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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/computerized-reminders-encourage
April 01, 1989 - The Center has six practices, each with a staff physician, a nurse, and between three and five family-medicine … smears were assigned to either a normal-care control group or one of three intervention groups Ð 1) physician … Can Fam Physician 1984; 30:2567). Costs: Cost of HIT systems was not reported. … The physician required an estimated 45 seconds to explain cervical screening to each woman. … The cost per screening gained for the physician reminder was $11.75 for $60 per hour salary rate or $5.88
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digital.ahrq.gov/ahrq-funded-projects/optimizing-display-blood-pressure-data-support-clinical-decision
April 30, 2021 - In addition, treatment planning frequently involves negotiation between patient and physician, which … The project team will determine the optimal display of blood pressure data for patients and their physicians … goal, the team will investigate how graphic displays of blood pressure are perceived by patients and physicians … design a shared display of blood pressure and medication data that will inform the work of patients and physicians … with hypertension
The hypothesis is that improved graphic display of blood pressure data will help physicians
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/impact-emerging-technologies
July 15, 2021 - Pharm Publication Date: Jul 15 Volume: 60 Issue: 14 Pages: 1447-58 HIT Description: Computerized physician … Summary: Intervention: Computerized physician order entry, automated dispensing machines, bar coding … Quality of Care and Patient Safety Outcome: The authors concluded based on 11 studies of computerized physician
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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/A%20National%20Web%20Conference%20on%20the%20Massachusetts%20eHealth%20Collaborative%20Handout.pdf
July 01, 2010 - Adams
Community
down-select
Physician
choice
• Most decentralized
approach
• Individual physicians … Adams
All
Almost 450 physicians… …who care for ~500K
patients…
…in almost 200 offices. … Specialty
physician
Hospitals
Ambulatory
center (e.g. … level, a total of 45 percent of
physicians in Massachusetts had EHRs. … Key to Success for MaEHC
Strong leadership from physician organizations and the physician
community
Clear
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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/automatic-notification-system-test-results-finalized-after-discharge/annual-summary/2012
January 01, 2012 - This project created an automated system to notify physicians of patients’ test results pending at discharge … facilitate communication and acknowledgement of test results by responsible inpatient and ambulatory physicians … The study team evaluated the system’s impact on physicians’ awareness of test results. … second phase, a cluster-randomized, 8-month controlled trial measured the impact of this system on physicians … Specific Aims:
Create an automatic notification system to prompt physicians of test results finalized
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/miller-rh-et-al-2004
January 01, 2004 - [Link]
Abstract
"The electronic medical record (EMR) is an enabling technology that allows physician … Based on a qualitative study of physician practices that had implemented an EMR, we found that quality … , financial savings accrued from less staff time spent finding, pulling, and filing charts and less physician … Study Design
Only postintervention (no control group)
Study Participants
Thirty physician organizations … took part in the study, and 90 interviews were conducted with EMR managers and physician champions in
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digital.ahrq.gov/sites/default/files/docs/biblio/AHRQ_Webcast011207.pdf
January 12, 2007 - January 12, 2007
Leapfrog Computerized Physician Leapfrog Computerized Physician
Order Entry (CPOE … 8 November 2006 © FCMeGe ti2ng0 F0in7a l
� Hospitals that fulfill this standard will:
– Require physicians … leadership and heavy involvement of
physicians and including involvement of P&T and
�
Patient Safety … and group responsibilities to set priorities
and guide the process
Create a small group (including physicians … monitoring, and
updates
Review each application of CDS periodically (reports on
when alerts fire and how physicians
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effect-immediate-access
July 01, 1982 - The effect of immediate access to a computerized medical record on physician test ordering: a controlled … Purpose of Study: Test the effect of immediately printed summaries of a computerized medical record on physician … Intervention: Physicians were presented with a printed summary of the patient's computerized record … diagnostic studies, and outpatient problem list, and inpatient and emergency room diagnoses, but no physician
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/malasanos-t-et-al-2005
January 01, 2005 - online education, could provide effective care for children with diabetes while making efficient use of physician … Instead of quarterly visits by physician teams, the family had to come to the University or wait for … the next physician visit.
-
digital.ahrq.gov/sites/default/files/docs/eRx_MMA_Pilot_Slides_A%20(3).pdf
April 01, 2008 - Scribing: (Physician-Patient)
The writing of an order for medication therapy based on physician and patient … Connectivity from Physician to
Pharmacy
Connectivity from Physician to
PBM/Payer
Connectivity from … formularies
21
formularies
� 36% of physicians said e-prescribing improved efficiency
� 33% physicians … champion
� New technology- more conducive to physician practice
� Enhance physician-patient interaction … and vendors representing tens of thousands
of physicians are establishing connectivity.
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/reducing-vancomycin-use
Purpose of Study: Determine whether a structured ordering intervention using computerized physician … 1996-1997 Study Design: RCT Outcomes: Impact on health care effectivness/quality Summary: Settings: Physicians … Healthcare Utilization: Compared with the control group, intervention physicians wrote 32 percent fewer … Quality of Care and Patient Safety Outcome: The duration of vancomycin therapy attributable to physicians … in the intervention group was 36 percent lower than the duration of therapy prescribed by control physicians
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digital.ahrq.gov/sites/default/files/docs/publication/u18hs016394-lapane-final-report-2006.pdf
January 01, 2006 - Among prescribers, 12% were nurse practitioners, 5%
residents, 8% physician assistants and 75% physicians … Typically, recorded interviews were with lead physicians in the practice. … is possible that included physicians may not be
representative of all physicians. … Patients within Physician Practices. … For the physician practice component of the study, 20.5% some eligible
physician practices did not participate
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/patient-safety/leapfrog-computerized-physician
January 12, 2007 - Leapfrog Computerized Physician Order Entry (CPOE) and Electronic Health Record (EHR) Evaluation Tools … Patient Safety, Computerized Provider Order Entry Category: Patient Safety Leapfrog Computerized Physician
-
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/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/sites/default/files/docs/citation/r21hs023631-payne-amia-poster-2017.pdf
January 01, 2017 - Notes were on average available sooner, and physicians’ satisfaction greater in
control, perhaps due … We randomly assigned physicians on medical services
tasks. of two UW teaching hospitals to … Physician satisfaction with note writing and 3. … For the subset of physicians
who used VGEENS on rounds (intended workflow—circled at
right), notes … Physicians preferred traditional note writing methods, in part because younger physicians are inexperienced
-
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/impact-health-information-technology-primary-care-workflow-and-financial/annual-summary/2011
January 01, 2011 - 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 … Work RVUs per-physician FTE did decrease after EHR implementation, representing a drop in productivity … Visits per-physician FTE followed a similar pattern, dropping 8 percent from pre-implementation levels … Physician expense increased to about $1,650 per-physician FTE per month, which is approximately the per-physician