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digital.ahrq.gov/sites/default/files/docs/page/closing-the-feedback-loop-to-improve-diagnostic-quality.pdf
June 03, 2010 - Anantachai Panjamapirom, MBA
Gordon Schiff, MD
James Willig, MD
2
Value to the Customer
Value: Physicians … Responses to the case study are typical of healthcare
today
We view diagnosis as a process
Physician … of problem
Assessment of medication adherence
Patient satisfaction
Resource utilization
Physician … Automated calling using Interactive Voice
Response (IVR) 1 week after visit, automated
feedback to physician … 21
Additional Project Team Members
Mark Cohen, MD
Thomas English, PhD
Marc Krawitz, MBA/Physician
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digital.ahrq.gov/ahrq-funded-projects/perception-and-use-patient-care-window-improve-care-and-family-engagement
January 01, 2023 - Determine the specific needs of PICU physicians and nurses that could inform redesign of the LCIM to … Researchers collected data using semi-structured interviews with PICU physicians and nurse practitioners … These findings can be used to improve understanding of patients, caregiver, and physician information … Adolescents and Young Adults , Caregiver , Children , Infants , Nurse , Nurse Practitioner , Physician … Technology: Electronic Health Record/Electronic Medical Record Population: Nurse Practitioner , Physician
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digital.ahrq.gov/sites/default/files/docs/page/2006Nace_051811comp.pdf
January 01, 2001 - Illinois College of Medicine
Peoria, Illinois
The new discharge medication regimen
What follow-up physicians … arrive, on average, 2-4 weeks after hospital discharge
66-92% of patients visit their outpatient physicians … Deficits in information transfer from inpatient to outpatient physicians at hospital discharge: a
systematic … Not reaching follow-up physicians, Can Fam Physician.
48 (2002) 737-742. 5
Information is not received … Referring physicians like the new process.
Output is helpful to have with early re-admissions.
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digital.ahrq.gov/ahrq-funded-projects/real-time-assessment-dialogue-motivational-interviewing-training-readmi
January 01, 2024 - Intelligence
Natural Language Processing System
Population
Clinical Staff/Clinician
Physician … However, MI can be challenging for providers to use due to inadequate training and the tendency for physicians … Artificial Intelligence , Natural Language Processing System Population: Clinical Staff/Clinician , Physician … Method: Interview , Qualitative Technology: Artificial Intelligence , Machine Learning Population: Physician … Technology: Artificial Intelligence , Natural Language Processing System , Voice Recognition Population: Physician
-
digital.ahrq.gov/sites/default/files/docs/citation/r01hs022305-manojlovich-final-report-2019.pdf
January 01, 2019 - heavily weighted towards the nurse perspective and thus not helpful in understanding the physician … , possibly interrupting the physician in some other task. … Factors influencing physician
responsiveness to nurse-initiated communication.
3. … “Choosing mediums, manipulating messages:
relationships and physician-nurse communication practices … EHR no substitute for nurse-physician communication.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/brownbridge
January 01, 2023 - Patients often saw this delay as an invitation to continue talking, which required the physician to divide … Use of the computer during the consultation "formalized" the interaction because the physician aimed … For one physician, the length of the consultation was significantly longer when using the computer. … For the other two physicians, the consultation length did not significantly change. … The physician who used the computer during the consultation would spend a lot of time facing the terminal
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs020640-gilbert-final-report-2016.pdf
January 01, 2016 - Eligible physician subjects for this study included all physicians, including residents, practicing in … Physician Surveys All CHICA--‐using physicians practicing in the targeted clinic sites were eligible … • Physician Satisfaction: Physicians’ overall satisfaction with the medical--‐legal module is … Findings Related to Physician Satisfaction: Our sample includes 45 physicians (including
residents) … Physicians prescribed over the counter medications 29,863 times.
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digital.ahrq.gov/sites/default/files/docs/survey/document-workflow-assessment-guide-hospital.pdf
January 26, 2009 - Lab results
Describe the process for accepting a physician order for a lab test:
Step … complete
Lab complete to result delivered
What type of complaints have you received from physician … Radiology results
Describe the process for accepting a physician order for a radiology procedure: … time
Radiology procedure to result delivered
What type of complaints have you received from physician … delivered
Date of discharge to report delivered
What type of complaints have you received from physician
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digital.ahrq.gov/sites/default/files/docs/activity/improving_otitis_media_care_with_ehr_based_clinical_decision_support_and_feedback_2010_pdf__2.pdf
January 01, 2010 - Pediatric*
Summary: Several problems in the treatment of otitis media (OM) in children arise from physicians … , and 4) physician training on use of tools. … Feedback reports to physicians serve
a dual purpose of performance feedback and encouraging physician … during pediatric clinical encounters and the physician interactions with the patient. … Physicians expect
scientific evidence, so data returned in feedback must be solid and defensible if
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/telemedicine-project-connects
September 29, 2008 - project in Rochester, N.Y., is using telemedicine to connect child care centers and elementary schools to physician … offices, allowing a child to be diagnosed remotely by his or her primary care physician. … "This is about access to your primary care physician," McConnochie says. … If a prescription is appropriate, the physician can instantly fax it in to the pharmacy for delivery … To date, more than 5,000 visits between the child sites and physician offices have been conducted using
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digital.ahrq.gov/ahrq-funded-projects/human-factors-considerations-design-and-implementation-telemedicine-integrated
January 01, 2023 - Ambulance
Medical Condition
Stroke
Population
Nurse
Paramedic
Physician … Analysis , Usability Assessment Technology: Telehealth/Telemedicine Population: Nurse , Paramedic , Physician … , Feasibility/Pilot Study Technology: Telehealth/Telemedicine Population: Nurse , Paramedic , Physician … Research Method: Mixed Methods Technology: Telehealth/Telemedicine Population: Nurse , Paramedic , Physician … Research Method: Mixed Methods Technology: Telehealth/Telemedicine Population: Nurse , Paramedic , Physician
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digital.ahrq.gov/ahrq-funded-projects/phenotype-modeling-and-outcome-mapping-pain-management-decision-support
January 01, 2023 - Condition
Chronic Conditions
Chronic Pain
Population
Clinical Staff/Clinician
Physician … Discordant patient pain level reporting between questionnaires and physician encounters of the same day … Discordant patient pain level reporting between questionnaires and physician encounters of the same day … Decision Support System , Natural Language Processing System Population: Clinical Staff/Clinician , Physician
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digital.ahrq.gov/sites/default/files/docs/HIT_and_Quality_062310_comp.pdf
June 23, 2010 - Clinic/Ambulatory
Quality Measurement
• Physician Group Practice Demonstration (PGP)
• Physician … Voluntary Reporting Program (PVRP)
• Physician Quality Reporting Initiative (PQRI)
6 … PQRI
Physician Quality Reporting Initiative
• First period, July … • Actionable at the point of care - physicians
• Unambiguous specifications - vendors
• 4. … Cardiology/Primary Care
Northwestern Medical Faculty Foundation Chicago, IL Epic
(Phase I only)
Physicians
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016128-deluca-final-report-2009.pdf
January 01, 2009 - Of this number, SBLHC
employs 71 providers, including physicians, physician assistants, and nurse practitioners … Offices of the independent physicians of Urology Associates provided a setting for
implementing and … Physicians and mid-level
providers are not as accepting of the software as we had expected. … In discussions with the physicians and mid-level
providers, they acknowledge that the implementation … Core teams spend an hour with pilot physicians reviewing and training on functionality.
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digital.ahrq.gov/ahrq-funded-projects/hit-strategic-plan-sw-minnesota-health-providers
January 01, 2023 - Outpatient
Medical Condition
Chronic Conditions
Population
Administrator
Physician … hospitals (almost all critical access hospitals), primary and satellite clinics, specialty clinics, physicians … The primary lessons learned include the need for physician involvement and extensive planning for success
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digital.ahrq.gov/ahrq-funded-projects/personal-health-records-and-elder-medication-use-quality
January 01, 2023 - Research Method: Focus Group Technology: Personal Health Record Population: Elderly
Family physician … Family physician perceptions of personal health records. Perspect Health Inf Manag 2010 Jan 1;7:1d. … Medication Management Activities Description: This is a focus group guide designed to be conducted with physicians … Link:
Physician Focus Group Guide Personal Health Record (PHR) and Medication Management Activities … Document Type: Focus Group Guide Research Method: Attitude Assessment Population: Physician Care
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/chapman-l-2009-ehr
January 01, 2009 - Geography
Urban and suburban
Other Information
The study included three primary care physicians … In addition, the referring physician has immediate access to an image when the technician completes the … When a physician orders a lab test, the request is sent electronically. … Upon completion of the test by the laboratory, the Provider Approval Queue (PAQ) allows physicians to … "As a result of [the Advanced Access Program] and other workflow improvements, physicians have been able
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/patient-safety/high-rates-adverse-drug-events
July 19, 2021 - adoption of multiple computerized medication ordering and administration systems, including computerized physician … Events in a Highly Computerized Hospital Keyword: Adverse Drug Event, ADE, Adverse Events, Computerized Physician
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digital.ahrq.gov/principal-investigator/mullen-rnee
January 01, 2023 - Keeping it real--building an ROI model for an ambulatory EMR initiative that the physician … Keeping it real--building an ROI model for an ambulatory EMR initiative that the physician practices
-
digital.ahrq.gov/sites/default/files/docs/page/Leapfrog-CPOE_Costs_Benefits_Challenges.pdf
March 01, 2003 - Since CPOE often involves an
increase in physician time spent on order entry, physician acceptance can … Changing physician practice. … As such, it directly impacts not only physician
ordering but also physician decision making (through … Use
of a near-full-time physician advocate and heavy use of educators to work with
the community physicians … The network serves 1100 physicians, 170 of
these belong to the Lehigh Valley Physician Group, and the