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digital.ahrq.gov/ahrq-funded-projects/use-dense-display-data-and-information-design-principles-primary-care-health/annual-summary/2010
January 01, 2010 - As a result, little systematic evidence has been gathered on the usability of EHRs in practices and how … Assess current vendor and health care organization practices regarding information design in EHR product … Identify best practices in the use of shared (patient-clinician) EHR views, including applicable privacy … Develop standards and best practices for customization during EHR deployment. … Increase research and development of best practices to support patient safety designs.
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digital.ahrq.gov/ahrq-funded-projects/building-implementation-toolset-e-prescribing/annual-summary/2010
January 01, 2010 - toolsets will be evaluated on usability and usefulness for implementing e-prescribing in a broad range of practices … toolset development, several e-prescribing initiatives were analyzed to assess the contribution of key practices … work processes, use of specific e-prescribing technologies and standards, distinctive implementation practices … The findings from the analysis provide guidance and customizable aids to help organizations adopt practices … evaluated in 2011 on usability and usefulness in helping implement e-prescribing in a broad range of practices
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/how-common-are-electronic-health
those surveys in which the underlying population of interest consisted of physicians, physician group practices … assessed for quality Evaluation Method: abstraction process based on professional standards and best practices … Association for Public Opinion Research; quality assessment guided by expert consensus regarding best practices … Barriers: Large physician offices were much more likely to have an HER than solo or small physician practices
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digital.ahrq.gov/sites/default/files/docs/activity/2011_018811_krist_pdf_3.pdf
January 01, 2011 - This followup project is evaluating whether and how these eight primary care practices can extend the … • Measure the utilization of the IPHR when the IPHR is promoted to patients by primary care
practices … The practices are currently fielding two patient portals—
MyPreventiveCare and Intuit’s proprietary … Combining these portals
would streamline the practices’ workflow and reduce patient confusion about … Preliminary Impact and Findings: Practices successfully incorporated the IPHR into workflow and
used
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digital.ahrq.gov/sites/default/files/docs/citation/r01hs022305-manojlovich-final-report-2019.pdf
January 01, 2019 - for follow-up telephone interviews to understand communication practices
and work relationships. … ; high technology score, low non-technological
communication practices; etc.) and contacted the chief … Such uneven access to
technology put additional barriers on communication practices with the result … Choosing Mediums, Manipulating Messages:
Relationships and Interprofessional Communication Practices … “Choosing mediums, manipulating messages:
relationships and physician-nurse communication practices
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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 - • Assess practices’ needs, challenges, and priorities, including HIT.
• Help practices select and implement … for practices
• Technical assistance from contracted experts for targeted key
areas, including HIT … • Claims-based quality and resource use feedback reports to
practices.
11
Other Programs
• New … • Consolidation of experts deployed to practices
• Medical home practices better positioned for
EHR … receptive to registry
• Most practices interested in HIT incentives
• Practices engaged in redesign
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digital.ahrq.gov/sites/default/files/docs/ahrq_nrc_multi_grantee_meeting_slides_provider_engagement_1_.pdf
December 07, 2010 - care funding
Develop an understanding of the health care
values, dynamics, and structure of the
practices … They build relationships with the practices and
go in the “Employee Only” entrance
They have a … Providers
Hospitals 4 769
CHCs 37 806
Small practices 488 1051
Correctional
Health Facility 1 70
TOTAL … (quality data & Data is not released
utilization data)
Work with interested payers and practices to … for transformation;
interviews of providers and staff with 40 practices
Recruitment
Identifying
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/workflow-analysis/adoption-gap-health
The Adoption Gap: Health Information Technology in Small Physician Practices. … Publication Year: 2005 Link: The Adoption Gap: Health Information Technology in Small Physician Practices
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digital.ahrq.gov/sites/default/files/docs/activity/statewide_implementation_of_2009_update_2.pdf
January 01, 2009 - ; the three selected communities represent over
150 ambulatory practices with more than 400 clinicians … Prior to this project, the MAeHC had
implemented full EHRs in all of these practices and created an … Ability to generate patient registries among practices with
and without electronic health records. … Electronic health records: which practices have them, and
how are clinicians using them? … Correlates of electronic health record adoption in office practices:
a statewide survey.
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digital.ahrq.gov/sites/default/files/docs/citation/quality-performance-monitoring-data-collection-and-reporting-final-report.pdf
April 01, 2015 - Consequently, while smaller practices may look to these larger practices for examples of
1 … See Table 1 for a description of participating practices. … Two practices used automated queries of data; the remaining practices used
8 … All of the study practices experience multiple and common barriers. … Further, while no practices in the study purchased EMRs
specifically to conduct their projects, practices
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digital.ahrq.gov/sites/default/files/docs/page/CarayonSuccessStory.pdf
December 31, 2010 - systematically reviewed the existing
research about how health IT impacts the workflow in ambulatory practices … The project team found that practices must have
a clear understanding of a) how clinical and administrative … Medical practices that face the challenges concerning health IT implementation and practice improvement … Assessing the Impact of Health Information
Technology on Workflow in Provider Offices
TOOLS HELP PRACTICES … It is expected to influence the success of health IT
implementation in small and medium-sized practices
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-delivery-hpv-vaccine/annual-summary/2011
January 01, 2011 - and increase overall rates of completion of HPV vaccination regimen in inner-city areas compared to practices … perform a retrospective cross-sectional analysis of the intervention in four innercity primary care practices … of health maintenance visits and other vaccinations for adolescents in intervention and comparison practices … As a result, the study was revised to randomize the patients instead of the practices. … Institutional Review Board approval was obtained for all practices and baseline data was collected for
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs018161-atlas-final-report-2013.pdf
January 01, 2013 - Methods: Cluster practice-randomized controlled trial of 18 practices within an academic PC
network … In
intervention practices, PCPs screened real-time rosters of their patients overdue for screening, … In control practices, overdue patients were automatically sent reminder letters and transferred to
a … practices (p<0.001). … practices.
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digital.ahrq.gov/sites/default/files/docs/page/E_Glossary_1.pdf
April 26, 2013 - Barriers
Practices, policies, or laws that impede, prohibit, or impose conditions on health information … Business Practices
Organizational practices that are implemented to address the needs of the business … that allow the sharing of health information in the context of
standard privacy and security practices … , common
practices to file a privacy or security complaint, etc. … Security
Administrative, physical, and technical processes, practices, software, etc, that secure
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digital.ahrq.gov/sites/default/files/docs/page/E_Glossary_0.pdf
April 13, 2012 - Barriers
Practices, policies, or laws that impede, prohibit, or impose conditions on health information … Business Practices
Organizational practices that are implemented to address the needs of the business … that allow the sharing of health information in the context of
standard privacy and security practices … , common
practices to file a privacy or security complaint, etc. … Security
Administrative, physical, and technical processes, practices, software, etc, that secure
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digital.ahrq.gov/sites/default/files/docs/activity/2011_018830_nemeth_pdf_3.pdf
January 01, 2011 - Research Network (PPRNet), a practice-based
research network consisting of more than 224 physician practices … components: an intervention model, an improvement model, and a
practice development model that assists practices … the interviews on sustainability, maintenance, and team development
will be recruited from PPRNet practices … The refined model concepts have established internal validity and four practices provided evidence to … support that this model adds to the learning and development of their practices while using health
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digital.ahrq.gov/sites/default/files/docs/page/improving-otitis-media-care-with-ehr-based-clinical-decision-support-and-feedback.pdf
July 02, 2015 - predictors of clinician
adoption of the health IT tool
Study Setting
24 of 27 Ambulatory
Care Practices … Participated
Study practices part
of an AHRQ funded
Practice-Based
Research Network
Study … Design: Cluster Randomized Trial
Start
12 Month
Pre-
Intervention
R
Control
(4 practices)
Control … +
Feedback
(4 practices)
Intervention
(8 practices)
Intervention +
Feedback
(8 practices)
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digital.ahrq.gov/sites/default/files/docs/activity/building_an_implementation_toolset_for_e_prescribing_2010_pdf__2.pdf
January 01, 2010 - e-prescribing implementations
in several organizational configurations, including large and small practices … toolset development, several e-prescribing initiatives were analyzed to assess the contribution
of key practices … work processes, use of specific e-prescribing technologies and standards, distinctive implementation
practices … The findings from the
analysis provide guidance and customizable aids to help organizations adopt practices … evaluated
in 2011 on usability and usefulness in helping implement e-prescribing in a broad range of practices
-
digital.ahrq.gov/sites/default/files/docs/page/2006ConinEganLoonsk_052411comp.pdf
January 17, 2006 - of protection, but
protections are also found in:
– Other federal laws
– State laws
– Common law
– Practices … and policies
– Contracts
Variation in P&S Practices:
Variation within and across states is a result … that are barriers to interoperable
electronic health information exchange (HIE)
• Document best practices … Recommendations:
– Preserve privacy and security protections as much as possible
– Incorporate best practices … barriers
– Develop plans to implement the solutions
Sub-Contract Goals:
• Identify state business practices
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digital.ahrq.gov/ahrq-funded-projects/improving-medication-management-practices-and-care-transitions-through-technology/annual-summary/2010
January 01, 2010 - Improving Medication Management Practices and Care Transitions through Technology - 2010 … Project Name
Improving Medication Management Practices and Care Transitions through Technology … support for clinicians, and provide supplementary information to patients, thereby improving nursing practices … Specific Aims:
Examine the relative effect of the intervention on workflow and medication management practices