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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/clinical-decision-support-system
June 07, 2000 - computer-based clinical decision support system (CDSS) increases the proportion of appropriate clinical practice … pertaining to venous thromboembolism prevention among surgical patients was integrated into daily medical practice … Each time the CDSS was removed, physician practice reverted to that observed before initiation of the … The relative risk of inappropriate practice decisions during control periods vs. intervention periods
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/which-physicians-and-practices
January 01, 2001 - In the survey, physicians were asked the question, ÒDoes your practice use electronic medical records … (no including billing records)Ó Barriers: Practices size, type of practice ownership. … Adoption of EHRs increased uniformly as with practice size. … EHR use was not influenced by practice payer mix or number of managed
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digital.ahrq.gov/archive-site-map
April 27, 2021 - Archived April 27, 2021)
A National Web Conference on Findings from the Evidence-Based Practice … Constructing and validating an algorithmic computer instrument in pharmacy practice (Archived April … assisted by a computer (Archived April 27, 2021)
On content of practice. … The advantage of computerized information systems in family practice (Archived April 27, 2021) … Effects on resource utilization (Archived April 27, 2021)
Physician practice revenues
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digital.ahrq.gov/sites/default/files/docs/June_2009_Webinar_Final%20(1).pdf
January 01, 2009 - “Evaluation of e-prescribing in chain community
pharmacy: Best-practice recommendations.” … “Evaluation of e-prescribing in chain community
pharmacy: Best-practice recommendations.” … “Evaluation of e-prescribing in chain
community pharmacy: Best-practice recommendations.” … “Evaluation of e-prescribing in chain
community pharmacy: Best-practice recommendations.” … Recommendations
Best Practice Recommendations
Best Practice Recommendations
Best Practice Recommendations
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digital.ahrq.gov/year-survey/created-prior-2008
January 01, 2008 - Created prior to 2008
National Survey of Physicians on Practice Experience … questions to assess the current state of clinical decision support systems, electronic health records, practice … Survey
Created prior to 2008
Clinician Survey on Quality Improvement, Best Practice … includes questions to assess user's needs of electronic health records, health information exchange, and practice … The tool includes questions to assess the current state of electronic health records and practice management
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digital.ahrq.gov/sites/default/files/docs/survey/measuring-clinical-quality-provider.pdf
October 26, 2016 - Tell us about how your practice conducts quality
measurement. … What changes has your practice undergone as a
result of measuring clinical performance? … Please describe:
Type of incentives/rewards
How are incentives/rewards distributed (e.g., to
practice … [YES] How does your practice currently work
towards meeting measurement targets? … Do you think the targets are of value to your
practice? Why and would you change anything?
8.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018656-bates-final-report-2012.pdf
January 01, 2012 - Within each pair of practices, one
practice was designated as the intervention practice and the other … practice as the control practice. … In the Rheumatology intervention practice, the practice director and practice manager did
not wish … These patients received a letter from the
Practice Director of the intervention practice (primary care … These patients received a thank you letter from the Practice Director of the
intervention practice for
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digital.ahrq.gov/sites/default/files/docs/activity/bringing_high_performing_systems_to_small_practices_2010_pdf__2.pdf
January 01, 2010 - Practice characteristics, such as number of providers, ancillary
staff, and patient demographics, are … enable the research team to determine which factors may be associated with changes in the
trends in practice
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digital.ahrq.gov/population/elderly
January 01, 2024 - implement digital tools using the SMART on FHIR framework to support Age-Friendly care in clinical practice … Care
Implementing a Breast Reconstruction Decision Support Tool in Diverse Practice … Implementing a Breast Reconstruction Decision Support Tool in Diverse Practice Settings – Final Report … Mary
Project Name
Implementing a Breast Reconstruction Decision Support Tool in Diverse Practice
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/morris-l-et-al-2003-how
January 01, 2003 - patients in five Scottish practices, validated by manual searches in 50 randomly selected patients in each practice … Some items that are easily recorded as part of routine clinical practice, such as prescribing of aspirin … several hours, and the results in our study varied from 10 hours 30 minutes to 18 hours of work for the practice … Study Design
Only postintervention (no control group)
Study Participants
Each practice created
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digital.ahrq.gov/sites/default/files/docs/page/medicaid_medical_home_initiatives_and_the_role_of_health_information_technology_5.pdf
January 01, 2010 - be more acute in Medicaid
4
Changing Environment and the
Medical Home
• Changing primary care practice … Milbank Quarterly 2005;
83:457-502.
5
Practice Supports for Medical Homes
Practice Support Description … care manager
Practice Facilitator Deploying practice-based quality improvement facilitator
6
Medical … support is staged and incented:
• Stage 1: Practice facilitation engagement and assessment ($500) … • HIT will play an important role in evaluating the impact of the medical home.
– Practice level, at
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digital.ahrq.gov/ahrq-funded-projects/achieving-individualized-precision-prevention-ipp-through-scalable
January 01, 2023 - Services Task Force recommendations to help guide selection and enactment of preventive services in practice … The learning cycle is completed by direct application of that knowledge to change practice. … Changed practice generates new data, driving the next iteration of the learning cycle, which leads to … ), a broadly applicable platform created by the research team, was used to support the knowledge-to-practice … there may be a role for IPP algorithms to help guide selection and enactment of preventive services in practice
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digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-primary-care-workflow-and-financial
January 01, 2023 - by the corporate implementation team in guidance, planning, and overall support; time spent at the practice … Overall, the team estimated that the EHR and practice teams spent a total of 611 hours per practice for … For a five physician practice, hardware and software implementation costs were estimated as $162,000, … results observed in this study compare to other reports in the literature suggesting that the effects a practice
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs026704-ahmad-final-report-2023.pdf
January 01, 2023 - We were able to recruit a newer pediatric
practice which did not participate in our qualitative work … WU PAARC is a practice-based
research network that includes community pediatricians and practices in … that represents the overall affluence of the zip code in which each
practice is located. … Our goal was to have one-year of post-implementation data for each participating practice. … have STI testing data from this practice as
part of our report.
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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/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/ahrq-funded-projects/participation-primary-care-practices-health-information-exchange-minnesota/annual-summary/2009
January 01, 2009 - application to primary care practices. ( Achieved )
Determine the motivation and barriers to primary care practice … Information was collected on characteristics of the practice, EHR capacity, and the degree of HIE. … The practice contact person from each site identified at least three informants from among those knowledgeable … One practice had programmed an interface between their EHR system and the hospital laboratory information
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digital.ahrq.gov/sites/default/files/docs/better-medication-management-slides-021611.pdf
February 16, 2011 - Results of the Harvard Medical
Practice Study I. New Engl J Med. 1991;324(6):370-376.
2. … J Family Practice.
1989;29(3):290-295.
24. Dill JL, Generali JA. … MS-TRIP: Medication Safety in Primary Care
Practice – Translating Research into Practice
• 3-year … • Implement a practice refill and
monitoring protocol
• Utilize medication safety practice
performance … - Translating Research into Practice
Background: PPRNet
MS-TRIP Practice Characteristics
MS-TRIP Intervention
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digital.ahrq.gov/sites/default/files/docs/publication/r36hs021988-hessels-final-report-2013.pdf
January 01, 2013 - Results: Significant findings from this study indicate positive relationships between nursing
practice … Key Words: electronic health records; EHR; missed nursing care; nursing practice environment;
adverse … Finally, theory and conceptual models propose positive
relationships among the practice environment, … Nursing practice environment was measured using the Practice
Environment Scale of the Nursing Work Index … Nursing Practice Environment and Missed Care.
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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