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digital.ahrq.gov/sites/default/files/docs/survey/phr-focus-group-older-adults.pdf
September 21, 2016 - Do you share it with all physicians? Pharmacists? Nurses? Caregivers?
i. … What types of things do you tell the physician if you are asked that question?
ii. … Why would you NOT report it to your physician?
d. … What types of things do you tell the physician if you are asked that question?
e. … What things influence how much you tell physicians about symptoms?
b.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017030-turchin-final-report-2011.pdf
January 01, 2011 - of hyperglycemia and hyperlipidemia can be obtained through computational
analysis of the text of physician … quality-of-care measurement is increasingly being used to evaluate quality
improvement programs and to compare physicians … and 2) the technology for monitoring that measure using computational analysis
of the free text of physician … Growing
prevalence of electronic medical record systems that include computerized text of physician … insurance status, The models used the GLIMMIX
procedure to adjust for clustering within individual physicians
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digital.ahrq.gov/ahrq-funded-projects/health-information-technology-center-education-and-research-therapeutics/annual-summary/2012
January 01, 2012 - Physician-Level Variation in Medication Overrides of Computerized Decision Support. … This project is assessing, describing, and characterizing physician-level variations in response to computerized … (Ongoing)
Use new sources of data from clinical decision support to identify physician-level variation … The Physician-Level Variation in Medication Overrides of Computerized Decision Support project work … Preliminary Impact and Findings: For the Physician-Level Variation in Medication Overrides of Computerized
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs022583-phillips-final-report-2018.pdf
January 01, 2018 - Of 2,570
eligible physicians, 258 participated. … It had three aims: 1) To test the capacity for
exchange of whole-panel, family physician quality measures … All four use standardized, physician-level
quality measures and were willing to test ways to securely … data sent
• Physician data sent before they were
enrolled/randomized;
• Ineligible physician data … sent
Physician enrolled and
randomized or excluded
Data reporting • Physician data reported for
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhyCareAboutWorkflow.ppt
January 01, 2010 - To minimize the impact on physician–patient interaction, we opted for an encrypted wireless network with … None of the physicians was especially computer-literate. … approximately $140,000, which is within the range that other investigators have reported on a cost-per-physician … Example (continued)
Before the EHR, a staff person provided each physician with the paper chart for … access to patient records just before seeing a patient
Delaying the physician entering the exam room
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digital.ahrq.gov/sites/default/files/docs/medication-management-elderly-slides-081811.pdf
August 18, 2011 - RESULTS
Perceptions of physicians’ knowledge of
patients’ medications:
• Older patients overwhelmingly … • Most said their primary care physicians rarely explain much to them about their
medications. … , they expect that busy
physicians will be unable to provide this. … And then each physician or each practice can kind of set their
threshold.” … Poor communication on medication issues
Project Objectives
PHYSICIANS AS POINT OF INTERVENTION: ALERT
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs014903-reiter-final-report-2006.pdf
January 01, 2006 - Clinic
medical staff includes three full time Board Certified Family Practice physicians, one
part … backup on weekdays and by independent
physicians during nights and weekends. … Comparative outcome data including
economic analysis, both historical and physician-to-physician, will … to the two critical access
hospitals in adjacent Powell and Granite counties and to the additional physicians … In a continuing effort towards formalizing community-based HIT-based
research, CHA and the physicians
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digital.ahrq.gov/sites/default/files/docs/page/2006McColm_051111comp.pdf
May 23, 2011 - trauma center
• 5 LTC facilities
• Residential care & independent living
• Home care/hospice
• 16 physician … offices
• 1,550 employees
• 98 physicians
Project Infocare
• EMR that crosses continuum
• 100% … chief complaint
• Bedside medication verification with barcodes
• Additional clinical alerts and physician
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs017150-lapane-final-report-2010.pdf
January 01, 2010 - would be well received by primary care physicians. … We found no changes in physician perceptions of
electronic prescribing. … Physician Focus Groups. … Outcomes
We recruited 35 physicians. … We observed no differences by treatment arm
in the physician survey data.
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digital.ahrq.gov/ahrq-funded-projects/statewide-implementation-electronic-health-records/annual-summary/2008
January 01, 2008 - a multi-stakeholder collaborative intervention. ( Achieved )
Measure the degree and correlates of physician … receptivity to EHRs. ( Achieved )
Assess the effects of the statewide program on physician receptivity … Physician attitudes toward health information exchange: results of a statewide survey. … The relationship between perceived practice quality and quality improvement activities and physician … Physicians and electronic health records: a statewide survey. Arch Intern Med 2007;167(5):507-12.
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017042_forrest_pdf_3.pdf
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 … 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/health-it-tools-and-resources/health-it-costs-and-benefits-database/implementation-and-evaluation
April 01, 1995 - twenty-nine based USPSTF recommendations, patients perceptions of preventative services received, and physician … practitioners Evaluation Method: Patient exit surveys regarding preventative services received during physician … visits, interviews with physicians, audits of patient adherence to recommended patient services.
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digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/sarah-bush-lincoln-health
September 29, 2009 - today's health care delivery system, it is not uncommon to be seen by a primary care provider in one physician … computerized patient health information across hospital services, home health organizations, hospice, and physician … Quality, the hospital began implementing a variety of technologies, including an EMR system, computerized physician … Clinics purchased laptop PCs for all physicians. … For example, the team reduced patient loads per physician by 50 percent during the first week the system
-
digital.ahrq.gov/ahrq-funded-projects/risk-based-approach-improving-management-chronic-kidney-disease/annual-summary/2010
January 01, 2010 - , while the control group physicians will not. … of the appropriate documented problem list and encounter codes will be used to measure primary care physician … Ongoing )
Assess the relationship between utilization of the intervention components and primary care physician … The pilot included physician alerts and the mailing of patient support materials. … reminder systems, patient self-management support, and physician preparedness for managing CKD.
-
digital.ahrq.gov/sites/default/files/docs/June_2009_Webinar_Final%20(1).pdf
January 01, 2009 - problems
• Reduces data entry errors
• Improves Rx processing efficiencies
• Reduces contacts with physicians … 2008
PEER Portal
PEER Portal
PEER Portal
e-Prescribing Best Practice
Recommendations
• Physicians … • Physicians should engage patients as active
and informed participants in e-prescribing to
better … phone calls
– With clinic remodeling gained direct phone access
to physicians’ workspace and offices … care
Drives down healthcare costs
Saves beneficiaries money
Reduces medication errors
Benefits for Physicians
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/medical-home/house-not-home-keeping-patients
A PCMH combines a physician-directed practice with primary care physician (PCP) services. … Based on a literature review and interviews with practicing physicians, we identify the main health system … Medical home advocates and physicians have somewhat different, although not necessarily inconsistent,
-
digital.ahrq.gov/ahrq-funded-projects/evaluation-computer-generated-after-visit-summaries-support-patient-centered/annual-summary/2010
January 01, 2010 - employing qualitative data collection methods, including interviews and focus groups, to gather patient and physician … attitudes, preferences, and needs regarding the delivery of information at a visit with a primary care physician … . ( Ongoing )
Identify primary physicians’ attitudes about the utility, content, and value of the AVS … In 12 one-on-one interviews, following techniques outlined by other researchers for physician interviews … A physician interview guide was used to engage physicians in discussions of their experience and recommendations
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/dexter-pr-et-al-1998
January 01, 1998 - Abstract
"Background: Physicians can increase the rate of completion of advance directive forms by … Computer-generated reminders have been shown to increase physician compliance with practice guidelines … Objective: To determine the effects of computer generated reminders to physicians on the frequency of … Discussions about advance directives, determined by patient interviews after all scheduled patient physician … "When discussions did occur, they were initiated by the physician in 86 percent of instances in the group
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digital.ahrq.gov/sites/default/files/docs/ahrq_nrc_multi_grantee_meeting_slides_provider_engagement_1_.pdf
December 07, 2010 - Introductions
Format for Today’s Session
– Overview of Provider Engagement Issues
– Presentations
– Physician … Evaluation, Primary Care
Information Project (PCIP) and New York City
Regional Extension Center
Physician … [Family Physician, Reedsport]
“What motivates me in particular is that I am involved,
not just with … [Family Physician, Astoria]
PERC Facilitator Roles
Consultant
– Meetings, huddles
– Metrics, PDSA … Medicine since 1977.In 2005 was named as
the “Family Doctor of the Year” by the Oregon
Academy of Family Physicians
-
digital.ahrq.gov/ahrq-funded-projects/improving-safety-and-quality-outpatient-order-entry/annual-summary/2008
January 01, 2008 - Specific Aims
Evaluate physicians’ use of the EMR system in chronic disease management, preventive … The survey revealed that 52 percent of primary care physicians (PCPs) did not have a system for tracking … However, physicians were concerned about the impact of ACPOE on workflow and the value of its features … Impact of ambulatory computerized physician order entry on clinicians’ time. … Primary care clinician attitudes towards ambulatory computerized physician order entry.