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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.
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digital.ahrq.gov/sites/default/files/docs/page/Fleming_SS_508_20111021_d.pdf
October 21, 2011 - This study found that an average primary care practice with five physicians required
an estimated 611 … EHR end users, those that will ultimately use the EHRs including
physicians, clinical, and non-clinical … practice or $46,659 per physician (approximately $2,900/physician/month over the 16 months). … Physician expense
increased to about $1,650 per-physician FTE per month, which is approximately the per-physician … “While most physicians around
the country may not have the
existing technical infrastructur
to provide
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digital.ahrq.gov/sites/default/files/docs/implementation/Blair.ppt
June 09, 2005 - June 9, 2005
Taconic IPA
Founded 1989
Mid-Hudson Valley region, New York State
8 counties
2,300 physicians … / 500 practices
1 to 70+ physician practice size range
4 physicians – average practice size
Over … 1 million covered lives
June 9, 2005
Taconic IPA
NOT a staff model
Physicians NOT employed by … June 9, 2005
Strategy: Data
Physician leadership
Hospital participation
Physician office staff … TRANSLATOR
E-Results
E Rx
MedAllies Portal
EMR 1
EMR 2
MASTER PATIENT INDEX
PAYORS
PAY-4-PERFORMANCE
PMS
PHYSICIANS
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/medical-groups-adoption
August 16, 2021 - , non-physician providers, and staff, concern about provider ability to use the EHR system. … Cost of HIT systems: Average initial costs were $33,000 per physician Long-term Cost: Average maintenance … costs were $1,500 per physician per year. … at 8% interest would translate to a 10% reduction in take-home pay each year for most primary care physicians … using EHRs and 19% of practices more than ten physicians.
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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/sites/default/files/docs/page/McColmSuccessStory2009_0.pdf
December 01, 2009 - revisions to the EHR, targeted physician feedback, and training ~ Denni McColm, Principal
can be used … providers
• LSS Data Systems, Inc. is (nurse practitioners and physician assistants) who measure … All 15
physician practices were already using the ambulatory MEDITECH EHR, which was linked to a … Thus far, physicians at CMH-affiliated
Physician Quality Reporting Initiative (PRQ) Measures practices … This report could be used to provide feedback on physician performance and thus increase
compliance
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digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-solutions-accurate-reporting-data-interprofessional
January 01, 2023 - Record
Care Setting
Intensive Care Unit
Population
Nurse
Pharmacist
Physician … Physicians, nurses, and pharmacists participated in the simulated ICU rounds. … Method: Quantitative Technology: Electronic Health Record/Electronic Medical Record Population: Physician … Data omission by physician trainees on ICU rounds. … Data omission by physician trainees on ICU rounds.
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digital.ahrq.gov/ahrq-funded-projects/care-transitions-and-teamwork-pediatric-trauma-implications-health-information
January 01, 2023 - Usability Assessment Technology: Dashboard , Data Visualization Population: Children , Nurse , Physician … Document Type: Journal Publication Research Method: Mixed Methods , Survey Population: Nurse , Physician … Physician perceptions of the electronic problem list in pediatric trauma care. … Physician perceptions of the electronic problem list in pediatric trauma care. … Professional care roles include physicians (emergency medicine, anesthesiology, general surgery), nurses
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/role-computerized-physician
March 09, 2005 - Role of computerized physician order entry systems in facilitating medication errors
Authors … Publication Date: 2005 Mar 9 Volume: 293 Issue: 10 Pages: 1197-203 HIT Description: Computerized physician … Purpose of Study: To identify and quantify the role of computerized physician order entry in facilitating
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effect-computerized-physician-0
September 01, 2003 - The effect of computerized physician order entry on medication errors and adverse drug events in pediatric … Publication Date: 2003 Sep Volume: 112 Issue: 3 Pt 1 Pages: 506-9 HIT Description: Computerized physician … Purpose of Study: Evaluate the impact of a computerized physician order entry (CPOE) system on medication
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digital.ahrq.gov/ahrq-funded-projects/open-act-tracking-health-care-team-response-ehr-asynchronous-alerts
January 01, 2023 - Using EHR logs, the team tracked alert opening, physician behavior following opening, and responsive … older population, time-sensitive alerts were not being opened in a timely manner, possibly because physicians … Use of electronic health record access and audit logs to identify physician actions following noninterruptive … Use of electronic health record access and audit logs to identify physician actions following noninterruptive … Clinical Decision Support System , Electronic Health Record/Electronic Medical Record Population: Physician
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/east-clevelands-huron
August 31, 2007 - In this way, physicians can easily adjust medications or request tests, regardless of whether they are … AHRQ funding is also contributing to efforts to link physicians off-site so that they can manage patients … For example, in a traditional hospital setting, physicians typically go to a nurse's station to write … so that the physician can change the order. … Indeed, Huron Hospital physicians are heeding their system alerts.
-
digital.ahrq.gov/ahrq-funded-projects/enabling-shared-decision-making-reduce-harm-drug-interactions-end-end
January 01, 2023 - Medical Condition
Gastrointestinal Disease
Population
Adults
Patient
Physician … This research moved beyond physician-centric decision making to patient-centered SDM by creating a dashboard … Applying user-centered design principles, the tool was designed, tested, and evaluated using physician-patient … DDInteract was positively received by both patients and physicians, with patients favoring pain treatments … Trial (RCT) , Survey Technology: Clinical Decision Support System Population: Adults , Patient , Physician
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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/health-it-tools-and-resources/health-it-costs-and-benefits-database/physician-characteristics
July 01, 2006 - Physician characteristics, attitudes, and use of computerized order entry
Authors: Lindenauer … Med Publication Date: 2006 Jul Volume: 1 Issue: 4 Pages: 221-30 HIT Description: Computerized Physician … Purpose of Study: assess the adoption of CPOE and the predictors of use of CPOE by attending physicians … community hospital (where use of CPOE is voluntary) in Massachusetts Intervention: survey of attending physicians … and various demographic characteristics Evaluation Method: survey responses, electronic report of physician-specific
-
digital.ahrq.gov/sites/default/files/docs/page/2006Gurwitz_051711comp.pdf
January 01, 2005 - Effect of Computerized Physician Order Entry with Clinical Decision Support on Adverse Drug Events in … the Long-term Care Setting
Effect of Computerized Physician Order
Entry with Clinical Decision Support … Purpose
The purpose of this study was to evaluate
the efficacy of computerized physician order
entry … performed by trained
clinical pharmacist investigators
• Incidents were classified independently by two
physician … Computer on Wheels -“COW”
Document title: Effect of Computerized Physician Order Entry with Clinical
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digital.ahrq.gov/sites/default/files/docs/implementation/Kraus.ppt
December 16, 2004 - Workflow
Mechanisms
Physician Advisors
Physician Advisory Committees
Clinical Informatics Council … Advisory Group
Cecile Muehrcke, MD�
SouthPointe Physician Advisor Group
Craig Eyman, DO�
Huron Physician … Advisory Group
Beejadi Mukunda, MD�
Hillcrest Physician Advisory Group
Cindy Gustaferro, MD�
Regional … SouthPointe Physician
Advisor Group
Craig Eyman, DO
Huron Physician
Advisory Group
Beejadi Mukunda, MD … November 19, 2003
Euclid Physician
Advisory Group
Cecile Muehrcke, MD
Hillcrest Physician
Advisory Group
-
digital.ahrq.gov/sites/default/files/docs/biblio/Kraus.ppt
December 16, 2004 - Workflow
Mechanisms
Physician Advisors
Physician Advisory Committees
Clinical Informatics Council … Advisory Group
Cecile Muehrcke, MD�
SouthPointe Physician Advisor Group
Craig Eyman, DO�
Huron Physician … Advisory Group
Beejadi Mukunda, MD�
Hillcrest Physician Advisory Group
Cindy Gustaferro, MD�
Regional … SouthPointe Physician
Advisor Group
Craig Eyman, DO
Huron Physician
Advisory Group
Beejadi Mukunda, MD … November 19, 2003
Euclid Physician
Advisory Group
Cecile Muehrcke, MD
Hillcrest Physician
Advisory Group
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/physician-inpatient-order
January 20, 1993 - Physician inpatient order writing on microcomputer workstations. … 3 Pages: 379-83 HIT Description: Electronic Health Record (EHR) used for inpatient computerized physician … Purpose of Study: Measure the effects on resource utilization when physician enter inpatient orders … Changes in efficiency and productivity: Intern physicians in the intervention group spent an average
-
digital.ahrq.gov/sites/default/files/docs/AHRQ%20Webcast%20011207%20(1).pdf
January 12, 2007 - Leapfrog Computerized Physician Order Entry (CPOE) and Electronic Health Record (EHR) Evaluation Tools … Inpatient s Inpatient
CPOE StandardCPOE Standard
� Hospitals that fulfill this standard will:
– Require physicians … leadership and heavy involvement of
physicians and including involvement of P&T and
Patient Safety … group responsibilities to set priorities
and guide the process
� Create a small group (including physicians … , and
updates
� Review each application of CDS periodically (reports on
when alerts fire and how physicians