-
digital.ahrq.gov/ahrq-funded-projects/defining-barrierssolutions-collecting-quality-performance-measures/annual-summary/2009
January 01, 2009 - Primary care practices in the Virginia Ambulatory Care Outcomes Research Network (ACORN) were invited … Two practices utilized automated queries of data; the remaining practices utilized manual data collection … All of the study practices experienced multiple and common barriers. … Many obstacles were beyond practices’ control and significant enough to hinder progress. … The remaining practices planned to continue with some form of performance monitoring.
-
digital.ahrq.gov/ahrq-funded-projects/national-center-pediatric-practice-based-research-and-learning
January 01, 2023 - Theme
Quality Improvement
Practice-based research is needed to develop evidence-based practices … Practice-based research networks (PBRNs)—coalitions of practices and clinics—are positioned to conduct … high-quality research leading to evidence-based practices. … Settings (PROS), a national PBRN of the American Academy of Pediatrics (AAP) that includes pediatric practices … Consortium (PeRC) of the Children’s Hospital of Philadelphia (CHOP), which consists of regional pediatric practices
-
digital.ahrq.gov/ahrq-funded-projects/incorporating-health-information-technology-workflow-redesign
January 01, 2023 - that can help guide providers as they determine where and how to best integrate health IT into their practices … The information led to the development of a toolkit to help small and medium-sized medical practices … A unifying theme was that practices must have a clear understanding of how clinical and administrative … Among practices that have implemented health IT, some workflow effects seem to be universal, such as … Medical practices that face the daunting challenge of large-scale health IT implementations can benefit
-
digital.ahrq.gov/ahrq-funded-projects/effective-use-e-prescribing-physician-practices-and-pharmacies/annual-summary/2010
January 01, 2010 - Effective Use of e-Prescribing in Physician Practices and Pharmacies - 2010
Project Name … Effective Use of e-Prescribing in Physician Practices and Pharmacies
Principal Investigator … Further, even when the features are available, physician practices face barriers to implementing them … To gain the benefits from electronic transmission of prescriptions, both physician practices and pharmacies … Approximately 115 interviews were conducted with representatives of physician practices and pharmacies
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/morris-cj-et
January 01, 2023 - Subjects and setting: Eight English general practices. … Progress made by practices after 1, 3, and 6 months. … Results: A number of clinical issues were raised by the practices and ideas for moving them forward were … Practices were less likely to have taken steps towards addressing issues at a systems level. … Different practices place different priority levels on the issues they wish to pursue.
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/tolar-m
January 01, 2023 - However, EMR systems are primarily designed to support clinical tasks, and data entry practices of clinicians … PURPOSE: In this paper we follow a community health centre (CHC), and document the changes in work practices … CONSEQUENCES: Changes in the work practices observed in this case which were required to support secondary … Objective
To document the changes in work practices of the personnel of a community health center that
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs022693-scholle-final-report-2014.pdf
January 01, 2014 - practices performing all 10 activities to practices performing 9 or fewer activities. … Compared to urban practices, surveyed practices located in rural or suburban communities had
greater … Characteristics of Participating Practices
Survey
Respondents
N=350 (%)
Case study
Practices … Clinical summary that is
pertinent to visit
Yes, all practices
Yes, all practices
Low … dashboards but not
in real time
Yes, all practices
All practices could generate patient lists
-
digital.ahrq.gov/ahrq-funded-projects/computer-automated-developmental-surveillance-and-screening/annual-summary/2012
January 01, 2012 - ‘Best practices’ guidelines require that children receive appropriate and timely screening and treatment … Achieved)
Evaluate the effect of the CHICA system on the developmental surveillance and screening practices … The data collection phase included a chart review at intervention practices to identify rates of diagnosis … At the control practices, chart reviews using the Autism Screening Questionnaire identified referrals … There was also some difficulty recruiting patients at the control practices because the language used
-
digital.ahrq.gov/ahrq-funded-projects/enhancing-fulfillment-data-community-practices-clinical-care-and-research/annual-summary/2012
January 01, 2012 - Enhancing Fulfillment Data in Community Practices for Clinical Care and Research - 2012 … Project Name
Enhancing Fulfillment Data in Community Practices for Clinical Care and Research … While community practices that use electronic prescribing (e-prescribing) are obtaining new access to … Member practices are being surveyed about their use of e-prescribing and the accessibility and utility … The hypertension report using clinical and fulfillment data in two practices is currently being pilot
-
digital.ahrq.gov/ahrq-funded-projects/impact-health-it-implementation-diabetes-process-and-outcome-measures/annual-summary/2012
January 01, 2012 - Currently, the health care provided to patients with diabetes frequently falls short of the “best care” practices … Care System HealthTexas Provider Network, which implemented an EHR in a staggered fashion across its practices … Impact and Findings: After adjusting for patient age, sex, and insulin use, patients seen in the EHR practices … were significantly more likely to receive optimal care when compared with those from the non-EHR practices … Among patients in the EHR practices, all process and outcome measures, except HbA1c and lipid control
-
digital.ahrq.gov/sites/default/files/docs/publication/r18hs022674-adler-milstein-final-report-2014.pdf
January 01, 2014 - Methods: A mixed-methods study comprised of a statewide survey of Michigan primary care practices, … ) followed by the complexity of required
workflow changes (68% of practices) (Figure 2). … Forty-three percent of practices were able to include a concise narrative in the SCR. … First, practices perceived that their EHR produced an SCR containing
extraneous information. … Some practices had the option to embed links to ICD codes using structured fields; however, practices
-
digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-ambulatory-chronic-disease-care/annual-summary/2011
January 01, 2011 - To improve patient care quality and safety, the Family Medicine and General Internal Medicine practices … innovations (described below) designed to improve chronic disease care in the ambulatory primary care practices … The innovations were implemented differently in various practices and with different associated care … A composite measure of eight diabetes care-quality indicators improved in practices able to access performance … Practices improving in the second year showed strong leadership, sharing of information, and exhibited
-
digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel/annual-summary/2012
January 01, 2012 - Period
February 2010 – February 2012
AHRQ Funding Amount
$100,000
Summary: Primary care practices … Balasubramanian and his team investigated how group practices can manage physician and resident-patient … How should practices best match patient and physician preferences, while simultaneously considering the … The process of patient panel redesign can be achieved by practices over many years, based on natural … The findings from this study may serve as an assessment tool for practices to characterize and benchmark
-
digital.ahrq.gov/ahrq-funded-projects/use-push-and-pull-health-information-exchange-technologies-ambulatory-care
January 01, 2023 - Use of Push and Pull Health Information Exchange Technologies by Ambulatory Care Practices and the Impact … Ryan Project Name: Use of Push and Pull Health Information Exchange Technologies by Ambulatory Care Practices … Use of Push and Pull Health Information Exchange Technologies by Ambulatory Care Practices and the Impact … Ryan Project Name: Use of Push and Pull Health Information Exchange Technologies by Ambulatory Care Practices … Ryan Project Name: Use of Push and Pull Health Information Exchange Technologies by Ambulatory Care Practices
-
digital.ahrq.gov/sites/default/files/docs/publication/r03hs018220-fleming-final-report-2011.pdf
January 01, 2011 - This study examined the
experience of 26 primary care practices within a fee-for-service ambulatory … Specifically, 2 practices implemented the EHR in the last half of 2006, 14 practices
implemented in … 2007 and 10 practices in 2008; we dichotomized this variable as 2006/2007
versus 2008. … and helping practices prepare for the EHR, and external EHR consultants). … Electronic
health records: which practices have them, and how
are clinicians using them?
-
digital.ahrq.gov/principal-investigator/kahn-michael
January 01, 2023 - Kahn, Michael
Enhancing Fulfillment Data in Community Practices for … Enhancing Fulfillment Data in Community Practices for Clinical Care and Research - Final Report. … for Clinical Care and Research
Enhancing Fulfillment Data in Community Practices … for Clinical Care and Research
Enhancing Fulfillment Data in Community Practices … for Clinical Care and Research
Enhancing Fulfillment Data in Community Practices
-
digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/overhage-jm-et-al-2001
January 01, 2001 - physician order entry: effects on physicians' time utilization in ambulatory primary care internal medicine practices … physician order entry: effects on physicians' time utilization in ambulatory primary care internal medicine practices … the system improved their patient care and wanted the [system] to continue to be available in their practices … Context or other IT in place
Participating practices had in place an electronic health record system … The 34 participants were observed across 11 practices.
-
digital.ahrq.gov/ahrq-funded-projects/delivery-preventive-services-primary-care
January 01, 2023 - known to increase delivery of immunizations and other preventive services in a group of primary care practices … detailing by a local opinion leader including suggestions derived from peer exemplars (results of "best practices … Practices were randomized to the multi-component intervention group or to the control group, which receive
-
digital.ahrq.gov/ahrq-funded-projects/enhancing-fulfillment-data-community-practices-clinical-care-and-research/annual-summary/2011
January 01, 2011 - Enhancing Fulfillment Data in Community Practices for Clinical Care and Research - 2011 … Project Name
Enhancing Fulfillment Data in Community Practices for Clinical Care and Research … While community practices that use electronic prescribing (ePrescribing) are obtaining new access to … For this project, member practices will be surveyed for their use of ePrescribing and the accessibility … Fulfillment data will be extracted from five of those practices and assessed for completeness and accuracy
-
digital.ahrq.gov/sites/default/files/docs/page/2_DimensionsofBusinessPractices_1.pdf
June 16, 2021 - Dimensions of Business Practices
Tool 2. … Dimensions of Business Practices1
This document describes the dimensions of business practices associated … Dimensions of Business Practices
Privacy and Security Domain 3
Patient and provider identification … – Appropriate audit practices have been adopted. … – Appropriate practices have been adopted to secure fax transmission.