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digital.ahrq.gov/ahrq-funded-projects/optimizing-medication-history-value-clinical-encounters-elderly-patients/annual-summary/2010
January 01, 2010 - The triggers have been implemented, and all physicians participating in the study have had the triggers … In order to code the physician-patient interaction, physicians are audio taping a small number of clinical … The team identified a few areas for improvement for the physician training modules, and updated the Web … Each CD contains one module, and the plan is for each physician to receive one module every 10 days for … Preliminary Impact and Findings: To date, physicians are more likely to use the CDs than the Web-based
-
digital.ahrq.gov/sites/default/files/docs/page/Davidson.ppt
October 01, 2006 - Adapter
Adapter
Adapter
Adapter
Hospital Information
System
Electronic
Medical Record (EMR) System
Physician … UMPI); unique
UMPI identifier created;
patient's consent stored
centrally with TCH identifier
e) ED Physician … Family Health Center for blood test and change in medication about 3 days ago
START
SCENARIO
i) ED Physician … a complete
audit log: who accessed the
system, when, what
information was shared, and its
source
ED Physician … uniquely
identified / authenticated
on the COHIE system
h) ED Physician securely
reviews clinical data
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/buchanan-bg-et-al-1995
January 01, 1995 - ' time, and thus the quality of health care, by improving the information exchange between physicians … such as medical history, allergies and past medications] ... and summarizes this information for the physician … It produces a printed summary of the patient's history, which is presented to the physician before the … After the patient has seen the physician "the patient can interact with the explanation module to receive … Workflow-Related Findings
One patient "received enough information from the system and the physician
-
digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015258-aders-final-report-2007.pdf
January 01, 2007 - supporting 10 hospital-owned physician practices, among others. … At baseline, face-to-face interviews were conducted with
participating MHMC physicians, nurses, and … A total of 37 staff members completed the satisfaction survey, 16 of whom were physicians. … A total of 32 participants responded to the survey, including 6 physicians. … Physicians find this data helpful as a reference in determining the course of care.
-
digital.ahrq.gov/ahrq-funded-projects/improving-otitis-media-care-electronic-health-record-ehr-based-clinical/annual-summary/2011
January 01, 2011 - problems in the treatment of otitis media (OM)-infection of the middle ear- in children arise from physicians … of Philadelphia's (CHOP's) electronic health record (EHR) to integrate care over time and to supply physicians … based on the best available scientific evidence; 3) feedback on past performance of OM care provided by physicians … ; and 4) physician training on use of tools. … There was marked variation in physician adoption of CDS.
-
digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhatIsWorkflow.ppt
January 01, 2009 - Work flows in different ways
Inter-organizational workflow:
Workflow between a primary care physician … and a community pharmacy, or
between an emergency department physician and a primary care physician … Clinic-level workflow:
Flow of a physician, nurse or patient through physical space, and
the flow … different outcomes: Comparing the transitions from two paper-based systems to the same computerized physician
-
digital.ahrq.gov/sites/default/files/docs/survey/health-information-technology-value-project-chief-executive-officer-interview-guide.pdf
October 03, 2014 - Has this system improved physician, patient and staff satisfaction?
9. … Is the system connected to physician offices? … Are you doing or planning on doing
any sharing of patient data between the physician practices and … P4P
support, interoperability with physicians, CPOE – if not used today, e-prescribing,
quality and
-
digital.ahrq.gov/sites/default/files/docs/implementation/Kall%205-II.ppt
June 05, 2006 - Attending physicians are not required to utilize the system for CPOE, but all physicians are required … We provide physicians with a secure remote access option, so that they can utilize the system from their … Attending physicians are less likely to use the computer themselves for order entry. … Attending physicians have found it necessary to learn and use the computer so that they are not behind … Does post op
physician participate in
EMR?
-
digital.ahrq.gov/sites/default/files/docs/activity/using_an_electronic_personal_health_record_to_empower_patient_with_hypertension_2010_pdf__2.pdf
January 01, 2010 - The team will also evaluate, via surveys and in-depth interviews, physician and staff
perceptions of … the revised ePHR (My HealthLink) with patients who are
being treated for hypertension by a team of physicians … The first type is patient-physician communication recordings in which the actual medical visit
is recorded … Post-trial interviews with participating physicians and staff are complete. … A total of eight physicians
completed the post-study structured interview and physician perspective
-
digital.ahrq.gov/sites/default/files/docs/activity/r18hs018932-hess-annual-summary-2012.pdf
January 01, 2012 - Physicians will be surveyed
on self-efficacy at baseline, 12, and 24 months. … Analysis of results will compare the physicians enrolled in the intervention and control arms with respect … to training status (resident versus attending physician) and gender to assess imbalances that need … Physician education
and resource handouts were completed. … In preparation for the trial, physicians were randomized to
intervention and control arms and stratified
-
digital.ahrq.gov/ahrq-funded-projects/using-information-technology-patient-centered-communication-and-decisionmaking/annual-summary/2011
January 01, 2011 - The system encouraged physicians to engage in shared decisionmaking by including prompts to elicit questions … The physician clarified any issues with the patient and updated the patient's medication list in the … The clinic was organized into four areas (pods) with separate nursing staff and physicians and the clustered … Key informant interviews alluded to physician barriers not addressed by the intervention; for example … These are tangible products that have been widely accepted by physicians as assisting in improving and
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digital.ahrq.gov/sites/default/files/docs/page/Rodriguez.ppt
June 09, 2005 - living in 97,818 sq. miles
More than 90% of land is considered “frontier”
48th among the 50 states in physicians … external parties view the State of Wyoming as a “deep pocket”
Page *
Systemic Barriers
Majority of physician … practices are small (1-2 providers) and single specialty
Majority of hospitals under 100 beds
Relative physician … training and education gap
Page
Page *
Technological Considerations
Low penetration of HIT in physician
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ash-js-et-al-2007
January 01, 2007 - Physicians complain of being busier. … A nurse noticed that physicians were working through their lunch hour. … Staff were alerted about a new order by the hum of the printer, not direct communication with the physician … Physicians communicate with patients while viewing information on the screen. … Another patient helped the physician with the content of a letter the physician was drafting for her
-
digital.ahrq.gov/sites/default/files/docs/activity/trial_of_decision_support_to_improve_diabetes_outcomes_2009_update_2.pdf
January 01, 2009 - Much of this care depends on physician decisionmaking in clinical
settings, while a growing body of … Association (ADA) score,
further divided into sub-scores related to patient-centered standards (ADA-5) and physician … , subject to limitations of the
data set)
Examine adoption of the CDS interventions, including physician … improvements in the ADA-8 score, and significant 25
percent relative improvements in the three-item physician-centered … Thus, CDS substantially improved physician-centered, but not patient-centered,
quality measures, and
-
digital.ahrq.gov/sites/default/files/docs/resource/David_Mehr_IQHIT_Q6_Diabetes_Summary_Screen_Physician_Performance_Indicators.pdf
October 05, 2009 - Summary Screen – With and Without Performance Measures
The summary screen now displays individual physician … proven to slow the system down to the point that there
is concern that it load time will prohibit physicians … Therefor, in
the near future the physician performance bars will be removed.
1) With Performance
-
digital.ahrq.gov/sites/default/files/docs/medicaid/vendor-questions-during-selection-phase.pdf
April 01, 2005 - Fax: 601-956-1713
Wats: 1-800-844-0500Vendor Basics
Page 1 of 10
Questions Response
Explain how physicians … EHR/EMR Time Click-O-Meter Comments
Demonstrate how fast an entire visit could be entered by the physician … Demonstrate various methods that the physician can use to interact
with the patient’s chart. … Explain how
appropriate E & M codes are generated and how the product helps the
physician code correctly … Demonstrate how a physician would view records from their home and
the hospital.
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs018161-atlas-final-report-2013.pdf
January 01, 2013 - Context
Prior research done by our group has demonstrated that a HIT system utilized by physicians … Physicians, for their own patients, or population managers, for patients not linked to a physician, … There were 92 physicians in the 9 intervention arm practices and 77 physicians in the 9 control
arm … All intervention population managers (9 of 9,
100%) and 79 of 92 intervention physicians (85.9%) used … sites 9 9
Community health center 3 3
Number of physicians (median per practice) 92 (9) 77 (9)
-
digital.ahrq.gov/sites/default/files/docs/activity/health_information_technology_in_2009_update_2.pdf
January 01, 2009 - Ten community-based physicians provided care to
long-stay residents. … These physicians usually ordered medications personally through the CPOE system. … Physicians prescribing medications for residents in the
intervention units received 274 alerts for a … In the control units, 257
alerts were generated during physician medication orders and output to the … Successful adoption of health IT depends on physician,
nurse practitioner, and nurse receptivity to
-
digital.ahrq.gov/sites/default/files/docs/activity/optimizing_medication_history_value_in_clinical_encounters_with_elderly_patients_2010_pdf__2.pdf
January 01, 2010 - The triggers have
been implemented, and all physicians participating in the study have had the triggers … In order to code the physician-patient interaction, physicians are audio taping a small number of clinical … The team identified a few areas for improvement for the physician training modules, and updated the Web … Each CD contains one module, and the plan is for each physician
to receive one module every 10 days … Preliminary Impact and Findings: To date, physicians are more likely to use the CDs than the Web-
based
-
digital.ahrq.gov/ahrq-funded-projects/virtual-continuity-and-its-impact-complex-hospitalized-patients-care/annual-summary/2010
January 01, 2010 - Previously, hospitalized patients were cared for by their primary care physician (PCP), facilitating … Now, many hospitalized patients are cared for by hospital staff physicians and are returned to their … in October 2009, will enhance MedTrak, the University of Pittsburgh Medical Center (UPMC) electronic physician … Physicians who serve as PCPs and are employed by the University of Pittsburgh or by UPMC, in concert … with the UPMC Office and Physician Relations, have been recruited to participate in the study.