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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
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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/sites/default/files/docs/activity/p30hs021645-wasserman-annual-summary-2012.pdf
January 01, 2012 - AHRQ Funding Amount: $599,924
Summary: Practice-based research is needed to develop evidence-based practices … research networks (PBRNs) are positioned to conduct high-quality
research leading to evidence-based practices … (PeRC) of the
Children’s Hospital of Philadelphia (CHOP), which consists of 29 regional pediatric practices … All practices within PeRC use a single-vendor
EHR system to support research activities. … Although only a small proportion of PROS practices are part of ePROS (31 practices in 20 States),
efforts
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digital.ahrq.gov/sites/default/files/docs/activity/use_of_dense_display_of_data_and_information_design_principles_2010_pdf__2.pdf
January 01, 2010 - As a result, little systematic evidence
has been gathered on the usability of EHRs in practices and … cases and tools for evaluating EHR implementations for adherence to
usability principles and best practices … • Assess current vendor and health care organization practices regarding information design in EHR … • Identify and evaluate innovative ways to display complex information in EHRs.
• Identify best practices … • Develop standards and best practices for customization during EHR deployment.
• Encourage formal
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digital.ahrq.gov/sites/default/files/docs/2010-05-10%20Building%20and%20Maintaining%20a%20Sustainable%20Health%20Information%20Exchange.pdf
January 01, 2010 -
• Local physicians reportedly were nervous about the collection of
data on their practices. … •
For the NHIN to become a reality, such
practices must become involved
Specific Aims
• … To assess the motivating factors and
barriers that influence primary care
practices to participate … Setting and Participants
•
Conducted in 2008‐2009
•
Nine Minnesota primary care practices
• … Purposefully selected to include
–
Urban and rural locations
–
Small practices of fewer than
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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
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs024327-ornstein-final-report-2018.pdf
January 01, 2018 - Exemplar practices were defined as those, among the 59 PPRNet practices who submitted data
for the third … for safe EHR use in small primary care practices (Table 2). … Taxonomy of Key Strategies and Best Practices for Safe EHR Use in Small
Primary Care Practices
SAFER … Guide Key Strategies and Best Practices
High Priority
Practices
Data backups are important, although … Diversity was seen not only as an issue between different
practices, but within practices.
-
digital.ahrq.gov/ahrq-funded-projects/improving-patient-access-and-patient-clinician-continuity-through-panel/annual-summary/2011
January 01, 2011 - Period
February 2010 - February 2012
AHRQ Funding Amount
$100,000
Summary: Primary care practices … Balasubramanian and his team are investigating how group practices can manage physician and resident-patient … How should practices best match patient and physician preferences, while simultaneously considering the … The patient reassignment model will be turned into a Web-based decision support tool for use by other practices
-
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/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.
-
digital.ahrq.gov/ahrq-funded-projects/personal-health-information-management-and-design-consumer-health-it/building-bridges-consumer-needs-and-design-health-information-technology
IT systems that are based on a solid understanding of personal health information management (PHIM) practices … IT systems including a set of key design principles that are based on a solid understanding of PHIM practices … Developed an action agenda about how personal health information management practices can best be supported
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digital.ahrq.gov/sites/default/files/docs/activity/improving_lab_followup_by_delivering_an_enhanced_medication_list_to_outpatient_physician_practices_2010_pdf__2.pdf
January 01, 2010 - Improving Lab Followup by Delivering an Enhanced Medication List to Outpatient Physician Practices … Summary
1 | ImprovIng Lab FoLLowup by DeLIverIng an enhanceD meDIcatIon
LIst to outpatIent physIcIan practIces … Improving Lab Followup by Delivering an Enhanced Medication
List to Outpatient Physician Practices … providing medication data from
the Indiana Network for Patient Care (INPC) to ambulatory primary care practices … Summary
2 | ImprovIng Lab FoLLowup by DeLIverIng an enhanceD meDIcatIon
LIst to outpatIent physIcIan practIces
-
digital.ahrq.gov/ahrq-funded-projects/systems-engineering-approach-improving-medication-safety-clinician-use-health/annual-summary/2010
January 01, 2010 - studied the impact of an information technology (IT)-based SEMI-P on medication safety in primary care practices … Practices used the ACORNoffice tool, an IT-based quality improvement tool that supported the practice … At all practices, the majority of patients had appropriate laboratory monitoring for these medications … However, compliance was not complete and there was considerable variation between practices, especially … The papers will focus on: 1) the barriers and facilitators for practices to improve safety using the
-
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.
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/predicting-adoption-electronic-0
January 01, 2006 - Study Design: Other pred. analysis Outcomes: Predicted rates of EHR use by physicians in small practices … Rates of EHR Adoption: For 2006 rates of EHR adoption in small physician practices were estimated to … range from approximately 22% to 28%. 87% of all physicians in small practices were projected to have
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs022689-fiks-final-report-2015.pdf
January 01, 2015 - Methods: We conducted a mixed-methods implementation study in 20 practices (11 states). … In this
study, a convenience sample of 20 practices (9 PROS practices and 11 PeRC practices) were
enrolled … Limitations
Although this study enrolled primary care practices from 11 states and practices varied … on practices serving relatively
large proportions of low-income families. … Variations in patient portal adoption in four primary care practices.
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digital.ahrq.gov/sites/default/files/docs/novel-hit-interventions-slides-073114.pdf
July 31, 2014 - case manager reviewed overdue list
► Selected patients for reminder letter
• Study design: 6 of 12 practices … randomly assigned to
use tool (control practices = usual care)
► 4,487 patients in intervention practices … Response:
Intervention Providers*
* No significant differences in responses for PCPs in control practices … ► Among practices where delegates used TopCare
more, improved screening rates were found among
overdue … Post-Study Implementation
• All practices continue cancer screening
► Choice of using reviewing list
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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
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_017951_rand_pdf_3.pdf
January 01, 2011 - and increase overall rates of completion of HPV vaccination regimen in inner-city
areas compared to practices … of health maintenance
visits and other vaccinations for adolescents in intervention and comparison practices … intervals between doses, and increase completion of the HPV vaccination series in inner-
city 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