-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/effects-computerized-physician-0
October 09, 2000 - Effects of computerized physician order entry on prescribing practices
Authors: Teich JM, … Purpose of Study: Describe the impact of CPOE on prescribing practices Years of study: 1993 Study Design
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/predicting-adoption-electronic
time to EHR adoption, estimates of EHR adoption by 2014 Summary: Settings: physician groups in small practices … innovation, using the Bass Model System Penetration: The model predicts that by 2014 about 62% of practices … Best estimate of the time until 90% of practices have EHRs is beyond 2020.
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/nurse-management-hypertension
March 01, 1985 - quality Summary: Settings: Three hundred seventy-seven patients with hypertension from four general practices … Intervention: Practices with a computer protocol for the management of hypertension by nurses were compared … Quality of Care and Patient Safety Outcome: Three practices representing approximately 80% of the total
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/using-electronic-patient-records
January 01, 2004 - on healthcare effectiveness and quality Summary: Settings: General practice Administration System practices … Audit practices received electronic feedback on numbers of patients with elecated blood pressure; audit … plus strategic practices received this feedback plus a color-coded, patient-specific list ranked by
-
digital.ahrq.gov/sites/default/files/docs/page/Fleming_SS_508_20111021_d.pdf
October 21, 2011 - However, adoption is
still low in primary care practices due to skepticism about costs, adverse impact … Data were collected in 26 primary care practices (family and general internal medicine
practices between … Practices will be able to
collect up to $44,000 through Medicare incentives or $63,000 through Medicaid … Provider practices and health care organizations must consider
many hidden resources and staff time costs … The Practice End-Users at the
individual practices spent an estimated 134 hours per physician (all but
-
digital.ahrq.gov/sites/default/files/docs/citation/r18hs022701-ornstein-final-report-2014.pdf
January 01, 2014 - Results
Participating Practices and Identification of Exemplars:
Ninety-five PPRNet practices expressed … Seventy-eight practices consented to participate. … , resulting in 71 practices from 28 states for the analyses. … Lead physicians from 23 of the 27 practices selected as exemplar
practices attended the focus … All practices reported using their EHRs for over 6 years; nine practices had been
using their
-
digital.ahrq.gov/sites/default/files/docs/activity/using_evidence_based_nursing_practices_and_electronic_health_record_decision_support_2010_pdf__2.pdf
January 01, 2010 - Using Evidence-Based Nursing Practices and Electronic Health Record Decision Support to Reduce Fall-Related … Patient Injuries in Acute Care
Using Evidence-Based Nursing Practices and Electronic
Health Record … and logistical design and evaluate post-
implementation outcomes.
1 | Using EvidEncE-BasEd nUrsing PracticEs … sociotechnical contexts, and how
CDS tools can support nurse decisionmaking.
2 | Using EvidEncE-BasEd nUrsing PracticEs … Business Goal: Implementation and Use
3 | Using EvidEncE-BasEd nUrsing PracticEs and EHr dEcision sUPPort
-
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.
-
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
-
digital.ahrq.gov/sites/default/files/docs/citation/r21hs023786-patel-final-report-2017.pdf
January 01, 2017 - (Estimate 0.90 SE (0.4); p<0.05) and with EHR-specific communication
practices (Estimate 2.3 SE (0.8 … Physician self-efficacy in communication practices with patients and asthma counseling behavior
were … , EHR-specific communication practices, or asthma
counseling practices. … The patient
participants’ baseline ratings of their provider’s communication and counseling practices … Recruiting minority primary care
practices into practice-based research.
-
digital.ahrq.gov/sites/default/files/docs/activity/computer_automated_developmental_surveillance_and_screening_2010pdf_2.pdf
May 01, 2012 - “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/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.
-
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.
-
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.
-
digital.ahrq.gov/ahrq-funded-projects/past-initiatives/transforming-healthcare-quality-through-health-it/ahrq-project-seeks-cure-what
September 29, 2009 - The demands of modern clinical practice require doctors to keep up on the latest in best practices. … EHRs more useful, researchers began implementing "smart forms" and "quality dashboards" at clinical practices … dashboard and smart form for acute respiratory patients has been introduced to about 1,000 doctors in 10 practices … The coronary artery disease/diabetes smart form is currently being rolled out to a similar number of practices … , while the dashboard for coronary artery disease is being pilot tested in two practices to 20 physicians
-
digital.ahrq.gov/ahrq-funded-projects/delaware-health-information-network-dhin-state-and-regional-demonstration/annual-summary/2010
January 01, 2010 - The DHIN exchanges data among hospitals, reference laboratories, physician practices, and public health … medication history demonstration program using a select group of pain management, hospital-based, and family practices … Preliminary Impact and Findings: As of late 2010, DHIN had enrolled nearly 5,000 users at 323 practices … Nearly one-third of these participating practices receive clinical results and reports exclusively through … 2011 to understand the value and benefit of the DHIN for each stakeholder group, including physician practices
-
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
-
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
-
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
-
digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/medical-home/initial-lessons-first-national
June 01, 2006 - National Demonstration Project (NDP) to test a model of the PCMH in a diverse national sample of 36 family practices … these concerns and then offer 4 recommendations for those assisting the transformation of primary care practices … and 4 recommendations for individual practices attempting transformation.