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digital.ahrq.gov/sites/default/files/docs/page/IAVR_ExecSumm_1.pdf
December 29, 2006 - The Interim Assessment of Variation of
Business Practices, Policies, and State Law (IAV) comprises … ; (2) the major
domains addressed by the business practices (based on the 9 domains of privacy and … Others seem to understand this
approach but see conflicts with traditional practices and local laws … , or at least variability in
the processes of implementing practices. … (lack of compatible systems, lack of compatible practices, lack of
trust).
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digital.ahrq.gov/ahrq-funded-projects/taconic-health-information-network-and-community-thinc/annual-summary/2008
January 01, 2008 - The current rate of adoption is 36 percent, with 37 percent in group practices with less than six physicians … These figures represent a doubling of EMR penetration during the time of this project, with small practices … The higher rate of EMR adoption by small physician practices in this project is believed to be attributable … approach, and whether that approach may be a factor in the low EMR adoption rate for small physician practices … Electronic result viewing and quality of care in small group 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/sites/default/files/docs/page/SuccessStory_Krist_7312012.pdf
July 01, 2011 - Adoption study – to examine whether and how
the IPHR is used by primary care practices
with varying … Efficacy study (completed): The first study took
place in eight primary care practices in the Virginia … Through a randomized, controlled trial, a sample of the practices’ 82,000 patients received a request … The study is being
onducted in six practices that use CCHITcertified Epic
r Professional … ’ EHR and the IPHR,
uccessful strategies for primary care practices to adopt PHRs such
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/eccles-m-et-al-2002
January 01, 2002 - Setting: 60 general practices in north east England. … Participants: General practitioners and practice nurses in the study practices and their patients aged … Primary care
Size
Small and/or medium
Other Information
The study involved "60 general practices … Context or other IT in place
The practices in the study used as an electronic medical record (EMR) … Participants
The study participants included "[g]eneral practitioners and practice nurses in the study practices
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digital.ahrq.gov/sites/default/files/docs/resource/Real_Time_and_On_Time_Lessons_Learned_9_6_06.pdf
June 16, 2021 - Redesign work to embed best practices into routine work
practices. … elements is critical for developing a shared database, developing reports, and incorporating
best practices … Standardized elements incorporated data required for quality reporting, best practices, and state regulatory … ‘Real-Time’ facilities redesigned and implemented standardized CNA documentation practices to
reduce … Redesigned clinical workflow to incorporate evidence-based best practices for pressure ulcer
prevention
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/emery-j-et-al-2007
January 01, 2007 - There were more referrals to the Regional Genetics Clinic from GRAIDS than comparison practices (mean … mean difference 3.0 referrals; 95% confidence interval (CI) 1.2 - 4.8; P 0.001); referrals from GRAIDS practices … Patients referred from GRAIDS practices had lower cancer worry scores at the point of referral (mean … Study Design
Randomized controlled trial (RCT)
Study Participants
Practices were randomly assigned … to use the decision support system (DSS)-based or non-DSS best practices.
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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/r01hs017939-carroll-final-report-2013.pdf
January 01, 2013 - routine care could improve standardized developmental surveillance and
screening within primary care practices … efforts
have been made to address the implementation of developmental surveillance and screening
practices … within primary care settings, but despite such efforts, these practices are not routinely
or appropriately … , 120 children whose charts we reviewed for developmental
surveillance practices, and 95 children whose … We refined an existing computer decision support system for pediatric primary care practices
– Child
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digital.ahrq.gov/sites/default/files/docs/hit-cdm-slides-062111.pdf
June 21, 2011 - www.betterhealthcleveland.org
http://www.betterhealthcleveland.org
Baseline Characteristics of Practices … after Balancing
Variable Group
A
Group B ICC P-Value
# of
Practices
5 5
# of Pts 2281 2025
% … 18.7 16.9 0.001 0.138
% on Insulin 18.5 19.6 <0.001 0.392
Slope A1c -0.66 -0.57 <0.001 0.228
10 Practices … – “Share ideas, compete on execution”
– Stratifying results by SES is supported by
practices, so far … after Balancing
10 Practices Assigned Randomly to CDS �for Diabetes Mellitus (DM2) or to Usual Epic
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/zai-ah-et-al-2007
January 01, 2007 - Physicians Organization includes more than 15,000 patients with diabetes cared for in 20 primary care practices … Physicians and practices can view graphical representations of the care received by their diabetes patients … Physicians and practices can edit their rosters and remove patients that are correctly assigned to a … the RPM application so that administrators could coordinate diabetes management within the various practices … , diabetes nurse managers, physicians and others working on diabetes management at the primary care practices
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digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-delivery-hpv-vaccine/annual-summary/2010
January 01, 2010 - increase overall rates of completion of HPV vaccination regimen in inner-city settings as compared to practices … retrospective cross-sectional analysis of the intervention will be performed in four inner-city primary care practices … of health maintenance visits and other vaccinations for adolescents in intervention and comparison practices … reduce intervals between doses, and increase completion of the HPV vaccination series in inner-city practices … Institutional review board approval for working with additional practices and the survey was submitted
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digital.ahrq.gov/ahrq-funded-projects/improving-otitis-media-care-electronic-health-record-ehr-based-clinical/annual-summary/2011
January 01, 2011 - The study randomly assigned 24 primary care practices into groups for usual care with feedback reports … The project was conducted in the CHOP Pediatric Research Consortium, which includes all primary care practices … Preliminary Impact and Findings: Practices randomized to clinical decision support were significantly … more likely to adhere to guidelines for management of OM than were control practices. … and33), the average practice-level use of the CDS tool was 17.1 percent (range 4.8-45.1 percent across practices
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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/ImpactHealthITPrimaryCareWorkflow.pdf
September 19, 2011 - and workflow impact of rapid
implementation of an electronic health record (EHR) in primary care
practices … Setting: 26 HealthTexas primary care practices as part of the Baylor
Health Care System, (in North Texas … the
threat to internal and external validity that arises from selection bias
is avoided when all practices … Some economies of scale can be achieved with larger practices due to fixed
and variable nature … The Financial and Nonfinancial Costs of
Implementing Electronic Health Records in Primary Care Practices
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digital.ahrq.gov/ahrq-funded-projects/chronic-care-technology-project/annual-summary/2010
January 01, 2010 - implementation phase of this project focused on two components of the Planned Care Model: 1) health practices … Twenty-eight health care teams participated in the project, including nursing homes, physician practices … is an effective process to adopt and implement technological changes in health care systems (within practices … One of the most important take-away messages from this project is that for many small, rural Maine practices … Effectiveness of the IHI BTS Collaborative Model: Despite the barriers faced by participating practices
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs024100-rao-final-report-2018.pdf
January 01, 2018 - Participating practices included Erie Waukegan, Erie Evanston/Skokie, Erie Helping Hands, Erie West … The Erie network of practices serves primarily
minority patients – More than 60% of children care for … We had initially planned to
randomize a larger number of practices. … The control and intervention group
practices were chosen to be roughly balanced in size in terms of … We were able to recruit six highly
engaged practices.
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digital.ahrq.gov/ahrq-funded-projects/applying-lessons-learned-community-collaboration-health-it/annual-summary/2010
January 01, 2010 - 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 will draft a summary of best practices … team will prepare a final report that will include models and case studies to describe applicable best practices … applicability of community collaboration models to sustainable RHIOs and HIE, and to identify best practices
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017035-mehr-final-report-2011.pdf
January 01, 2011 - in the University of Missouri Health
System, including 8 suburban practices and 2 rural practices. … Pull and push reports
were assigned to practices in a
factorial design with two practices
receiving … no reports, two practices
receiving pull reports only, four
practices receiving push reports
only … , and two practices receiving
both push and pull reports. … While those practices started out with better performance
than some other practices, over the course
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digital.ahrq.gov/sites/default/files/docs/citation/r21hs021769-anderson-final-report-2016.pdf
January 01, 2016 - assess
a scalable system of patient data collection and clinician feedback in multiple primary care
practices … Once funding was confirmed, efforts were made to recruit practices through eNQUIRENet. … Appropriate practices were identified and contacted by Dr. … Eligible patients were recruited from participating
primary care practices using methods as described … Participating practices
were involved in decisions regarding these algorithms.