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Total Results: 2,360 records

Showing results for "primary".

461. Can Risk Score Alerts Improve Office Care for Chest Pain? - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/can-risk-score-alerts-improve-office-care-chest-pain/annual-summary/2010
     January 01, 2010 - randomized, controlled study implemented and evaluated an intervention to improve the treatment of primary … used electronic alerts to risk-stratify outpatients with chest pain and presented the information to primary … The clinical trial was conducted and completed among 276 primary care clinicians across 14 ambulatory … an outpatient cardiac stress test performed, and six (38 percent) were mistakenly sent home from the primary … Acute myocardial infarction is uncommon among primary care patients with acute chest pain but it is commonly

462. Gilmet GP et al. 1998 "The use of an integrated clinical laboratory and pharmacy diabetes database to provide physician performance feedback in an IPA-model HMO." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/gilmet-gp-et-al-1998
     January 01, 1998 - This system is used to send reports to primary care physicians in an independent practice association … Tools Used Histogram Type Clinic Primary care Size not applicable Geography … Information The authors analyzed data from the Blue Care Network of Southeast Michigan, with nearly 1,100 primary … for diabetes-specific drugs ... creating a single file containing" member identifying information, primary

463. Bringing High Performing Systems to Small Practices - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs018275-parsons-final-report-2013.pdf
     January 01, 2013 - , MPH Performing Organization: New York City Department of Health and Mental Hygiene Bureau Primary … A cluster-randomized trial of primary care clinics was conducted to assess impact of incentives for … The project targets small community providers operating in New York City that have joined the Primary … However, a majority of primary care visits occur in small practices and further highlights a need to … Claims were restricted to members who had at least one outpatient primary care visit within New York

464. Electronic Health Record Use and Care Coordination - 2012 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/electronic-health-record-use-and-care-coordination/annual-summary/2012
     January 01, 2012 - coordination and team climate were captured using existing self-administered survey responses collected from primary … Patients cared for by clinicians working in primary care teams with high cohesion had substantially better … Patients cared for by clinicians working in primary care teams with higher cohesion experienced a 0.11 … HbA1c and 1.42 mg/dL reduction in LDL-C with the EHR for patients cared for by clinicians working in primary … The organizational context, in particular primary care team members’ working relationships, is critical

465. Improving Laboratory Monitoring in Community Practices: A Randomized Trial - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r18hs017201-simon-final-report-2012.pdf
     January 01, 2012 - Care 5 Practice 2 Intervention NY Primary Care 1 Practice 3 Control NY Primary Care 1 Practice 4 … Control NY Primary Care 1 Practice 5 Control NY Primary Care 1 Practice 6 Control NY Primary Care 1 … Practice 7 Intervention NY Primary Care 1 Practice 8 Intervention NY Primary Care 1 Practice 9 Control … NY Primary Care 1 Practice 10 Intervention NY Primary Care 2 Practice 11 Intervention NY Primary Care … Practice A MA Primary Care 6 Practice B Washington, DC Primary Care 5 Practice C MA Primary Care

466. Evaluating the Effectiveness of a Health Information Technology Self-Management Program for Chronic Disease - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs021005-sorondo-final-report-2015.pdf
     January 01, 2015 - Scope: The project was implemented in primary care practices (PCP) with portal capable Electronic Health … Design a primary care practice workflow associated to the patients risk level identified in the self … care practice using Clinician & Group Survey of Adult Primary Care 1.0 (CG-­‐CAHPS) survey; … & Group Survey of Adult Primary Care 1.0 (CG-­‐CAHPS) (15) and 2) healthcare utilization including … Patient Portal Experience in Primary Care Practices. 2015-­‐ presented at Quality Counts Conference

467. Pediatric Patient Engagement as a Criteria for Meaningful Use State 3 - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r18hs022689-fiks-final-report-2015.pdf
     January 01, 2015 - Portal users with uncontrolled asthma had significantly more medication changes and primary care asthma … The aims of the study included: 1) To study the feasibility for pediatric primary care practices of … However, data are lacking on how best to achieve these goals in pediatric primary care settings. … network including 31 primary care practices serving more than 200,000 children20 and PROS includes … Variations in patient portal adoption in four primary care practices.

468. Yusof MM et al. 2008 "An evaluation framework for health information systems: human, organization and technology-fit factors (HOT-fit)." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/yusof-mm-et-al-2008
     January 01, 2008 - The framework was used to evaluate a Fundus Imaging System (FIS) of a primary care organization in the … Type Clinic Primary care and specialty care Type Specific Specialty: radiology Size … Small, medium and large Other Information The case study takes place in "clinical settings of a primary … The primary care practice has 6,000 patients, mostly elderly. … Participants "Clinicians, staff and patients who were associated with [the imaging system], both from the primary

469. Technology for Optimizing Population Care in a Resource-limited Environment (TopCare) - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r18hs018161-atlas-final-report-2013.pdf
     January 01, 2013 - Specific Aim 2: To conduct a practice randomized trial of the TopCare program within a primary care … We envision a system of primary care in which providers can 1) review all relevant data for the entire … Setting The Massachusetts General Primary Care Practice-Based Research Network includes 18 adult primary … For primary and secondary outcomes, a mixed effects model was used to compare the average completion … We compared the primary outcomes in intervention and control practices within relevant subgroups and

470. Improving Patient Access and Patient-Clinician Continuity through Panel Redesign - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/publication/r03hs018795-balasubramanian-final-report-2012.pdf
     January 01, 2012 - Methods: We used retrospective patient and panel data from two primary care databases: 1) Primary Care … We used retrospective patient and panel data from two primary care databases: 1) Primary Care Internal … As the first point of contact, primary care is the backbone of any health system. … This will put an enormous burden on the primary care system. … Advanced access: Reducing waiting and delays in primary care.

471. Evaluation of Effectiveness of an Health Information Technology-based Care Transition Information Transfer System - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/evaluation-effectiveness-health-information-technology-based-care-transition/annual-summary/2010
     January 01, 2010 - care for patients with two or more chronic conditions who are discharged from a hospital to a rural primary … Primary care clinics with EHR-integrated systems will be notified of their discharged patients directly … Primary care clinics outside of the system will access the EHR through a Web-based portal and through … The system will provide patients and their primary care providers (PCPs) with discharge information, … A notification for primary care providers was initiated by the Hospitalist Department.

472. Coordinating Transitions: HIT Role in Improving Multiple Chronic Disease Outcomes - Final Report (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs02257502-hewner-final-report-2017.pdf
     January 01, 2017 - Scope The project provided clinical decision support tools to an urban, single primary care practice … Regionally, electronic discharge summaries can take seven to fourteen days to reach primary care and … Integrated Behavioral Health and Primary Care: A Common Language. … Integrated Behavioral Health in Primary Care: Springer New York; 2013. p. 9-31. 13. … Primary care for patient complexity, not only disease.

473. A Systems Engineering Approach: Improving Medication Safety with Clinician Use of Health IT - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/systems-engineering-approach-improving-medication-safety-clinician-use-health/annual-summary/2010
     January 01, 2010 - issues, including gross under-reporting of ADEs and lack of provision for understanding of the total primary … This project studied the impact of an information technology (IT)-based SEMI-P on medication safety in primary … CRM intervention on improving monitoring for geriatric patients who are on persistent medications in primary … office staff use and application of the IT-based CRM tool for improving geriatric medication safety in primary … An abstract has been submitted to the North American Primary Care Research Group 2011 Annual Meeting.

474. Improving Uptake and Use of Personal Health Records - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/improving-uptake-and-use-personal-health-records/annual-summary/2010
     January 01, 2010 - The project will introduce the PHR in four selected primary care and specialty practices (two controls … six-month intervention period to improve the uptake of PHR in two intervention practices, one that provides primary … These were completed at both the intervention and control practices (primary care and rheumatology) in … The intervention began in the primary care practice and is scheduled to start at the specialty rheumatology … At the primary care practice, physicians, medical assistants, and nurses are educating patients about

475. An Electronic Personal Health Record for Mental Health Consumers - Poster (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r18hs017829-druss-poster-2011.pdf
     January 01, 2011 - methods were used to incorporate input from mental health consumers, mental health clinicians, and primary … IMPLEMENTING THE SHARED CARE PLAN The patient is the primary driver behind maintaining the PHR  The … nurse specialist only gathers and verifies initial labs.  The primary role of nurse specialist is to … BASELINE PATIENT CHARACTERISTICS Demographics: N = 170 (Case: 85, Control: 85) % Primary Psychiatric … Other 17% Asthma 22% Stable Income 55% Co-Occurring Substance Abuse 35% Hepatitis (any) 19% Have Primary

476. Impact of a Wellness Portal on the Delivery of Patient-Centered Prospective Care - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/impact-wellness-portal-delivery-patient-centered-prospective-care/annual-summary/2010
     January 01, 2010 - e.g., the Chronic Care Model), and patient-centered tailoring of recommendations is not incorporated, primary … Optimal delivery of primary, secondary, and tertiary preventive services will increasingly require sophisticated … years old and younger) and adult patients (50 years or older) at four clinician practices within a primary … Internet-based patient Wellness Portal linked to PSRS to facilitate patient-centered, preventive care in primary … During 2010, the project’s primary focus has been on continuing the intervention and collecting data.

477. Promoting Use of an Integrated Personal Health Record for Prevention - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/promoting-use-integrated-personal-health-record-prevention/annual-summary/2010
     January 01, 2010 - increasing, effective use of such sophisticated systems typically occurs only within a subset of a primary … otherwise known as the Integrated Personal Health Record (IPHR), was offered to 2,750 patients in eight primary … This followup project will evaluate whether and how these eight primary care practices can extend the … controlled trial and will inform practices, policymakers, and payers about how to integrate a PHR in typical primary … Specific Aims: Measure the utilization of the IPHR when the IPHR is promoted to patients by primary

478. NLP-enabled decision support for cervical cancer screening and surveillance (pdf file)
     digital.ahrq.gov/sites/default/files/docs/citation/r21hs022911-chaudhry-final-report-2017.pdf
     January 01, 2017 - Surveys have reported 12.1% of gynecology and primary care clinicians were not aware of the updated … Among the 65% of 1,268 gynecology and primary care clinicians surveyed who endorsed support for the … Setting: The study was conducted at three primary care sites (four practices) affiliated with the … We then worked on defining the primary and secondary data elements required for the CDSS. … to their primary care clinician between May 1st and May 15th, 2015.

479. Engaging Patients and Families in Their Health Care | Digital Healthcare Research
     digital.ahrq.gov/2018-year-review/research-summary/emerging-innovative-newly-funded-research/engaging-patients-and-families-their-health-care
     January 01, 2018 - The research also assesses whether telemedicine impacts the safety and quality of primary care by examining … Kaiser Permanente Northern California began offering patient-initiated primary care telemedicine visits … All patients self-scheduling appointments with a primary care provider through their patient portal were

480. Jaatinen P et al. 2002 "Teleconsultation as a replacement for referral to an outpatient clinic." | Digital Healthcare Research
     digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/jaatinen-p-et-al-2002
     January 01, 2002 - Abstract "We conducted a randomized case control study of referrals from a primary care centre in Finland … Tools Used Survey Type Clinic Primary care and specialty care Size Small, medium … and large Geography Urban and rural Other Information The primary care center was in … Tests were performed in or near the primary care center and results were posted on the Web server.