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digital.ahrq.gov/sites/default/files/docs/page/valdez-podcast-transcript.pdf
July 21, 2014 - Rupa Valdez studied the health communication practices of diverse
patients to inform health IT design … I found that health information communication practices were complex
and varied. … Participants also held a wide range of views on how their cultural identity
influenced their communication practices
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digital.ahrq.gov/sites/default/files/docs/page/2006Cebul_051211comp.pdf
May 24, 2011 - In the DIG-IT Trial, EMR-catalyzed DM2
(including NCM) is available to 5 group
practices in one system … BothMC+DM2 MC MC+
EMR
Only
MHS – one system
2 Clusters
10 Practices (5+5)
~65 PCPs
~6000 Pts
CCF … – one system
3 Clusters
14 Practices
~130 PCPs
~9000 Pts
Alert: “Mrs. … Variations in adoption, by PCP and by site
Practices’ Baseline Characteristics
and Need for Support … In the DIG-IT Trial, EMR-catalyzed DM2 (including NCM) is available to 5 group practices in one system
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digital.ahrq.gov/ahrq-funded-projects/use-electronic-health-records-addressing-overweight-and-obesity-primary-care/annual-summary/2012
January 01, 2012 - A cluster-randomized controlled trial is testing these tools in 12 diverse ambulatory practices in the … Baer visited all participating practices that were randomized to the intervention arm to introduce them … The new elements were activated for 11 of the 23 participating clinical teams from 12 primary care practices … elements were activated, the research team completed an initial assessment of provider attitudes and practices … blood pressure measured and to complete another survey about their weight management attitudes and practices
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digital.ahrq.gov/health-it-tools-and-resources/pediatric-resources/pediatric-rules-and-reminders/sickle-cell-anemia-due-influenza-vaccine
January 01, 2008 - Clinician Summary
The American Academy of Pediatrics (AAP) and Advisory Committee on Immunization Practices … Recommendations of the Advisory Committee on Immunization Practices (ACIP). … Prevention and Control of Influenza: Recommendations of the Advisory Committee on Immunization Practices … reminders were created using national, state and local guidelines, and group consensus regarding best 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/page/iavr_executivesummary.html
December 29, 2006 - The Interim Assessment of Variation of Business
Practices, Policies, and State Law (IAV) comprises … This summary report consists of 3 major sections:
Methodology
Descriptions of Business Practices … The descriptions of business practices in each of the HISPC reports
are organized by 11 purposes for … , 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/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/sites/default/files/docs/publication/r21hs018811-krist-final-report-2012.pdf
January 01, 2012 - The first six months focused
on preparing practices to field the IPHR. … All practices used 2-4 automated tools to passively inform
patients of the IPHR. … Two practices had clinicians primarily inform patients of the IPHR
(practices #2 and 6) and five had … Common themes observed as practices prepared to implement the IPHR
Table 14a. … Common themes observed after practices implement the IPHR
Table 15a.
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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/sites/default/files/docs/activity/personal_health_information_management_and_design_of_consumer_health_it_2009_update_2.pdf
January 01, 2009 - Specific Aims
Assess and synthesize existing research and evidence regarding patients’ PHIM practices … and the linkages between those practices and the effective development
and use of consumer health IT … Workshop participants were asked to share their understanding of consumers’ current PHIM practices and … to identify what else needs to be known about those practices in order to design better consumer health … Key points included:
Build a knowledge base about consumers’ PHIM needs and practices and related
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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/sites/default/files/docs/20070410%20Evaluation%20of%20Massachusetts%20eHealth.pdf
April 10, 2007 - So here are the practices in the communities. … We sampled 1,829 practices, which is 30 percent of the state. … percent for one physician practices. … That's the one that has the largest proportion of practices. … The same
was true among practices in varying communities.
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digital.ahrq.gov/events/multi-grantee-technical-assistance-meeting-institutional-review-boards-challenges-and-best
January 27, 2010 - Multi-Grantee Technical Assistance Meeting: Institutional Review Boards: Challenges and Best Practices … during the application and approval process, (3) methods to mitigate challenging issues, and (4) best practices
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digital.ahrq.gov/ahrq-funded-projects/promoting-use-integrated-personal-health-record-prevention/annual-summary/2012
January 01, 2012 - as the Integrated Personal Health Record (IPHR) was offered to 2,750 patients in eight primary care practices—about … This followup project evaluated whether and how eight primary care practices could extend the use of … Aims:
Measure the utilization of the IPHR when the IPHR is promoted to patients by primary care practices … (Achieved)
Explore how well practices integrate the IPHR into care, identify mediators and moderators … Practices reported that the IPHR increased patient engagement in care, changed staff roles, reduced practice
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digital.ahrq.gov/sites/default/files/docs/20071102%20Outcomes%20of%20eRX%20Pilots.pdf
November 02, 2007 - University Hospital Medical Practices are a scattered group of small- to mid-sized practices throughout … And those are practices that were not currently e-
prescribing, although those are practices that had … Just a comparison of the e-prescribing and the control practices. … So we had six pediatric practices, and as you
would expect, those practices were not producing as many … , of our study practices, three family practice and three internal medicine
practices, to actually intentionally
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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/activity/a_systems_engineering_approach__improving_medication_safety_with_clinician_use_of_health_it_2010_pdf__2.pdf
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
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/robustness-computer-assisted
March 01, 2006 - quality Summary: Settings: Patients from Kaiser Permanente Colorado and from mixed-pager independent practices … Of the non-Kaiser MDs, those in large practices were more likely to participate than those in single-MD … practices.
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digital.ahrq.gov/sites/default/files/docs/page/McColmSuccessStory2009_0.pdf
December 01, 2009 - Measuring Quality in Physicians’ Practices in Southwestern Missouri Using an Electronic Health Record … Measuring Quality in Physicians’ Practices in Southwestern
Missouri Using an Electronic Health Record … The study involved 15 practices affiliated with Citizens Memorial Healthcare (CMH) in Bolivar,
Missouri … These
practices use the MEDITECH EHR system and deliver an average of 70,000 patient encounters per … All 15
physician practices were already using the ambulatory MEDITECH EHR, which was linked to a
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digital.ahrq.gov/sites/default/files/docs/activity/taconic_health_information_2009_update_2.pdf
January 01, 2009 - 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.