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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-practice-redesign-impact-health-information-technology-on-workflow-ma/citation/impact
January 01, 2023 - Principal Investigator
Carayon, Pascale
Project Name
Using Health Information Technology in Practice … Journal Publication
Population
Clinical Staff/Clinician
Office Staff
Patient
Practice
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digital.ahrq.gov/location/usa-ok-oklahoma-city
January 01, 2023 - increasing immunizations and preventive care, including a computer reminder system to practices in a Practice-based … controlled trial methodology, the relative adoption success of academic detailing combined with and without practice … chronic wounds by improving access to caregivers, point of care processes, and dissemination of best practice
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digital.ahrq.gov/sites/default/files/docs/citation/ahrq-rand_e-rxtoolset_020312comp.pdf
December 01, 2011 - Practice 5
Practice 5 was a small practice with 6 clinicians and part of a larger integrated medical … processes in the practice. … Practice 6
Practice 6, was a larger internal medicine and pediatrics practice and served as a residency … A practice
change model for quality improvement in primary care
practice. … 3 and 4
Practice 5
Practice 6
5.2 Role of Support Organizations in Applying the Physician Toolset
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs017191-pohl-final-report-2011.pdf
January 01, 2011 - Full, complete and standardized use of an EHR must be a matter of policy
of the particular practice … Effect of the EHR on clinical practice, 16 items, Cronbach’s Alpha=0.93
3. … about
patient outside of practice 3 5 5 (n=4) 1 center improved
Practice tracks patient orders 1 5 … center improved
When practice transfers responsibility for a pt’s
care, practice identifies new phys … to proactively make system
changes within the practice
1 4 3 (n=3) 1 center improved
Practice has
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_implementation_checklist.pdf
January 01, 2006 - Communications
Setup regularly scheduled meeting with EHR vendor implementation staff
Provide your practice … progress
Utilize newsletters, email, etc. to address specific topics or issues
Mapping of Critical Practice … Workflows
Identify problem areas and bottlenecks
Re-map practice workflows based on incorporation … ‘big bang’
o All physicians vs. physician champions
o All practice locations vs. select ones
Allow … Establishment of Project Team
Development of Project Plan
Communications
Mapping of Critical Practice
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digital.ahrq.gov/sample-questions-answers-0
January 01, 2023 - I am in a four-person practice. … We are a small practice being asked to participate in a regional health information exchange. … We are a small practice interested in improving care effectiveness by implementing an electronic health … We are a small practice being asked to participate in a regional health information exchange.
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015409-overhage-final-report-2009.pdf
January 01, 2009 - To build the HIE laboratory, we chose the Methodist Medical Group (MMG) primary care
practice group … The MMG network of almost 200 primary care
physicians practice in Internal Medicine, Family Practice … Hard savings are those that a practice
can actually expect to achieve. … practice isn’t doing those
8
activities so no savings will occur. … From a very pragmatic standpoint, only hard savings are
meaningful to the practice.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience-research/bostrom-ac
January 01, 2023 - Size
Large
Geography
Urban
Type of Health IT
Electronic health records (EHR)
Practice … management system
Type of Health IT Functions
The practice management system included coding … In addition, the administrator of the center spent many hours gathering data from the practice environment … At Grand Valley, "the EHR screens were not intuitive to the practice of the NPs... … [b]oth the PM [practice management] and EHR software systems have continued to evolve.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/berman-h-2009-response
January 01, 2009 - Abstract
"Heidi Berman was 'the office manager of a small, two-physician practice who eventually went … practice's] implementation and training was so poor that [she] felt the vendor would fail and [her practice … Objective
To provide the impressions and opinions of the former office manager of a small practice … Context or other IT in place
Other IT in place included electronic prescribing, integrated practice
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digital.ahrq.gov/sites/default/files/docs/citation/appendix-j-cdspain-additional-resources.docx
August 12, 2024 - Additional Resources
The resources outlined in Appendix J are meant to provide the practice champion, … for complementary health approaches for chronic pain
· Follow-up appointments
Patient Resources for Practice
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digital.ahrq.gov/sites/default/files/docs/citation/cds-connect-year7-final-report-2023.pdf
January 01, 2023 - CDS "artifacts" – actionable
medical knowledge (e.g.,
clinical practice guidelines,
peer-reviewed … launched the CDS Connect project
in 2016 to put patient-centered outcomes research (PCOR) findings into practice … The Repository demonstrates a way to more rapidly incorporate evidence-based research into
clinical practice … CDS community, the
Repository continues to align with an artifact data model based on the Clinical Practice … Coordinated changes across CDS website project sub-sites, including AHRQ’s Center for Evidence and
Practice
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digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel/annual-summary/2011
January 01, 2011 - In order to prepare for future practice, residents should be exposed to the widest possible range of … They are developing a quantitative decision support system to help clinicians, practice managers, and … constructed a general modeling framework for managing physician and resident-patient panels in a group practice … )
Develop and disseminate the first two aims in a Web-based decision support tool for clinicians, practice … The data indicated that the practice consisted of 258 residents and approximately 17,000 patients.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/jerome-rn-et-al-2008
January 01, 2008 - service (n=19) indicated that information provided through the service was highly relevant to clinical practice … asked to respond to the statement, 'Information provided by the librarian was relevant to my clinical practice … to the statement, 'Information provided by the librarian sometimes leads to a change in my clinical practice … Participants were ... asked to describe how the information provided by the librarian affected their clinical practice … However, other more explicit ways the information changed clinical practice (e.g., implementing a new
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digital.ahrq.gov/ahrq-funded-projects/defining-barrierssolutions-collecting-quality-performance-measures/annual-summary/2009
January 01, 2009 - Participating practices covered a range of practice size, patient population, resources, medical record … Project participants reviewed relevant literature from 1989 to the present to supplement the research of practice … Three focus groups were held with each of the implementing practice teams over the study period. … practices relied heavily (or exclusively) on physician involvement, while others involved nurses and other practice … One practice that implemented their project experienced significant difficulty and was likely to discontinue
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digital.ahrq.gov/ahrq-funded-projects/phenotype-modeling-and-outcome-mapping-pain-management-decision-support
January 01, 2023 - language processing (NLP) principles to progress notes in the EMR, routine patient questionnaires, and practice … This study was conducted at Michigan Pain Consultants, a large community specialist practice. … Staff/Clinician , Physician
Patient-reported outcomes in a large community-based pain medicine practice … Patient-reported outcomes in a large community-based pain medicine practice: evaluation for use in phenotype
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/howard-j-clark-ec
January 01, 2023 - A team of field researchers spent 9-14 days over a 4-8 week period observing work in each practice, following … PARTICIPANTS: All practice members and selected patients in seven community-based primary care practices … In Practice 6, the MA role was expanded to include a variety of panel management of chronic disease and
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digital.ahrq.gov/program-overview/research-reports
January 01, 2023 - and implementing that agenda – and disseminating the resulting evidence to inform policy and improve practice … Spotlight: Going the Last Mile: Bringing Evidence to Bear on Healthcare Artificial intelligence (AI) Practice … Agencies and organizations leading the development of healthcare AI best practice and policy face complex
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digital.ahrq.gov/sites/default/files/docs/page/improved-accuracy-of-coding-quick-reference-guide.pdf
September 01, 2009 - A rural, family practice implementing a commercial
electronic medical record (EMR) with an electronic … billing system developed an average practice case mix
based on evaluation and management codes (E/M) … Source of Data for the Measure: Electronic
Medical Record Data, Financial or Billing Data from
Practice … A
comparison of medical record documentation
with actual billing in community family practice. … Electronic medical records
for a rural family practice: a case study in systems
development.
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digital.ahrq.gov/ahrq-funded-projects/shareable-interoperable-clinical-decision-support-older-adults-advancing-fall
January 01, 2023 - Completed
Grant Number
U18 HS027557
Funding Mechanism(s)
Advancing Evidence into Practice … decision making to ensure that evidence-based fall strategies are routinely implemented in clinical practice … adults at risk of falling as well as supports decision making by linking fall-prevention evidence to practice … Fall risk management using clinical decision support in a rural nursing-led primary care practice. … is critical to ensuring that evidence-based fall strategies are routinely implemented into clinical practice
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digital.ahrq.gov/sites/default/files/docs/page/2_DimensionsofBusinessPractices_0.pdf
June 16, 2021 - Dimensions of Business Practice:
Use of digital signatures or digital certificates
User authentication … Dimensions of Business Practice:
Technology used to authenticate users/entities
Technology used … Dimensions of Business Practice:
Types of audit logs currently used by entities to monitor health … Dimensions of Business Practice:
Established business practices to reasonably ensure administrative … Dimensions of Business Practice:
State laws that are more stringent than HIPAA and preempt HIPAA