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digital.ahrq.gov/ahrq-funded-projects/sharing-patient-record-access-rural-health-settings
January 01, 2023 - Sarah Bush Lincoln Health Center (SBL), the fiscal agent, partnered with independent physician practices … (EMR) provides shared access to patient records across hospital services, home health, hospice, and physician … The EMR will electronically connect physician offices, the SBL regional hospital and its ancillary services
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rivkin-s-1997
January 01, 1997 - Rivkin S 1997 "Opportunities and challenges of electronic physician prescribing technology." … Opportunities and challenges of electronic physician prescribing technology. … Should the physician desire to override the plan's formulary recommendation, the physician would then … More often than not, physicians designated key personnel (nurses or medical assistants) to enter the … "Should the physician desire to override the plan's formulary recommendation, the physician would then
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel/annual-summary/2010
January 01, 2010 - panel”—that a physician oversees. … Using patient appointment data, physician-patient panel sizes, and physician case mix, Dr. … Visit rate, patient co-morbidities, case mix, physician preferences, and physician capacity were assessed … Another modeling approach considered reallocation of patients with the least co-morbidities from physicians … The models indicate optimized physician-patient panels increase physician capacity and may create an
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digital.ahrq.gov/ahrq-funded-projects/taconic-health-information-network-and-community-thinc
January 01, 2023 - Health Care Theme
Interoperability
Medication Errors
The Taconic IPA, a 3,000 physician … Our project evaluated: physician office efficiency improvement and cost reduction, payer return on investment … "The No. 1 problem for small physician practices is the start-up costs of EMRs. … Start-up costs for EMRs can run $30,000 per physician; Taconic IPA physicians pay approximately $500 … A physician could receive up to $400 per month from such incentives, according to Blair.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tierney-wm-et-al-2003
January 01, 2003 - Objective
"To assess the effects of computer-based cardiac care suggestions" on physician adherence … , discuss the suggestion(s) with the patient and encourage discussions with his or her primary care physician … , or contact the ordering physician by telephone or e-mail." … "[T]here was no note in any chart that the physician disagreed with a suggestion [for patient cardiac … to individual patients, hampering physician autonomy, and intended to decrease health care costs.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/kuperman-gj-et-al-2003
January 01, 2003 - Computer physician order entry: benefits, costs, and issues. … Computerized physician order entry (CPOE) is a promising technology that allows physicians to enter orders … order entry (CPOE) allows physicians to enter orders directly into a computer rather than handwriting … Workflow-Related Findings
"Physicians often resist this new way of working and may recoil at the … "Many physicians express concern that ordering with CPOE takes longer than ordering with paper.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rubenstein-lv-et-al
January 01, 2023 - Improving patient quality-of-life with feedback to physicians about functional status. … plans and additional information about functional status abstracted from the medical record; and 3) physician … functional status screening results accompanied by resource and management suggestions can increase physician … diagnoses of impaired emotional well-being, can influence physician management of functional status … in part to the addition of resource and management guidelines to our functional status summaries and physician
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/randeree-e-et-al-2007
January 01, 2007 - Randeree E et al. 2007 "Exploring physician adoption of EMRs: a multi-case analysis." … Given the low adoption rate among physicians, the challenges facing small practices can be daunting. … Case one involved eight physicians, one nurse practitioner (NP), two technicians, 20 office staff, and … Case two involved nine physicians, four physician assistants (PA), four physical therapists, five registered … Case three involved three physicians, one PA, two NPs, 24 office staff and three locations.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tamblyn-r-et-al-2003
January 01, 2003 - by the study physician (RR 2.15, 95% CI 0.98-4.70). … or by another physician. … and another physician or another physician alone ... … and other physicians than for the other types of prescription problems." … by other physicians.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/sequist-t-et-al-2005
January 01, 2005 - electronic clinical reminder system on diabetes and coronary artery disease (CAD) care and to assess physician … electronic clinical reminder system on diabetes and coronary artery disease (CAD) care and to assess physician … This strategy avoids the pitfall of generating physician distrust of the reminder system while also capturing … "After adjusting for baseline patient and physician characteristics, patients in the intervention group … increased screening rates after adjusting for the use of a paper reminder system, and baseline patient and physician
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digital.ahrq.gov/sites/default/files/docs/publication/KSchultzetal2006HFES_JobTaskAnalysis.pdf
January 01, 2005 - We first begin by
discussing the development of the ICU physician task
taxonomy. … conversation’ and ‘Non-team physician
conversation’), the line is marked as a miss. … in the ICU environment and thus, a better
understanding of ICU physician workflow. … Controlled trial
of direct physician order entry: effects on physicians’ time utilization in
ambulatory … Comparison of time spent writing orders on paper with
computerized physician order entry.
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digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-information-technology
January 01, 2023 - Department
Hospital
Intensive Care Unit
Population
Adults
Children
Nurse
Physician … Adverse Events
Medication Errors
Southwestern Vermont Health Care (SVHC) and five private physician … of an electronic patient medical record, electronic medication administration record, computerized physician … order entry, and clinical decision support software in physician practices, the medical center, a home … adverse events, near misses and good catches, and feed information back to improve systems safety; 2) Physicians
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/hoch-i-et-al-2003
January 01, 2003 - to provide physician alerts regarding potassium testing. … Physician age and gender played a small part in predicting compliance to the alert, but specialty and … electronic health record (EHR) including "complete historical records of patient demographic data, physician … between the time the reminder was issued and the time the test was done was dependent on [when the physician … read the reminder], when the physician gave the patient a referral and when the patient had the test
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digital.ahrq.gov/ahrq-funded-projects/improving-lab-follow-delivering-enhanced-medication-list-outpatient-physician
January 01, 2023 - Improving Lab Follow-up by Delivering an Enhanced Medication List to Outpatient Physician Practices … Nine physicians were surveyed and reported the usefulness of medication histories; however, there was … Physicians strongly agreed that medication histories helped discover drugs which were previously unknown … Improving Lab Followup by Delivering an Enhanced Medication List to Outpatient Physician Practices - … Linas Project Name: Improving Lab Follow-up by Delivering an Enhanced Medication List to Outpatient Physician
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/weingart-sn-et-al-2003
January 01, 2003 - [Link]
Abstract
"Background: Although computerized physician order entry reduces medication errors … 3481 consecutive alerts generated at 5 adult primary care practices that use a common computerized physician … Physician reviewers judged that 36.5% of the alerts were inappropriate. … Computerized physician order entry systems should suppress alerts for renewals of medication combinations … In each case, the alert was triggered when a physician wrote a prescription for a drug that was in the
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digital.ahrq.gov/sites/default/files/docs/resource/David_Mehr_IQHIT_Q6_Aim_1_Analytics_Screen_Shots_April_2009.pdf
January 01, 2009 - Aim 1: Analytics Screen Shots
Image 1: Performance on Diabetic Quality Measures, Individual Physician … ................. 2
Image 2: Performance on Diabetic Quality Measures, Practice Team (Green Team, Physician … Image 3: No additional notes
Image 4: Patient names and physician names not shown to protect confidentiality … provide a listing of all patients
who either meet or do not meet a specific measure by primary care physician … Mehr)
Image 2: Performance on Diabetic Quality Measures, Practice Team (Green Team, Physician Names
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digital.ahrq.gov/sites/default/files/docs/survey/survey-physician-computer-technology.pdf
June 16, 2021 - Massachusetts Survey of Physicians and Computer Technology
Massachusetts Survey of Physicians and Computer … [MD_ID] *NOT FOR CITATION OR REPRODUCTION* Page 1 of 8
Massachusetts Survey of Physicians and Computer … : ___ ___ ___ Physicians: ___ ___ ___
Nurse practitioners or physician assistants: ___ __ … _ ___ Nurse practitioners or physician assistants: ___ ___ ___
7. … 1 2 3 4
b) $10,000 - $25,000 per physician 1 2 3 4
c) Greater than $25,000 per
physician 1 2 3 4
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ornstein-s-et-al-1995
January 01, 1995 - An extensive physician education series was also implemented. … Physician acceptance of the system was good--in 1992, 30% of physicians used the preventive services … reminders in most of their patient visits, and in 1993, 88% of physicians reported more frequent use. … Workflow-Related Findings
Patient exit surveys showed that physicians did not discuss preventative … A physician survey indicated that 30 percent of physicians used the preventative services reminders in
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/rosser-ww-et-al-1992
January 01, 1992 - Interventions: For the patients in the physician reminder group the physician was reminded at an office … Workflow-Related Findings
"Physicians required an estimated 15 seconds to discuss and record a patient's … Approximately 19.6 percent of patients whose physicians received reminders were vaccinated, compared … The physicians in these practices did not change their usual approach to tetanus vaccination. … Contamination occurred if the study physicians recommended tetanus vaccination to control patients more
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digital.ahrq.gov/sites/default/files/docs/publication/r03hs018220-fleming-final-report-2011.pdf
January 01, 2011 - • Non-physician staff per physician FTE
• Work RVU per physician FTE (productivity)
• … Physician variables
Mean (SE)
No. of Physicians – n 5.20 (0.12)
Time in HTPN – years 5.96 (0.06 … differed for the remaining “small group” practices (each with ≤
12 physicians). … Physicians And Ambulatory Electronic
Health Records. Health Aff (Millwood). … Physicians
and electronic health records: a statewide survey. Arch
Intern Med.