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digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit/workflow
January 01, 2023 - Anytime you make a change to your practice, especially when implementing health IT, the workflow associated … with clinical and practice management processes will change. … This is generally due to the fact that clinical and practice management requirements are overlooked or
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digital.ahrq.gov/national-webinars/opportunities-digital-healthcare-lessons-learned-covid-19-pandemic
January 01, 2023 - The pressing need to put evidence into practice to optimize outcomes for all patients and improve experience … healthcare approaches and tools – especially related to putting rapidly evolving evidence and guidance into practice … Director
Center for Evidence and Practice Improvement, Agency for Healthcare Research and Quality
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022689-fiks-final-report-2015.pdf
January 01, 2015 - Results: We invited 9,133 families to enroll and 237 (2.6%) used the portal (practice range: 0.6-
13.6% … Qualitative results revealed the importance of practice organization (asthma coordinators,
workflows … Setting
This study took place within two practice-based research networks: the Pediatric
Research … Practice level covariates included
urbanicity (rural, suburban, or urban based on practice self-report … Parent-reported
outcomes of a shared decision-making portal in asthma: a practice-based RCT.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015258-aders-final-report-2007.pdf
January 01, 2007 - Each physician practice was asked to complete a 16 item information
management survey instrument to … Each practice had to develop an internal process to avoid
“something slipping through the cracks.” … Site surveys were completed by 8 practice sites at baseline (100% of MHMC sites at
baseline). … Thirty
medical records were pulled at random for each of eight practice sites. … Practice sites report important gains in efficiency in clinical information management.
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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 - But in the tightly regulated and highly competitive Southern California market, the practice, which serves … a failed attempt at EHR deployment in 1999 due to inadequate planning and preparation, however, the practice … Type of Health IT
Electronic health records (EHR)
Practice management system
Type of Health … or other IT in place
"Prior to EHR implementation, Graybill implemented the companion enterprise practice … Between 2004 and 2007, for instance, patient volume for each of Graybill's family practice providers
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digital.ahrq.gov/ahrq-funded-projects/technology-optimizing-population-care-resource-limited-environment/annual-summary/2010
January 01, 2010 - of the TOP-CARE system, particularly from key stakeholders, such as: 1) primary care physicians; 2) practice … A practice cluster randomized trial of the TOP-CARE program will provide an opportunity to assess its … Practices within the Massachusetts General Primary Care Practice Based Research Network (MGPC-PBRN) will … This randomized clinical trial will use tailored outreach, including letters, and practice personnel … eligible screening exams, instructions for scheduling an exam, instructions for notifying a provider or practice
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digital.ahrq.gov/ahrq-funded-projects/promoting-use-integrated-personal-health-record-prevention/annual-summary/2011
January 01, 2011 - IPHR), was offered to 2,750 patients in eight primary care practices - about 3 percent of the total practice … Evaluation of the impact of practice dissemination of MyPreventiveCare is based on the RE-AIM model, … well practices integrate the IPHR into care, identify mediators and moderators (patient, provider, and practice … unique opportunity to observe the impact of this new functionality on increasing the proportion of practice … As part of the implementation strategy, the project team provides each practice with a weekly report
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digital.ahrq.gov/sites/default/files/docs/citation/eDecisionsReport.pdf
August 06, 2013 - Practice facilitators: A review of the literature. … ,
in a way congruent with the practice culture. … Practice enhancement assistants
helped clinicians learn to use the new systems and implement
practice … Review practice performance of key outcome
measures. … Review practice performance of key outcome
measures.
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digital.ahrq.gov/sites/default/files/docs/survey/computer-literacy-survey.pdf
June 16, 2021 - Years in practice
7. Years working in clinic
8. … Below are a set of paired terms that relate to computers in clinical practice. … Applications of Computers in Clinical Practice
1. Potential effects of computers. … Given below are some effects that computers may
have on clinical practice and health care. … Applications of Computers in Clinical Practice
6.
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digital.ahrq.gov/ahrq-funded-projects/promoting-use-integrated-personal-health-record-prevention/annual-summary/2012
January 01, 2012 - Record (IPHR) was offered to 2,750 patients in eight primary care practices—about 3 percent of the total practice … whether and how eight primary care practices could extend the use of MyPreventiveCare to their entire practice … Evaluation of the impact of practice dissemination of MyPreventiveCare was based on the RE-AIM model, … well practices integrate the IPHR into care, identify mediators and moderators (patient, provider, and practice … Practices reported that the IPHR increased patient engagement in care, changed staff roles, reduced practice
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/shea-cm-halladay-jr
January 01, 2023 - to make their products customizable for practices to account for variation in EHR capabilities and practice … Tools Used
Observation
Interview
Type Clinic
Primary care
Type Specific
Family practice … The third was a general internal medicine practice housed within a large academic medical center. … Clinical staff at the three practices recruited a sample of 60 patients, approximately 20 from each practice
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digital.ahrq.gov/sites/default/files/docs/page/tool-3-1-goals-worksheet-poster.pptx
June 16, 2021 - PICK
the most relevant
to your practice
INSTRUCTION: Pick the four or five goals that are most relevant … to your practice. … Print the page and post it throughout your practice so that everyone understands and stays focused on
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digital.ahrq.gov/medical-condition/orthopedic-disease
January 01, 2024 - impact of text messaging to Promote Patient Reported Outcome Measures (PROMs) completion in orthopedic practice … impact of text messaging to Promote Patient Reported Outcome Measures (PROMs) completion in orthopedic practice … Implementation experience in a large orthopedic practice. … Implementation experience in a large orthopedic practice.
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digital.ahrq.gov/ahrq-funded-projects/improving-quality-cancer-screening-excellence-report-colonoscopy
January 01, 2023 - that endoscopists are not only aware of quality measurement recommendations but have changed their practice … Improving Quality in Cancer Screening: The Excellence Report for Colonoscopy Document Type: Clinical/Practice … Improving Quality in Cancer Screening: The Excellence Report for Colonoscopy Document Type: Clinical/Practice … Improving Quality in Cancer Screening: The Excellence Report for Colonoscopy Document Type: Clinical/Practice … Improving Quality in Cancer Screening: The Excellence Report for Colonoscopy Document Type: Clinical/Practice
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/WhyCareAboutWorkflow.ppt
January 01, 2010 - This way, you can select the vendor that best fits your practice. … “To support our electronic health records system, we needed to change the practice management system … Answer #3:
To better prepare and train staff
Every time you make a change to your practice, especially … when implementing health IT, your clinical and practice management workflow will change. … How the Electronic Health Record did not measure up to the demands of our medical home practice.
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digital.ahrq.gov/ahrq-funded-projects/best-practices-integrating-clinical-decision-support-clinical-workflow
January 01, 2023 - The specific aims of this project were as follows:
Determine the practice-level factors associated … Twelve practice sites were randomized to 6 months of high intensity support that included a CDS implementation … toolkit with practice coaching support or low intensity support consisting of the toolkit only.
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digital.ahrq.gov/sites/default/files/docs/survey/electronic-behavior-health-records-nebraska.pdf
June 16, 2021 - 4 5 Streamline your access to client information/records
1 2 3 4 5 Increase the time your practice … other providers
1 2 3 4 5 Be resisted by some providers
1 2 3 4 5
Be difficult because your practice … A
gr
ee
A
gr
ee
St
ro
ng
ly
A
gr
ee
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1 2 3 4 5 Save costs for your practice … client care
1 2 3 4 5 Be misused by third party payers
1 2 3 4 5 Cost your practice … privacy and security of confidential client information
1 2 3 4 5 Be time consuming for your practice
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs018811-krist-final-report-2012.pdf
January 01, 2012 - #1 550 69 (12.6%) 21,570 4,079 (18.9%)
Practice #2 50 4 (8.0%) 4,290 697 (16.3%)
Practice #3 504 75 … (14.9%) 18,407 3,242 (17.6%)
Practice #4 46 5 (10.9%) 3,980 644 (16.2%)
Practice #5 500 35 (7.0%) … One practice more than doubled their Reach in the second six months (Practice #3) and
only one practice … #1 15,035 1,536 (10.2%) 13,790 1,732 (12.6%)
Practice #2 3,009 248 (8.2%) 2,762 332 (12.0%)
Practice … #3 12,950 885 (6.8%) 11,729 1,631 (13.9%)
Practice #4 2,508 259 (10.3%) 2,696 128 (4.8%)
Practice
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digital.ahrq.gov/ahrq-funded-projects/improving-healthcare-quality-information-technology/annual-summary/2008
January 01, 2008 - including the expansion of electronic health records (EHRs) at the hospital, the introduction of EHR practice … one that promotes disclosure, seeks out root causes, and implements systemic improvements in clinical practice … In practice, the software issued so many warnings that the nurses adapted by ignoring many of them. … SVMC encountered potential technology links with state EHR initiatives, private practice EHR systems, … Implementation of EHRs is continuing at the private practice level.
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digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-primary-care-workflow-and-financial/annual-summary/2011
January 01, 2011 - resources consumed and the non-financial time and effort costs of the HTPN implementation team and practice … They estimate the EHR and practice teams spent 611 hours per practice for implementation, and end-users … For a fivephysician practice, implementation cost an estimated $162,000, with $85,500 in maintenance … implementation, in terms of the time and effort required by individuals at both the leadership and practice … adoption is the fear that it is a risky investment that decreases provider productivity and increases practice