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digital.ahrq.gov/ahrq-funded-projects/optimizing-display-blood-pressure-data-support-clinical-decision-making
January 01, 2023 - Events
Research Story
A clinical decision support tool helps patients and physicians … data visualization specifically addressed human factors to create improved meaning for patients and physicians … Physicians and patients responded positively to the new designs, reporting enhanced and faster sense-making … Designing a medication timeline for patients and physicians. … “We are trying to improve blood pressure by getting home blood pressure data to the physicians in their
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tierney-wm-et-al-2005
January 01, 2005 - 2 factorial randomization of practice sessions and pharmacists resulted in four groups of patients: physician … Physician attitudes toward guidelines were mixed.
Conclusions. … intervention, pharmacist intervention, physician and pharmacist intervention, or control. … Thirty-two percent of the suggestions were adhered to in all groups except the physician and pharmacist … rigid to apply to individual patients, hampered physician autonomy, and were used to decrease health
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digital.ahrq.gov/ahrq-funded-projects/improving-otitis-media-care-electronic-health-record-ehr-based-clinical
January 01, 2023 - Physician adoption patterns and reasons for adoption were also studied. … Examine the overall effect of the health IT intervention and the independent contribution of physician … However, the rates of physician adoption of the tool varied markedly and overall were approximately 20 … The team is working to make changes based on feedback from physicians about the tool to improve adoption … Improving adherence to otitis media guidelines with clinical decision support and physician feedback.
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digital.ahrq.gov/sites/default/files/docs/page/ImpactHealthITPrimaryCareWorkflow.pdf
September 19, 2011 - Specific practice costs and non-physician staffing data, in
conjunction with physician staffing … Physician Full-time Equivalent
(FTE) (staffing) … Work RVU per Physician FTE (productivity).
Visits per Physician FTE (volume). … Physician:
Time at HTPN.
Number of physicians. … $1,650 per physician FTE per month.
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digital.ahrq.gov/health-it-tools-and-resources/implementation-toolsets-e-prescribing/toolset-e-prescribing/tool-73-timeline-iha-ehr-transition
January 01, 2023 - electronic workflows
Train superusers
2 Weeks before
Go-Live
Trainer
Train physicians … Go-Live
1st week
Trainer or Implementation Manager (IM)
Trige Nurses go live
Tasking Physician … Champion
Go-Live
2nd week
Trainer or Implementation Manager (IM)
Physician tasking … Physician Champion doing labs
MA's live with vital signs
Go-Live
3rd week
Trainer … or Implementation Manager (IM)
Physician-all labs
MA/nurse visits (Coumadin visits, BP checks)
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digital.ahrq.gov/ahrq-funded-projects/quantifying-electronic-medical-record-usability-improve-clinical-workflow/annual-summary/2012
January 01, 2012 - However, EMRs can also interfere with existing clinical workflow, impede physician-patient communication … Indicators assessed will include EMR usage, workflow, physician-patient communication, cognitive load … (Ongoing)
Measure and compare clinical workflow and physician-patient communication.
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digital.ahrq.gov/sites/default/files/docs/page/AHRQ%20NRC%20Time-Motion%20Study%20Tool%20Guide_0.pdf
June 01, 2005 - included in
TMS-AP were designed to evaluate the impact of electronic health records on ambulatory
physicians … Controlled trial of direct physician order entry:
effects on physicians' time utilization in ambulatory … The ActivityTable table contains information about specific activities that physicians may
engage in … New physicians can be added using this screen. … If multiple matching
physicians were found, you can flip through the options using the arrow buttons
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digital.ahrq.gov/ahrq-funded-projects/clinical-decision-support-mild-traumatic-brain-injury
January 01, 2023 - clinicians the tools to support patient-provider communication could result in fewer CTs ordered, higher physician … Department
Medical Condition
Neurologic Disease
Population
Adults
Physician … The impact of risk standardization on variation in CT Use and emergency physician profiling. … , Physician Assistant , Researcher
Tablet-based patient-centered decision support for minor … When physicians expressed empathy and had increased knowledge of when CT use was appropriate, patients
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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/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/sites/default/files/docs/publication/r03hs018795-balasubramanian-final-report-2012.pdf
January 01, 2012 - Many of these physicians worked part time. … We consider an example of a
4 physician practice (Physicians 39,8,19 and 34 in PCIM). … Physicians 39 and 19 have lower utilizations and lower overflows while Physicians 8
and 34 have higher … They hired new physicians and reassigned 500 patients per
physician to either new physician or physicians … Retiring physicians will need to
transition their patients to newly hired physicians.
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digital.ahrq.gov/sites/default/files/docs/page/PHTMA.pdf
December 01, 2004 - Observers fol-
lowed physicians during their entire clinic session and
directly timed specific physician … Physician survey
Once all post-observations had been completed, all
physicians in study clinics were … Physician survey
L. … Impact of computerized
physician order entry on physician time. … Controlled
trial of direct physician order entry: effects on physicians� time
utilization in ambulatory
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digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system
January 01, 2023 - and medical staff satisfaction, as well as changes in the productivity of primary care and inpatient physicians … Availability Survey for Prenatal Record Description: This is a questionnaire designed to be completed by physicians … Availability Survey for Triage Visits Description: This is a questionnaire designed to be completed by physicians … Triage Prenatal Patient Safety Survey Description: This is a questionnaire designed to be completed by physicians … Care System
Office CPO Survey Description: This is a questionnaire designed to be completed by physicians
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digital.ahrq.gov/sites/default/files/docs/page/5_Example%20Business%20Practices.xls
June 16, 2021 - Request the UPIN or NPI for the physician requesting the data. … When presented with information and evidence, as determined in a physician/nurse to physician/nurse discussion … Request the UPIN or NPI for the physician requesting the data. … Physician groups
BP5 State_BP5_Emergency - Verify specific emergency First, request patient consent … When presented with information and evidence, as determined in a physician/nurse to physician/nurse discussion
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digital.ahrq.gov/sites/default/files/docs/page/5_Example%20Business%20Practices_0.xls
June 16, 2021 - Request the UPIN or NPI for the physician requesting the data. … When presented with information and evidence, as determined in a physician/nurse to physician/nurse discussion … Request the UPIN or NPI for the physician requesting the data. … Physician groups
BP5 State_BP5_Emergency - Verify specific emergency First, request patient consent … When presented with information and evidence, as determined in a physician/nurse to physician/nurse discussion
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digital.ahrq.gov/ahrq-funded-projects/electronic-communications-across-provider-settings
January 01, 2023 - Home
Medical Condition
Chronic Conditions
Population
Administrator
Physician … Concord Hospital, Concord Regional Visiting Nurse Association, Riverbend Mental Health, and a number of physician
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017160-kmetik-final-report-2009.pdf
January 01, 2009 - Physician Consortium for Performance
Improvement® (PCPI) allow physicians to identify patients with … Evaluate the feasibility and accuracy of exception reporting among
physicians. … Unintended Penalization of Physicians. … Evaluate the feasibility and accuracy of exception reporting among
physicians. … Process
measures of physician performance focusing on other behavioral forms of physician care in
which
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digital.ahrq.gov/ahrq-funded-projects/functional-assessment-screening-patient-reported-information-fast-pri
January 01, 2023 - Medical Condition
Mental/Behavioral Health
Tobacco Use
Population
Adults
Physician … While physician involvement can help patients make positive changes in their health behaviors and improve … their HRQoL, provider time constraints and limited physician self-efficacy may limit patients’ behavior … FAST-PRI was evaluated with a randomized controlled trial clustered at the physician level. … Patient and physician participants completed questionnaires at baseline, 6 months, and 12 months regarding
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digital.ahrq.gov/sites/default/files/docs/page/2006Bates_051311comp.pdf
September 22, 2005 - Tufts
• Fallon
• MassHealth/Medicaid
•500,000 Uninsured
~80 Acute-Care Hospitals
~18,000 practicing physicians … ~6,000 office practices
~3,000 solo or 2-3 physician practices
Highly ranked for quality (HEDIS, CAHPS … choice
• Individual physician vendor fairs
• Each community developing different model of physician … Newburyport North Adams
Community
down-select
Physician
choice
• Most decentralized
approach
• … Individual physicians will
choose from down-
selected vendors
• Likely to choose single
vendor for
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/litzelman-dk-et-al-1993
January 01, 1993 - Results: Intervention physicians complied more frequently than control physicians with all reminders … Health IT Functions
The intervention was a "computerized reminder system containing more than 1400 physician-authorized … Review of information provided on completed prevention-care sheets showed that 96% of the time where the physician … intervention had no effect on Pap testing is consistent with studies that demonstrate more power to improve physician … Obtaining a Pap smear requires many minutes by the physician and consent and cooperation by the patient