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digital.ahrq.gov/sites/default/files/docs/activity/crossing_the_quality_assessment_chasm__aligning_measured_and_true_quality_of_care_2010_pdf__2.pdf
January 01, 2010 - Organization: University of Pennsylvania
Mechanism: RFA: HS07-002: Ambulatory Safety and Quality … (Achieved)
• Develop a quality measure for diabetes that accounts for patient heterogeneity in terms … (Achieved)
• Explore the DCCT and patient data for year-to-year individual variability in diabetes … Unfortunately, the data exhibited only weak correlations across the indicators, and therefore a composite … In 2006, there was a problem with the reagents used to
measure the HbA1c which artificially lowered
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digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-rules-and-reminders/adhd-last-adhd-visit-6-months-overdue-follow
January 01, 2001 - This reminder prompts clinicians to follow up with individuals who have the following recorded indicators … Triggering
Symptom check defined by use of ADHD templates
Condition
Displayed Message
Patient … Coded Responses
Snooze Periods
A: Symptom review done today B: Appointment scheduled C: Patient
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017191-pohl-final-report-2011.pdf
January 01, 2011 - Do center practices related to patient safety improve over time with increasing clinician EHR use? … To ensure patient safety and access to data for
quality assurance and continuous quality improvement … 1) Physician
Practice
Patient
Safety
Assessment
1) Conducted at three times (before, during,
after … Table 4 presents data on all patient safety practices that the research team hypothesized that EHR could … Patient Safety Pr actices with and without EHR
Domain/Subdomain
Score a fter EH R
(N=6) NMHCs
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015052-stuen-final-report-2008.pdf
January 01, 2008 - services - individualized therapeutic
interventions and counseling designed to restore functioning, safety … techniques of orientation and mobility
(safe travel), independent living tasks (cooking and child care safety … Patient demographic characteristics of clients
Characteristic % n
Marital Status: Single 27.0 1001 … Client Functioning. … Hence, all three of these global indicators met the
criterion of optimal client satisfaction (at least
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digital.ahrq.gov/sites/default/files/docs/citation/assessingdynamicchroniccareregistry_120111comp.pdf
November 09, 2011 - Subanalysis of utilization outcomes by number of indicators at goal:
0 or 1 indicators at goal .. … Subanalysis of utilization outcomes by number of indicators at goal: 2 or 3
indicators in control … quality
indicators. … Due to the high mobility of the safety net patient population we expected a relatively
high mail return … Due to the
high mobility of the safety net patient population, we were expecting a relatively high
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digital.ahrq.gov/sites/default/files/docs/page/10152008%20TEP%20SFQD%20Middleton%20CDSC%20Abridged_508.pdf
November 19, 2008 - Enhancing patient safety by reducing medication errors system-
wide
3. … Expanding disease management programs by supporting
activities for certain patients with chronic illnesses … providers
Zero defect care:
• Aspirin
• Beta-blockers
• Blood pressure
• Lipids
Red, yellow, and green indicators … integration into workflow
• ARI SF
• Decreased antibiotic use by 5% in RCT
• Has now been used on over 6000 patients … By incorporating decision support into clinical
workflow, SF has the potential to improve care
for patients
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digital.ahrq.gov/sites/default/files/docs/biblio/ChunliuZhan.ppt
June 06, 2005 - Building the Business Case
for Investing in Patient Safety Improvement
Chunliu Zhan, MD, PhD,
Bernard … types, not quality or safety
Everyone pays: government payers, health plans, employers, patients … Medicare IMPACT file for payment adjustment
Method
Identify selected AEs using AHRQ Patient Safety … Conclusion & Implication
Clear business case for Medicare to improve patient safety:
Annual Medicare … Conclusion & Implication
Clear business case for hospitals to improve patient safety:
Hospitals get
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digital.ahrq.gov/sites/default/files/docs/biblio/Chunliu%20Zhan.ppt
June 06, 2005 - Building the Business Case
for Investing in Patient Safety Improvement
Chunliu Zhan, MD, PhD,
Bernard … types, not quality or safety
Everyone pays: government payers, health plans, employers, patients … Medicare IMPACT file for payment adjustment
Method
Identify selected AEs using AHRQ Patient Safety … Conclusion & Implication
Clear business case for Medicare to improve patient safety:
Annual Medicare … Conclusion & Implication
Clear business case for hospitals to improve patient safety:
Hospitals get
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digital.ahrq.gov/ahrq-funded-projects/enabling-sleep-apnea-patient-centered-care-internet-intervention/annual-summary/2011
January 01, 2011 - Organization
Veterans Medical Research Foundation
Funding Mechanism
RFA: HS07-007: Ambulatory Safety … This project developed an integrated remote monitoring device and Internet-based portal for patients … The project evaluated the intervention's effect on patients' experience of care, CPAP adherence, and … Both the usual care group and the i-PAP patients were provided with CPAP devices and education materials … In addition, the team examined indicators such as use of the Web site and the frequency and nature of
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015339-aranaydo-final-report-2007.pdf
January 01, 2007 - The THP provide primary care at 12
sites to 12,000 American Indian and additional non-Indian clients … GPRA measures are aimed at improving safety as well as quality of care by
reducing potential system … MACT provides services
to Indian as well as a large number of non-Indian clients (approximately 4,200 … The challenge is to concentrate patient information for the indicators in
one place and to lock down … specific alerts to improve safety (for example: a patient with
hepatitis has an automatic diagnosis
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digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2010
January 01, 2010 - Organization
Oregon Health and Science University
Funding Mechanism
RFA: HS08-002: Ambulatory Safety … This project is investigating whether care for patients with complex needs can be improved by implementing … Measures include indicators of patient engagement, clinic-level quality of care, clinic-level process … , and patient health outcomes. … Baseline information on costs, utilization, and patient panels was collected and patient satisfaction
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digital.ahrq.gov/ahrq-funded-projects/risk-based-approach-improving-management-chronic-kidney-disease/annual-summary/2012
January 01, 2012 - The physicians in the intervention group received patient-specific alerts at the time of office visits … to best treatment practices is being measured by several indicators, including problem lists and encounter … The intervention included physician alerts recommending risk-appropriate care and mailing of patient … in the patient-education mailing program. … were consistently associated with improved effectiveness and drug safety.
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digital.ahrq.gov/sites/default/files/docs/page/Quality%20Engineering%20Group%20Report%20Day%201.pdf
September 21, 2009 - creating highly reliable and
safe processes that are designed to
achieve desired outcomes (from patient … opportunity for stochastic optimization and
human factors mathematics modeling with respect to quality and
safety … • Non-intuitive causes/ indicators must be
addressed/included in any model
Break Out Session E:
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs023694-schiff-final-report-2018.pdf
January 01, 2018 - Key Words: CPOE, drug safety, medication errors, user-centered design, patient safety, prescription … and the other by the National Patient Safety Foundation (MedMarx CPOE Medical Error Report
Analysis … Patient/Pharmacist Interviews
As the final part of aim 3, we interviewed both patients and pharmacists … Safety America
Baton Rouge General Hospital
Patients for Patient Safety Canada
Becton Dickinson and … Company
Patients Like Me
Betsy Lehman Center for Patient Safety and
Medical Error Reduction
PDX
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digital.ahrq.gov/ahrq-funded-projects/enhancing-complex-care-through-integrated-care-coordination-information-system/annual-summary/2011
January 01, 2011 - Organization
Oregon Health and Science University
Funding Mechanism
RFA: HS08-002: Ambulatory Safety … reminders to support clinical care teams and patient self-management. … Measures include indicators of patient engagement, clinic-level quality of care, clinic-level process … , and patient health outcomes. … The collection of patient-level data from ICCIS continued in 2011.
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digital.ahrq.gov/ahrq-funded-projects/bringing-high-performing-systems-small-practices/annual-summary/2012
January 01, 2012 - The impact of financial incentives was assessed by comparing the performance improvement of indicators … targeted by financial incentive and the performance improvement on indicators not targeted by financial … The second analysis was of the impact of patient-centered medical home (PCMH) recognition on trends in … diabetes; blood pressure control for patients with hypertension; body mass index recorded for patient … Target Population: Adults, Inner City*, Low-SES/Low Income*, Medicaid, Medically Underserved, Safety
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-ambulatory-chronic-disease-care/annual-summary/2010
January 01, 2010 - Organization
University of Missouri at Columbia
Funding Mechanism
RFA: HS07-006: Ambulatory and Safety … To improve patient care quality and safety, the Family Medicine and General Internal Medicine practices … Ongoing )
2010 Activities: Preliminary analysis of the impact of access to reports on performance indicators … The evaluation of the Web-based patient interface was completed through a survey of patients and providers … This message did not include an all-inclusive list of patient medications, only the changes patients
-
digital.ahrq.gov/sites/default/files/docs/activity/r18hs018275-parsons-annual-summary-2012.pdf
January 01, 2012 - The impact of financial incentives was assessed by comparing the
performance improvement of indicators … targeted by financial incentive and the performance improvement
on indicators not targeted by financial … The second analysis was of the impact of patient-centered medical home (PCMH) recognition on trends … or diabetes; blood pressure control for patients with hypertension; body mass index recorded for patient … Target Population: Adults, Inner City*, Low-SES/Low Income*, Medicaid, Medically Underserved,
Safety
-
digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-ambulatory-chronic-disease-care
January 01, 2023 - Completed
Grant Number
R18 HS017035
Funding Mechanism(s)
Ambulatory Safety … ambulatory care health information technology (IT) systems designed to improve chronic disease performance indicators … The dashboard, which provided information on eight quality indicators, was evaluated with a usability … Unexpectedly, 55 percent of physicians printed copies of the patient summary dashboards to give to patients … Monitoring , Patient Portal , Telehealth/Telemedicine
Internet use by primary care patients:
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017191_pohl_pdf_3.pdf
January 01, 2011 - Care
1 | A PArtnershiP for CliniCiAn eleCtroniC heAlth reCord Use And QUAlity
of CAre
AmbulAtory SAfety … Organization: Michigan Public Health Institute
Mechanism: RFA: HS07-006: Ambulatory Safety and Quality … barriers—including the need to redesign workflow to incorporate use
of the EHR before, during, and after a patient … This project addressed one of the key problems in leveraging health IT to support high-quality patient … The quality indicators
selected were those that the Institute of Medicine has identified as priority