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digital.ahrq.gov/sites/default/files/docs/activity/2011_2900710066i_lobach_pdf_3.pdf
January 01, 2011 - Enabling HEaltH CarE DECisionmaking tHrougH tHE usE of HEaltH
information tECHnology
EvidEncE-basEd PracticE … While the use of clinical
decision support systems (CDSS) has the potential to make evidence-based practice … clinicians at the point of care, there is uncertainty and concern about workflow disruption, usability in
practice … Duke University’s Evidence-based Practice Center (EPC) developed a synthesis report summarizing the … Lobach participated in a national Web conference, Findings from the
Evidence-Based Practice Centers
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digital.ahrq.gov/principal-investigator/simon-steven
January 01, 2023 - A Randomized Trial
Doctors' perceptions of laboratory monitoring in office practice … Doctors' perceptions of laboratory monitoring in office practice.
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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/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/sites/default/files/docs/activity/r18hs018275-parsons-annual-summary-2012.pdf
January 01, 2012 - Multi-regression models adjusting for practice size and
characteristics were used to compare pre- and … comparing across interventions and their effect on delivery of preventive care on cardiovascular
measures, practice
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digital.ahrq.gov/sites/default/files/docs/page/engaging-patients-and-primary-care-clinicians-through-a-wellness-portal-to-Improve-the-health-of-oklahomans.pdf
August 31, 2010 - Addressing Practice Transformations and
Lasting Change: “Meaningful Use”
• #1 lesson from health IT … )
• Practices need help: practice facilitators are agents
of change working via health/IT extension … crowd”)
16
Summary of Achievements
Interventions that Improved or Helped Sustain Patient and
Practice … training and careful process redesign
• Audiovisual practice training materials (role-based)
• Continuous … access to a practice facilitator (PEA)
Acknowledgements
17
Funding Sources:
Key Contributors:
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digital.ahrq.gov/sites/default/files/docs/activity/participation_by_primary_care_practices_in__2009_update_2.pdf
January 01, 2009 - (Achieved)
Determine the motivation and barriers to primary care practice participation in HIE. … 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/biblio/Evaluation%20Teleconference-4-27-05.ppt
April 18, 2005 - B x
Practice A-Intervention B x
Practice B-Control B
Practice C-Intervention B x
Practice … D-Control B
Practice E-Intervention B x
Practice F-Control B
Practice G-Intervention … B x
Practice H-Control B
Deployment of Intervention
B Baseline Data Collection … A-InterventionBx
Practice B-ControlB
Practice C-InterventionB x
Practice D-ControlB
Practice … E-InterventionBx
Practice F-ControlB
Practice G-InterventionBx
Practice H-ControlB
200320042005
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs02257502-hewner-final-report-2017.pdf
January 01, 2017 - Scope
The project provided clinical decision support tools to an urban, single primary care practice … The practice developed a tracking
mechanism and expanded the intervention to include ED discharges. … ), as well as a significant
increase in OP visits that added revenue to the practice. … Evaluate HIT implementation’s impact on practice workflow, care quality and health
outcomes. … practice.
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digital.ahrq.gov/events/national-web-conference-opportunities-digital-healthcare-lessons-learned-covid-19-pandemic
July 01, 2021 - 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 … Bierman, MD, MS Director , Center for Evidence and Practice Improvement, Agency for Healthcare Research
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digital.ahrq.gov/sites/default/files/docs/citation/r18hs022701-ornstein-final-report-2014.pdf
January 01, 2014 - A practice-level SQUID-CQM, representing the mean SQUID-CQM for all patients in the practice,
was also … For the category “Practice Administrative QI Strategies”, practice means ranged from a high … about practice improvement
1. … • Nemeth L: “Measuring Practice Transformation.” … Transforming primary care: from past practice to the practice of the
future.
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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/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/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/citation/appendixj-ahrq-cdspain-additional-resources.docx
July 31, 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/appendix-j-cdspain-additional-resources.docx
July 31, 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/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/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/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.