patient or patient
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs025136-ratwani-final-report-2024.pdf
January 01, 2024 - evaluations, semi-structured interviews,
and cognitive walk-throughs using think- aloud protocol and contextual … original objectives were made given changing
health information technology (health IT) use and other contextual … Incidence
Medication errors occur across healthcare settings and can have a significant impact on patients … Prevalence
Medication errors are one of the most frequent types of error impacting patients. … reports and contribute additional contextual information that
cannot be derived from the reports alone
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digital.ahrq.gov/sites/default/files/docs/citation/r36hs023057-jackman-final-report-2016.pdf
January 01, 2016 - Model 2 was found
favorable since it included contextual variables from qualitative topics. … services to patients and support
patients having discussions with partners about STD risk prior to … , and improve
the patient-doctor relationship. … “CLIA Program and HIPAA Privacy Rule; Patients’ Access to Test Reports.” … AIDS Patient Care STDS, 27(4),
211-222.
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digital.ahrq.gov/sites/default/files/docs/adult-depression-slides-06152022.pdf
June 15, 2022 - • 21st Century Cures Act
required patient portals to
allow mental health patients to
view their … maximize the
cumulative reward
Important Terms
Action variable: Actions to be taken by algorithm
Contextual … Outcome
Model: How we predict what the potential reward
might be, as a function of the action and
contextual … Feedback
message (4
categories)
Motivation
message (5
categories)
Time of Day (5
windows)
Contextual … Mental Health
Online Survey- Providers N=80
Online Survey- Patients N=168
Provider Experience
Patient
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-ambulatory-chronic-disease-care/annual-summary/2011
January 01, 2011 - panel performance through the EHR, patient panel performance level via email, or individual patient-only … performance through the EHR), and providing patients with access to a Web-based interactive software … Using qualitative methods, the research team investigated contextual factors, such as local barriers … The team then compared information that patients sent with the pharmacist's "gold standard" evaluation … In-home medication reconciliation is potentially limited by incomplete information from patients and
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digital.ahrq.gov/ahrq-funded-projects/development-and-evaluation-patient-reported-outcome-score-visualization-improve
January 01, 2023 - , and patient engagement. … Participants included patients with hip or knee pain, or hip or knee osteoarthritis, and who were using … a patient portal. … Another factor is that PRO visualizations often do not provide useful contextual information to help … clinical management for patients, families, and healthcare professionals.
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digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end
January 01, 2023 - and up to 13 percent of elderly ambulatory patients. … Although patients could play a role in preventing harm due to DDIs, they are not currently engaged in … Enable the creation of contextual DDI CDS knowledge artifacts using CDS Connect. … DDInteract includes a patient-specific risk profile, patient education information, and a treatment decision … DDInteract was positively received by both patients and physicians, with patients favoring pain treatments
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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 - better understand how the proposed intervention addresses the diverse needs of teenagers, informs the contextual … health information tools into the primary care setting while also focusing on technology that supports patient-centered
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digital.ahrq.gov/ahrq-funded-projects/towards-effective-and-efficient-adoption-health-information-technology-home
January 01, 2023 - Technology
Electronic Health Record/Electronic Medical Record
Care Setting
Patient … Therefore, the purpose of this project was to identify contextual determinants of health IT adoption