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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tierney-wm-et-al-2005
January 01, 2005 - Translation of evidence-based guidelines into clinical practice has been inconsistent. … Inner-city academic general internal medicine practice.
Study Design. … A 2 x 2 factorial randomization of practice sessions and pharmacists resulted in four groups of patients … "Physicians' opinions of practice guidelines were mixed....
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/ventres-w-et-al-2005
January 01, 2005 - The setting was an urban family practice with a 7-year history of viewing electronic medical records. … Results: We identified three distinct practice styles that shaped the use of the ERC: informational, … Conclusions: Family physicians have varying practice styles that affect the way they use examination … Tools Used
Observation
Interview
Type Clinic
Primary care
Type Specific
Family practice
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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 - Computer-generated reminders have been shown to increase physician compliance with practice guidelines … Setting: An outpatient general medicine practice associated with an urban public hospital. … Geography
Urban
Other Information
The study took place in "an academic primary care practice … Physicians routinely reviewed the encounter forms and the practice chart immediately before visiting
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/babbitt-n-2003-record
January 01, 2003 - Type of Health IT
Electronic medical records (EMR)
Context or other IT in place
Practice … management system
Workflow-Related Findings
"On the front end, the practice management system … On the back end, the EMR communicates billing information into the practice management system."
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/prospective-controlled-trial
April 01, 1996 - This study evaluated the hyperlipidaemia decision support module in use in general practice. … The inability of the software to import and export data successfully from the practice medical system
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digital.ahrq.gov/ahrq-funded-projects/improving-health-information-technology-implementation-rural-health-system/annual-summary/2008
January 01, 2008 - Data were collected to show the effects of the EMR on health care quality, safety, access, cost, and practice … Brinkman Physicians in Rural Practice Symposium; March 2007; Farmington, ME. … Taking Care to the Community: Using the EMR to Initiate Health Practice Change.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs022674-adler-milstein-final-report-2014.pdf
January 01, 2014 - Finally, we recommend specific practice-based strategies would further enhance care
coordination and … The statewide survey captured practice demographics, readiness for Stage 2 and Stage 3
meaningful use … We received responses from 233
practice managers (71% response rate) and 174 primary care providers … Overall
Stage 3 care coordination readiness did not vary significantly by practice size, whether or … not the practice
was part of an integrated delivery network, or whether or not they participated in
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digital.ahrq.gov/ahrq-funded-projects/impact-office-based-e-prescribing-prescribing-processes-and-outcomes/annual-summary/2010
January 01, 2010 - systems must have utility for prescribers and must be integrated into the workflow of routine medical practice … New York, North Carolina, California, and Louisiana, providing a large study population with diverse practice … types (e.g., pediatric, adult primary care, family practice, and specialty offices), locations (urban … large-scale survey to develop a detailed understanding of how e-prescribing can be integrated into medical practice … another (Blue Cross Blue Shield of Massachusetts) due to a need to reconcile identifiers of providers who practice
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024335-rangachari-final-report-2018.pdf
January 01, 2018 - Facilities include a 478-bed AU Medical
Center, more than 80 outpatient practice sites, a Critical Care … Since both were practice measures, they could be captured retrospectively from the
EHR. … Implications for practice
Results from this exploratory study suggest that an SKN system could be a … Management research has suggested framing practice issues as a “learning
challenge” rather than a “ … Correspondingly,
the practice implications are also “context sensitive.”
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs015188-huck-final-report-2008.pdf
January 01, 2008 - Study
The purpose of the study was to examine clinician’s attitudes and practices regarding best
practice … implement, and evaluate information
technology (IT) approaches to foster awareness and use of clinical practice … groups with registered nurses
• Interview topics included:
• Knowledge and attitudes regarding practice … • Most staff felt that best practice guidelines improve the quality of care. … • Self-reported knowledge of best practice guidelines was 7 on a 0 to 10 scale, regardless
of the
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digital.ahrq.gov/sites/default/files/docs/activity/ambulatory_care_compact_to_organize_risk_and_decisionmaking__accord__2010pdf_2.pdf
August 01, 2011 - relatively narrow set of quality measures, and increasing
emphasis on care guidelines have transformed the practice … ACCORD will
interface with the Massachusetts General Primary Care Practice-Based Research Network’s … Step three is to conduct one or more randomized controlled trials (RCTs) in a primary care
practice, … and an institution-wide cohort in another primary care practice to examine system adoption
2 | AmbulAtory … early in the calendar year because of
the delayed release of the iHealthspace patient portal to the practice
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digital.ahrq.gov/sites/default/files/docs/page/technology-to-enhance-communication-primary-care-and-health-counseling.pdf
July 02, 2015 - Solutions
• Partnership with clinicians to develop
screening tool
• Test and refine in primary care practice … Practice site significant for exercise (p=.02) and combined behaviors (p=.01)
Impact of Clinician … of population with specific risks for
participation in clinical trial to enhance health behavior
• Practice … screened
– Access individual patient record
– Review of patterns of risk of adolescents in the
practice … the results of our
clinical trial next year
Also available at our network website
• Individual practice
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digital.ahrq.gov/sites/default/files/docs/activity/29007100072-pavlik-annual-summary-2012.pdf
January 01, 2012 - Evaluation of Computer-Generated After-Visit Summaries to Support Patient-Centered Care
PRIMARY CARE PRACTICE-BASED … Valory Pavlik and her team from the Baylor
College of Medicine, Department of Family Practice, provided … informatics, bilingual and bicultural patient information transfer,
qualitative analysis, and clinical practice-based … EVALUATION OF COMPUTER GENERATED AFTER VISIT SUMMARIES
TO SUPPORT PATIENT CENTERED CARE
PRIMARY CARE PRACTICE-BASED
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digital.ahrq.gov/sites/default/files/docs/activity/improving_guideline_development_and_implementation_2010_pdf__2.pdf
January 01, 2010 - years, a major global initiative has been undertaken to develop, disseminate,
and implement clinical practice … have demonstrated that computerized systems
can be effective in implementing guidelines in clinical practice … The team found that ACE can be used to adequately express clinical practice guideline recommendations … Principles identified can be used
to improve the quality, clarity, and implementability of clinical practice
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digital.ahrq.gov/sites/default/files/docs/activity/improving_patient_access_and_patient_clinician_continuity_through_panel_redesign_2010pdf_2.pdf
February 01, 2012 - They will develop a quantitative decision support system to
help clinicians, practice managers, and … Balasubramanian will construct a general modeling framework for managing
physician-patient panels in a group practice … , changes in scheduling regimens, group visits, and changes in the
supply and demand dynamics of a practice … Develop and disseminate the first two aims in a Web-based decision support tool for clinicians,
practice
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digital.ahrq.gov/sites/default/files/docs/page/Garber.ppt
January 01, 2006 - Community Health Plan: largest payer in central Massachusetts, 172,000 members
Fallon Clinic: group practice … , ambulatory outpatient clinics, long term and home care facilities, and a 700-member faculty group practice … PhD/MPA
Levels of Participation
Portal access – web browser access to display patient information
Practice
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digital.ahrq.gov/sites/default/files/docs/activity/improving_health_information_tech_2009_update_2.pdf
January 01, 2009 - Data were collected to show the effects of the EMR on health care quality,
safety, access, cost, and practice … Brinkman Physicians in Rural
Practice Symposium; March 2007; Farmington, ME. … Taking Care to the Community: Using the EMR to Initiate Health Practice Change.
-
digital.ahrq.gov/sites/default/files/docs/implementation/Gorman508c.pdf
December 26, 2012 - RxSafe: Using IT to Coordinate Medication Reconciliation
Oregon Practice Based … tracckkiningg mmeeddicicaatiotionnss
New Prescription
Rehab Center View
Oregon Practice … ffoorrmm aanndd hhaannddwwrriitttteenn
New Prescription
Physicians’ Office View
Oregon Practice … New Prescription
Pharmacy Service View
Oregon Practice Based Research Network … ththeeyy bbuurnrnoouutt
fafaxx mmaacchhinineess
New Prescription
System View
Oregon Practice
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digital.ahrq.gov/sites/default/files/docs/activity/impact_of_office_based_e_prescribing_on_prescribing_processes_and_outcomes_2010_pdf__2.pdf
January 01, 2010 - systems
must have utility for prescribers and must be integrated into the workflow of routine medical practice … New York, North Carolina, California, and Louisiana, providing a large study
population with diverse practice … types (e.g., pediatric, adult primary care, family practice, and specialty
offices), locations (urban … large-scale survey to develop a detailed understanding of how e-prescribing can be
integrated into medical practice … (Blue Cross Blue Shield of Massachusetts) due to
a need to reconcile identifiers of providers who practice
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digital.ahrq.gov/sites/default/files/docs/page/data_linkage_and_exchange__opportunities_for_improved_service_to_children_5.pdf
October 01, 2012 - Director & Child Health Manager
University of Oklahoma Health Sciences Center
Elaine Stageberg, MHA, Practice … Facilitator/Practice Enhancement Assistant
(PEA)
• ABCD III operates within the OHCA Medical Home … initiative
51
Methods/Strategies
• State core team
• County teams (four pilots)
• Practice … Enhancement Assistant 53
County Team Composition
• Four pilots; practice facilitators helped to … organize
54
Role of Practice Facilitators
• Role of PFs
• Build relationships
• Facilitate