-
digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-primary-care-workflow-and-financial/annual-summary/2010
January 01, 2010 - The HealthTexas Provider Network (HTPN), a large fee-for-service ambulatory care physician network affiliated … resources consumed and the non-financial time and effort costs of the HTPN implementation team and practice physicians … implementation tasks (e.g., planning, workflow reengineering, and training); and time spent by individual physicians … The Non-physician Staff per Physician Full time Equivalent is the last variable to be constructed with … For a five physician practice, implementation cost an estimated $162,000, with $85,500 in maintenance
-
digital.ahrq.gov/principal-investigator/agha-zia
January 25, 2018 - Agha, Zia
Keystrokes, mouse clicks, and gazing at the computer: how physician … Keystrokes, mouse clicks, and gazing at the computer: how physician interaction with the EHR affects … Physician activity during outpatient visits and subjective workload. … Physician activity during outpatient visits and subjective workload. … communication, cognitive load, and user satisfaction and found multiple factors that influence physicians
-
digital.ahrq.gov/sites/default/files/docs/page/2006Richards_051611comp.pdf
June 05, 2006 - Provider
Facilities
$691M
An Integrated Health Service Organization
•Multi-Specialty Group
•Over 640 Physicians … Rehabilitation
•Over 37,000 Admissions
•Over 200,000 Members
•Diversified Products
•8,000 Contracted Physicians … Referring Physician comments prior to September
2003:
“We send referrals, but don’t hear back.”
… Began by bringing Geisinger PCPs, referring physicians and
specialists together
What are our values … communication
Direct electronic communication/access for referring
physicians into our EHR
Physician
-
digital.ahrq.gov/sites/default/files/docs/page/4_GuidelinesforDescribingBusinessPractices_1.pdf
June 16, 2021 - The
facility would verify the identity of the
consulting physician and direct him to the
resident’ … The consulting physician
would conduct the consultation and since the
facility is not able to read … confirms identity of the visiting physician
upon arrival.”
2. … to verify that physician is who he/she claims to be. … Request the UPIN or NPI for the physician requesting
the data.”
-
digital.ahrq.gov/sites/default/files/docs/page/4_GuidelinesforDescribingBusinessPractices_0.pdf
June 16, 2021 - The
facility would verify the identity of the
consulting physician and direct him to the
resident’ … The consulting physician
would conduct the consultation and since the
facility is not able to read … State_BP5_Long-term care
facility verification of visiting
physician
1. … to verify that physician is who he/she claims to be. … Request the UPIN or NPI for the physician requesting
the data.”
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015316-blair-final-report-2008.pdf
January 01, 2008 - Fifty providers from a large physician organization made up of
independent practitioners, a regional … Initially, MVP and TIPA tried using a physician
payment withhold approach to incent quality. … physicians and physicians on-call. … and Pediatric physicians
practicing in the Hudson Valley. … During the initial phase, up to 500 physicians will be enrolled
in the project.
-
digital.ahrq.gov/sites/default/files/docs/page/percentage-of-orders-entered-using-cpoe-quick-reference-guide.pdf
February 01, 2009 - Other than
physicians, authorizing providers can include
registered nurses (RNs), advanced practice … nurse practitioners (NPs), and physician
assistants (PAs). … adoption of computerized physician order entry
systems. … Adding insight:
a qualitative cross site study of physician order
entry. … Factsheet: Computerized
Physician Order Entry.
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023631-payne-final-report-2018.pdf
January 01, 2018 - Physicians
have voiced strong concerns that writing notes in EHRs takes more time than using paper or … Physician satisfaction was assessed using a survey delivered by
email. … A weblink to the survey was sent via email in a
format familiar to UW physicians. … Most of the
notes (86%) were written by attending physicians. … Do Physician Progress Notes Help or Hinder?”
-
digital.ahrq.gov/sample-questions-answers
January 01, 2023 - I want to implement computerized physician order entry (CPOE) in my hospital. What is the cost? … We've been asked to implement a computerized physician order entry (CPOE) CPOE system as part of a patient … The first article provides the following summary data for a small (three-physician) practice:
Improved … clinic:
Settings : Hypothetical small independent family physician clinic. … Evaluation Method : Present an Excel-based spreadsheet tool designed to help family physicians compare
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/overhage-jm-et-al-2001
January 01, 2001 - Overhage JM et al. 2001 "Controlled trial of direct physician order entry: effects on physicians' time … Controlled trial of direct physician order entry: effects on physicians' time utilization in ambulatory … [Link]
Abstract
"Objective: Direct physician order entry (POE) offers many potential benefits, … than physicians using paper-based methods. … any more time writing orders than physicians using paper-based methods."
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015226-gandhi-final-report-2008.pdf
January 01, 2008 - Cluster randomization will be at the physician level, with half the physicians within a practice
randomized … Physician Satisfaction: Pre-post Survey. … Physician Satisfaction: Longitudinal Survey. … All 25 physicians completed the survey for a response rate of
100%. … Physician Satisfaction: Longitudinal Survey.
-
digital.ahrq.gov/principal-investigator/manojlovich-milisa
January 01, 2023 - Information Technology on Healthcare Provider Communication
Factors influencing physician … Factors influencing physician responsiveness to nurse-initiated communication: a qualitative study. … A novel survey to examine the relationship between health IT adoption and nurse-physician … A novel survey to examine the relationship between health IT adoption and nurse-physician communication … research studied how communication technologies facilitate or hinder communication between nurses and physicians
-
digital.ahrq.gov/ahrq-funded-projects/cognitive-engineering-complex-decisionmaking-problem-solving-acute-care
January 01, 2023 - , Physician Assistant
Are you paying attention? … Communication in the electronic age: an analysis of face-to-face physician-nurse communication … Communication in the electronic age: an analysis of face-to-face physician-nurse communication in the … With multiple physicians, advance practice providers, nurses, and other staff attempting to coordinate … Patient-Centered Display interface, used to incorporate information needs and communication strategies across physicians
-
digital.ahrq.gov/ahrq-funded-projects/automatic-notification-system-test-results-finalized-after-discharge/annual-summary/2010
January 01, 2010 - Target Population: General
Summary: This project will create an automatic system that notifies physicians … The impact of this system on physician awareness of test results will be evaluated. … Participating physicians’ patients who were discharged from these services and had tests pending during … Specific Aims:
Create an automatic notification system to prompt physicians of test results finalized … The service was activated for physicians after it was ascertained to be functioning according to specifications
-
digital.ahrq.gov/ahrq-funded-projects/automatic-notification-system-test-results-finalized-after-discharge/annual-summary/2011
January 01, 2011 - Staff randomized both the responsible inpatient provider (attending physician at time of hospital discharge … ) and the responsible outpatient provider (the patient's primary care physician [PCP]) prior to the intervention … patients with TPADs discharged from these services if both their inpatient attending and primary care physician … Physician awareness is measured by a survey sent to responsible providers 72 hours after the last finalized … (Achieved)
Evaluate the impact of this system on physician awareness of test results finalized after
-
digital.ahrq.gov/sites/default/files/docs/publication/r21hs018229-dalal-final-report-2012.pdf
January 01, 2012 - Scope: Physician awareness of the results of TPADs is generally poor. … Physicians could opt out at anytime by responding to study staff. … physicians),
10 due to physician being involved in study design (2 unique physicians), none due to … properly
7 survey generated/sent incorrectly
33 patients excluded:
6 physician opted out
10 physician … “It is best to send these pathology results not just to the ordering physician but also the GI physician
-
digital.ahrq.gov/sites/default/files/docs/publication/r01hs015084-graumlich-final-report-2007.pdf
January 01, 2007 - there was no perceived barrier in physician-to-physician
communication and the patient was excluded. … Not reaching follow-up
physicians. Can Fam Physician 2002 Apr;48:737-42.
9. … Computer physician order
entry: benefits, costs, and issues. … Which
do family physicians prefer? … Discharge
planning scale: community physicians’ perspective.
-
digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-safety-and-quality-healthcare-information-technology/annual-summary/2008
January 01, 2008 - quality of documentation—related to each intervention and surveys assessed the impact of the CDS on physician … medication recommendations (smart forms) on rates of guideline-adherent medication prescribing and physician … Further improvements in quality and safety are possible through increased physician use of CDS, but this … will require physician willingness to change their workflow, as well as improvements to EHR software … Patient-physician connectedness and quality of primary care. Ann Intern Med 2009;150(5):325-35.
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/wolfstadt-ji-et-al-2008
January 01, 2008 - Wolfstadt JI et al. 2008 "The effect of computerized physician order entry with clinical decision support … The effect of computerized physician order entry with clinical decision support on the rates of adverse … [Link]
Abstract
"CONTEXT: Computerized physician order entry (CPOE) with clinical decision support … successful system often requires input from all of the staff members who will use the system (e.g., nurses, physicians
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs021290-agha-final-report-2017.pdf
January 01, 2017 - Physician Interviews /
Stimulated Recall
Semi-structured interviews with physicians, addressed perceptions … Aim 2 Physician Nonverbal
Behavior
Physicians’ nonverbal behaviors were coded based on room video … review to a set of discrete behaviors (eg, physicians' eye gaze). … Activity Measure Subjective Workload
(TLX subscale)
Sample Size
(physicians)
Physician-aggregated … That is consistent with the characterization
of physicians as expert users.