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digital.ahrq.gov/ahrq-funded-projects/flualert-influenza-vaccine-alerts-providers-electronic-health-record/annual-summary/2011
January 01, 2011 - July 2012
AHRQ Funding Amount
$1,198,851
Summary: The Advisory Committee on Immunization Practices … In 2008, the practices had a volume of nearly 64,000 visits by approximately 22,000 children, the majority … The Vaccine for Children Program provides most of the vaccines given at the practices.
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digital.ahrq.gov/electronic-medical-record-systems
January 01, 2023 - care organization," [ 1 ] have the potential to provide substantial benefits to physicians, clinic practices … , although a number of group practices plan to implement an EHR within the next 2 years. … This suggests a need for greater support for practices, particularly smaller ones, in this quest, if … The Value of Electronic Health Records in Solo or Small Group Practices Author(s) : Miller RH, West C … Summary : We conducted case studies of 14 solo or small-group primary care practices using electronic
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digital.ahrq.gov/sites/default/files/docs/page/1_ScenariosGuide_0.pdf
June 16, 2021 - Potential areas of discussion of BUSINESS PRACTICES based on this scenario:
1. … Potential areas of discussion of BUSINESS PRACTICES based on this scenario:
1. … Potential areas of discussion of BUSINESS PRACTICES based on this scenario:
1. … Potential areas of discussion of BUSINESS PRACTICES based on this scenario:
1. … Potential areas of discussion of BUSINESS PRACTICES based on this scenario:
1.
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digital.ahrq.gov/sites/default/files/docs/page/1_ScenariosGuide_1.pdf
June 16, 2021 - Potential areas of discussion of BUSINESS PRACTICES based on this scenario:
1. … Potential areas of discussion of BUSINESS PRACTICES based on this scenario:
1. … Potential areas of discussion of BUSINESS PRACTICES based on this scenario:
1. … Potential areas of discussion of BUSINESS PRACTICES based on this scenario:
1. … Potential areas of discussion of BUSINESS PRACTICES based on this scenario:
1.
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digital.ahrq.gov/electronic-health-records
January 01, 2023 - Each project is contributing to the knowledge base around implementation of best practices and integration … Nationally, less than one-fifth of physician practices currently use an EHR. … One AHRQ grant surveyed practices within its state and found similar results. … Furthermore, the grant found that more than half of those practices without an EHR had no plans to implement … Networks allow individual entities, such as clinics and physician practices, to access more sophisticated
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digital.ahrq.gov/sites/default/files/docs/cds-medication-management-slides-012814.pdf
January 28, 2014 - and
79.4% of medications in intervention
practices. … and
77.7% in intervention practices … Consortium (PeRC)
► Randomization created 4 groups:
o CDS + feedback (8 practices)
o CDS only (8 … practices)
o Feedback only (4 practices)
o Usual care (4 practices)
Study Phases
• Phase 1 … (Baseline)—12 months; no practices
received the intervention
• Phase 2 (CDS only)—11 months; 16 practices
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digital.ahrq.gov/sites/default/files/docs/overcoming-barriers-slides-090512.pdf
September 05, 2012 - 7
Med History/Formulary (1)
■ Feature Use
– Some practices didn’t have access to these
features … or didn’t implement them
– Few practices used features routinely
■ Data Availability and Usefulness … generics without having to
rely on recall
– Practices created “favorite” lists with generics
– Some … and
pharmacies had not implemented e-
renewal feature
15
Electronic Renewals (2)
■ Practices … Cohen, “Transmitting and Processing Electronic Prescriptions:
Experiences of Physician Practices and
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digital.ahrq.gov/ahrq-funded-projects/improving-pediatric-donor-heart-utilization-predictive-analytics
September 30, 2024 - Sometimes biases, such as risk aversion and reliance on institutional practices, can further complicate … for navigating these complex decisions has resulted in significant variability in donor acceptance practices … Evaluate the impact of interface design and predictive model scores on acceptance practices. … real-time, data-driven guidance to clinicians, addressing critical gaps in current decision making practices
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digital.ahrq.gov/funding-mechanism/clinical-decision-support-services
January 01, 2023 - Clinical Decision Support Services
Identifying best practices for clinical … Identifying best practices for clinical decision support and knowledge management in the field. … Consortium
Governance for clinical decision support: case studies and recommended practices … Governance for clinical decision support: case studies and recommended practices from leading institutions
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digital.ahrq.gov/health-care-theme/medication
January 01, 2023 - checking dosage, contraindications, and drug interactions) that can be easily integrated into a provider's practices … electronic prescribing (e-prescribing) pilots, tested e- prescribing standards within small, community-based practices … Principal Investigator(s)
Samore, Matthew
Improving Medication Management Practices … Commercial E-Prescribing Systems
Description
This study investigated the experiences of physician practices
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digital.ahrq.gov/ahrq-funded-projects/using-health-it-practice-redesign-impact-health-it-workflow/annual-summary/2012
January 01, 2012 - more readily available to providers as they formulate a patient’s treatment plan, smaller physician practices … using patient-reported health information , both within an ambulatory practice and across multiple practices … combination of quantitative and qualitative methods to study six small- and medium-sized ambulatory care practices … and using patient-reported health information, both within an ambulatory practice and across multiple practices
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digital.ahrq.gov/ahrq-funded-projects/applying-lessons-learned-community-collaboration-health-it
January 01, 2023 - applicability of community collaboration models to sustainable RHIOs and HIE, and to identify best practices … The project team convened a meeting of stakeholders to obtain input on best practices for collaboration … Based on the literature review and meeting outcomes, the team developed a summary of best practices and
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digital.ahrq.gov/sites/default/files/docs/citation/eDecisionsReport.pdf
August 06, 2013 - ● Practices of all sizes. … ● Trained staff in the individual practices with protected time. … ● Start with the fewest practices necessary and expanded later. … Practices were engaged in local learning collaborative. … ❑ Train the practices in hospitals on
how to access the HIE.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017037-ornstein-final-report-2010.pdf
January 01, 2010 - Incorporate these measures in practice performance reports sent quarterly to participating
practices … The two-year QI intervention was conducted in 20 volunteer practices from 14 U.S. states
and began on … The majority of participating practices were family practice (n=17; n=3 internal medicine), and
had … Practices were able to re-identify patients using a tool within PP. … practices that will adopt EHRs in this era of physician incentives for meaningful use of EHRs.
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digital.ahrq.gov/sites/default/files/docs/publication/r21hs020696-ballard-final-report-2013.pdf
January 01, 2013 - Methods: In this observational study an EHR was rolled out across 34 primary care practices
over a … HTPN comprises >100 practices, with 450 physicians, and has
>1 million patient encounters annually. … We included patient encounters with any physician specializing in IM
or FM at these practices. … Practices which closed after 1 July 2005 were included in analyses until
their close date. … All practices which merged after 1 July 2005 had the same EHR status at the
time of the merger, and
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digital.ahrq.gov/sites/default/files/docs/publication/PreventiveCareHandbook_062912comp.pdf
June 01, 2012 - to smaller
primary care practices. … Practices were able to get patients to use an IPHR
● In 1 year, 14 practices got 25,210 patients to … only 14 practices participated in our studies. … Practices were located in
Virginia. … Practices need to address IPHR summaries.
2.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017188-mold-final-report-2010.pdf
January 01, 2010 - Scope: Eight primary care practices in Oklahoma. … a) Develop and describe model Wellness Portal practices;
b) Produce and disseminate these model practices … The randomization process of practices and enrollment of patients clustered in practices
*
We … Other “innovations” or lessons have also been shared between practices. … toward
change and innovation.
23
Model Practices.
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digital.ahrq.gov/ahrq-funded-projects/computer-automated-developmental-surveillance-and-screening/annual-summary/2010
January 01, 2010 - “Best practices” guidelines require that children receive appropriate and timely screening and treatment … Researchers at Indiana University have developed an electronic CDSS for pediatric practices called CHICA … The two intervention and two control practices began in July 2010. … The grant team collected baseline information on the participating practices, partially through chart … These practices began surveillance at acute care visits as well as well-child visits.
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digital.ahrq.gov/sites/default/files/docs/page/2006Cauley_051311comp.pdf
June 16, 2021 - Common Shared Record
Best Practices
Local governance through trusted third party
--Former CHINs
-- … Hospital associations
--Non-profit corporations
--State/local governments
Common Shared Record
Best Practices … through role based authorization and
HIPAA audit trail
--Assume opt in
Common Shared Record
Best Practices … Department interested in chronic
disease management and disease reporting
Outpatient physician practices
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digital.ahrq.gov/funding-mechanism/ambulatory-safety-and-quality-program-enabling-quality-measurement-through-health
January 01, 2023 - The intended and unintended consequences of quality improvement interventions for small practices … The intended and unintended consequences of quality improvement interventions for small practices in … Sustained improvement in clinical preventive service delivery among independent primary care practices … Sustained improvement in clinical preventive service delivery among independent primary care practices