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digital.ahrq.gov/principal-investigator/graumlich-james
January 01, 2023 - Technology to Transfer Discharge Information
Discharge planning scale: community physicians … Discharge planning scale: community physicians' perspective. … Name
Value of Technology to Transfer Discharge Information
Patient and physician … Patient and physician perceptions after software-assisted hospital discharge: cluster randomized trial … care for benefits outcomes, adverse events, effectiveness, costs, and satisfaction among patients and physicians
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015220-garber-final-report-2009.pdf
January 01, 2009 - Methods: Patient and physician focus groups provided feedback on HIEs. … Physician focus
groups also supported SAFEHealth, but revealed concerns about information overload and … Indeed, the average Medicare patient sees
approximately 7 different physicians each year. … or had a
Fallon Clinic referring physician. … Physicians and staff were surveyed in December 2009 regarding the impact of SAFEHealth.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/zheng-k-et-al-2005
January 01, 2005 - the CDSS identified by users of all types (in different ways) motivate a redesign based on current physician … tabs, labeled 'current reminders', 'visit details', 'lab test', 'diagnosis' and so on, did not provide physicians … "Some physicians also believed that [using the EMR] disrupted physician-patient communication. … "Observational descriptions reveal that use of the system during encounter did, in fact, impede physician-patient … "Typical [physician] comments such as 'Easy to use, time efficient' suggest that use of the system required
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digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-in-evaluation-report.pdf
July 01, 2015 - In addition to physicians, improving patient care through quality improvement (QI) and
measures of physician … through “physician liaisons”—nurses
trained in quality improvement. … Contents
Background 1
The Quality Gap 1
Physician Quality Improvement 3
Physicians’ Access to Practice-Level … In addition to physicians, improving patient care through quality improvement (QI) and measures of physician … through “physician liaisons”—nurses trained in quality improvement.
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digital.ahrq.gov/ahrq-funded-projects/personal-health-records-and-elder-medication-use-quality/annual-summary/2010
January 01, 2010 - consisted of a series of patient, caregiver, and provider focus groups aimed at identifying patient and physician … medication management practices, barriers to PHR use, and physician office workflow issues. … PHR comparing older adults using the PHR with those randomized to no PHR use across outcomes, patient-physician … The messages were evaluated by two physicians and two pharmacists and the study team implemented revisions … Preliminary Impact and Findings: Findings from the focus groups with family physicians suggested that
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/chan-ws-et-al-2008-do
January 01, 2008 - Setting: Three inner-city Family Practice offices involved in physician training in Belfast, Northern … Other Information
The study sites included, "[t]hree inner-city Family Practice offices involved in physician … Type of Health IT
Electronic health records (EHR)
Workflow-Related Findings
One physician … Three physicians "made consistent use of the computer throughout their consulations, either for reviewing … Six physicians would use the computer "at the end of the consultation with the patient still in the consulting
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015076-rosa-final-report-2007.pdf
January 01, 2007 - Scope: In October 2004, CCHS-East began to implement a comprehensive EMR system that
integrates Physician … Part of this effort also
included the establishment of physician champions. … The order set would then be reviewed and
approved by various physician committees. … to physician care hand-off. … Attitudes of Resident and Attending Physicians (on a 7-point scale)
Resident
Physicians
Attending
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digital.ahrq.gov/sites/default/files/docs/publication/Parisetal_HFES2008.pdf
January 01, 2008 - Each event was reviewed by a physician
and an industrial engineer for inclusion, and they determined … ,
physician
assistant
Assesses need
for therapy and
writes orders
Written order (chart), … known allergies)
& receives
medication
Verbal communication with
physician & nurse about … For example, the physician will
move the chart to the nursing station and turn the chart dial to … Clarification often involves contacting the ordering physician
and may involve gathering additional
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/zandieh-so-et-al-2008
January 01, 2008 - We found that paper-based leaders prioritized the following: sufficient workstations and printers, a physician … training and ongoing technical support, sufficient protection of patient privacy, and open recognition of physician … Workflow-Related Findings
"A respondent felt that resources were not efficiently allocated: 'Physicians … "One [physician] stated an EHR would 'enable physicians to provide more knowledgeable advice during off-site
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digital.ahrq.gov/sites/default/files/docs/publication/r36hs020165-hirsch-final-report-2012.pdf
January 01, 2012 - .6-
13 Even with the availability of uniform and discrete data fields within the same EHR system,
physicians … One clinician noted, “There are some
physicians who, they don't think to put elevated sugar or something … assistants, nurse practitioners, and physicians enter
the diagnoses codes. … “We wanted to put them (physicians) in control of the accuracy of the data.
10
And so they … To some degree, (physicians are using the problem list) more so than before the bundle.
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digital.ahrq.gov/principal-investigator/chrischilles-elizabeth
January 01, 2023 - HS023952
Principal Investigator(s)
Chrischilles, Elizabeth
Family physician … Family physician perceptions of personal health records.
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digital.ahrq.gov/ahrq-funded-projects/standardization-and-automatic-extraction-quality-measures-ambulatory-electronic
January 01, 2023 - The standardization efforts include both tools and processes for physician documentation, medication … The study was conducted in 15 primary care, certified rural health clinics, and specialty physician practices … method of quality measurement reporting utilized within the Centers for Medicare & Medicaid Services' Physician … Disclaimer details
Close
Comparing manual and automated coding of physicians … Comparing manual and automated coding of physicians quality reporting initiative measures in an ambulatory
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digital.ahrq.gov/sites/default/files/docs/page/CongressionalBudgetOffice.pdf
January 01, 2009 - Computerized physician order entry systems are electronic appli-
cations that physicians use to order … Those studies indicate that smaller groups of physicians
typically pay more per physician than do … Computerized physician order entry systems are electronic
applications that physicians use to order … from a
patient’s primary care physician and enable the primary
care physician in turn to view all … “Controlled Trial of
Direct Physician Order Entry: Effects on Physicians’
Time Utilization in Ambulatory
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digital.ahrq.gov/sites/default/files/docs/citation/workflowredesignrfi.pdf
July 01, 2010 - • American College of Physicians.
• Medical Group Management Association. … 1: 7,065 CLIA-certified independent #8 2 4 Physician 2: 5,300 laboratory
5
Number of physicians … the importance of physician organizations and physician leadership and engagement within our region … from the physician community
and their respective physician organizations needs to be central in making … Electronic health records in ambulatory care - a
national survey of physicians.
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digital.ahrq.gov/sites/default/files/docs/page/E-PrescribingPhysicianTool4.1.xlsx
June 16, 2021 - The chief sponsor for HIT is … The officer manager A physician champion A physician champion
2. … Physician leaders … Are not experienced with HIT Have some experience with HIT or have studied HIT … Physicians and other practice leaders … Have mixed or negative attitudes toward the adoption of the … champion or other leader who is respected by clinical and administrative staff A physician champion … Physicians and other practice leaders … -
Planning for the Implementation
There are no hard and
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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/experience
January 01, 2023 -
gives an example of an EMR success story at a clinic with nine physicians and six nurse practitioners … Specifically, will physicians incorporate decision-support technology into their clinical routines? … And will physicians follow clinical advice when provided? …
describes "computerization of the ambulatory record in a 45 physician clinic and associated workflow … Barbara Zind, physician at a 14-pediatrician practice, in implementing a new EHR system.
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digital.ahrq.gov/sites/default/files/docs/survey/cccn-online-publication-education.pdf
June 16, 2021 - Physician
Nurse/MA
Staff/Receptionist
Don’t print or use
6) Who updates the registry with … Physician
Nurse/MA
Staff/Receptionist
Biller
Other:
7) Is the CCCN worksheet filed … Physician: Off
6) Who updates the registry with current visit data? … Physician: Yes
Please explain why:
(Please explain why:
)::
3) What other forms do you currently
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digital.ahrq.gov/ahrq-funded-projects/value-technology-transfer-discharge-information/annual-summary/2009
January 01, 2009 - Study participants were internal medicine hospitalist physicians at a teaching hospital and patients … The discharge software used a computerized physician order entry system. … perspectives of the patient, the discharging hospitalist, the pharmacist, and the outpatient primary care physician … Patient and physician perceptions after software-assisted hospital discharge: cluster randomized trial … Discharge planning scale: community physicians’ perspective.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017234-wagner-final-report-2011.pdf
January 01, 2011 - Participating physicians were asked to complete the PES-physician version prior to
the main trial intervention … Physicians and staff (nurses) were approached completed the PES-
physician version and participated in … There were 24 primary care physicians (clusters). … College of Physicians A Policy Monograph.
8. … Four models of the
physician-patient relationship.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/delpierre-c-et-al-2004
January 01, 2004 - Use of a CBPRS was perceived favourably by physicians, with studies of satisfaction being mainly positive … "Thirteen studies analysed physician perception for CBPRS use. … Physician satisfaction with the system was reported in nine studies. … Perception of CBPRS was better for community-based physicians than for academic-based physicians. … CBPRS was perceived as a physical barrier that could have a negative impact on the patient-physician