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digital.ahrq.gov/sites/default/files/docs/activity/randomized_control_trial_embedded_in_an_ehr_2010_pdf__2.pdf
January 01, 2010 - While
most CISs have focused on the provider as the recipient of critical data, CISs that target patients … (Achieved)
• Evaluate patient and provider experiences using the ePHR, including patient access and … use of health
education materials and patient-provider satisfaction with the ePHR. … (Ongoing)
• Assess outcomes, including quality of patient-provider interactions, changes in patient
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digital.ahrq.gov/sites/default/files/docs/PHR_Overview_Presentation.pdf
March 05, 2008 - Institutional/IDN provider portal (e.g., Epic)
2. Individual provider portal (e.g., Medem)
3. … • Provider portals reach 15-50% of patients to
whom offered
– Computer skilled
– High users (visits … SureScripts)
• Retail pharmacies (e.g., Walgreens, Wal-Mart)
• Health plans (e.g., AHIP, BCBS)
• Provider … million transactions and 40,000
monthly patient users
• All h rri b id d i• All the worries about provider … – e erra s o pe a s
Patient Drivers
• Secure Messaging with Provider
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digital.ahrq.gov/health-it-tools-and-resources/health-it-costs-and-benefits-database/medication-errors-prospective
October 05, 2005 - Publication Date: 2005 Oct 5 Volume: 9 Issue: 5 Pages: R516-21 HIT Description: computerized provider … Purpose of Study: To compare the impact of computerized provider order entry without decision support
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digital.ahrq.gov/sites/default/files/docs/page/asthma_action_plan_final_1_0.pdf
July 08, 2013 - This allows the provider to modify the
paragraph and document the appropriate information for that … Template
Provider selects green, yellow, and red zone
medications and directions. … Provider checks off patient triggers.
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/chapman-l-2009-ehr
January 01, 2009 - Results are tasked to the primary care provider for review and electronic signature. … Graybill likewise "developed a bi-directional interface ... to facilitate electronic transfer of outgoing provider … Upon completion of the test by the laboratory, the Provider Approval Queue (PAQ) allows physicians to … introduce new processes to trim the "wait time" before a non-urgent appointment with a patient's preferred provider
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digital.ahrq.gov/ahrq-funded-projects/data-flow-clinical-outcomes-perinatal-continuum-care-system/annual-summary/2011
January 01, 2011 - systems and allow for patient data to be available in real time, regardless of the location of the provider … Health Care Cost and Containment Council to assess the system on data completeness, medical outcomes, provider … efficiency, and patient and provider satisfaction. … technology (IT) adoption and individual patient outcomes (maternal and newborn), as well as patient and provider
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digital.ahrq.gov/ahrq-funded-projects/secure-messaging-pediatric-respiratory-medicine-setting/annual-summary/2009
January 01, 2009 - secure e-mail messaging (e–messaging) system between clinicians and patients and⁄or guardians affects provider … Study results were compared with post-implementation provider time utilization to determine whether providing … care (refills, answering questions, etc.) required similar or different amounts of provider time when … secure message to their providers. ( Achieved )
Evaluate the impact of secure messaging with regard to provider-time
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digital.ahrq.gov/sites/default/files/docs/page/2-2010_0201_TEP_Demos_Dashboards.pdf
January 01, 2010 - load activity data for reminders – displays,
acknowledgements
– Roll up reminder activity at the provider-day … Reminder Activity
– For a measurement period (usually one month)
– For the combination of a patient-provider … a
denominator.
– For a specified measurement period, usually one
month
Clinical Performance (Provider … )
• We also calculate performance at the
PROVIDER level
– For specified measurement period
– For specified … Performance”
Database Design
Reminder Activity
Clinical Performance (Total)
Clinical Performance (Provider
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017203_gurwitz_pdf_3.pdf
January 01, 2011 - scheduling, including monitoring for
no-shows; 2) generating medication lists that alert the primary care provider … Aims:
• Evaluate the impact of automated scheduling alerts on the rate of followup to an outpatient provider … The first assessed the impact of the intervention
on visits to the outpatient provider, hospital readmissions … Visits to the outpatient provider: There were 1,024 visits (54.4 percent of subjects) to an outpatient … provider within 14 days of hospital discharge among patients in the intervention group, and 964 in
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/research/saleem-jj-et-al-2005
January 01, 2005 - One provider and four LPNs reported that they would not satisfy a patients CRs until later in the day … This printout traveled with the patient to the provider and eventually was returned to the nurse so that … When using a "Next" feature to satisfy a sequence of CRs, two nurses and one provider were observed to … In the experience of one provider, the feedback tool worked well and the inappropriate reminder would … be removed without further work by the provider.
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digital.ahrq.gov/sites/default/files/docs/ahrq_nrc_multi_grantee_meeting_slides_provider_engagement_1_.pdf
December 07, 2010 - Agency for Healthcare Research and Quality Recruitment, Engagment, Retention
Provider Engagement: … AHRQ NRC, Junior Service
Fellow
Grantee Introductions
Format for Today’s Session
– Overview of Provider … participating by phone
Grantee Introductions
Name, Organization, Project PI
Today’s Presentation
Provider … Engagement:
Recruitment, Engagement, Retention
Provider Engagement:
Setting the Stage
Facilitator … the right time and population
– Research ‘ideal’ vs. practical considerations
What’s in it for the provider
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digital.ahrq.gov/sites/default/files/docs/HIT_and_Quality_062310_comp.pdf
June 23, 2010 - • Assess the impact of patient-level provider
performance feedback on clinical outcomes
Study … report cards compared to
standard provider report card clinics
6.4
7.9
5.6
3.8
7.7
3.3
0
2
4 … ‖: Patients were identified on the enhanced provider report card
―Print‖: Patients attended clinics … feedback was associated with
better glycemic control
• Provider frustration highlights the need … Automated Diabetes Registry Tools to Enhance Self-Management and Provider Feedback
Background
Objectives
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017784_kahn_pdf_3.pdf
January 01, 2011 - While most CISs have focused on
the provider as the recipient of critical data, CISs that target patients … (Achieved)
• Evaluate patient and provider experiences using the ePHR, including patient access and … use of health
education materials and patient-provider satisfaction with the ePHR. … ComPlex heAlthCAre needS through heAlth it (r18)
• Assess outcomes, including quality of patient-provider
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/PrescriptionRenewalRequest-ElectronicSystem.pdf
January 01, 2010 - requesting prescription
renewal
Send
electronic
renewal
request to
clinic
Need to
forward to
provider … Yes
No Approve or decline renewal request
Forward
prescription
renewal
request to
provider
Approve
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digital.ahrq.gov/sites/default/files/docs/hie-slides-011713.pdf
January 17, 2013 - Recognition by the OHIET – required commitment to connect to each
other
• Voucher Program
• Provider … Provider directory: Repository of physician names, entities, affiliations, and security
credentials … Provider directory and Certificate repository are "Lookup" services. … Last is HIE Services which includes provider directory, certificate repository,
DIRECT gateway, and … uses MassHIway to retrieve a summary record for a
patient
• A provider uses HIway to retrieve prior
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017167-kopal-final-report-2011.pdf
January 01, 2011 - Scope: The study evaluates the effectiveness of clinical decision support and provider feedback
in … Fifteen months of post-
intervention EHR and follow –up provider data was likewise collected. … The main intervention components included CDSS, provider performance
feedback and provider training. … Measures: Provider and Key Informant Interviews. … Improving
blood pressure control through provider education,
provider alerts, and patient education
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digital.ahrq.gov/sites/default/files/docs/activity/2011_017093_schwarz_pdf_3.pdf
January 01, 2011 - Additional analyses were conducted regarding provider perceptions of counseling patients
on contraceptives … as well as patient and provider perceptions of CDS. … of barriers to contraceptive counseling were identified during the
clinician focus groups: patient, provider … At the provider level, barriers included
limited awareness of pregnancy risk; lack of knowledge, training … regarding contraceptive counseling included lack of
insurance or family planning coverage; limits on provider
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digital.ahrq.gov/sites/default/files/docs/activity/improving_rural_health_care__imp_2009_update_2.pdf
January 01, 2009 - First, implement the Provider Portal and the
integration of data from two primary systems, the hospital … (Achieved)
Provide internal and remote read-only access to the provider portal. … The CIS will
provide information on chronic disease patients for provider decision support. … Internal systems require
provider interaction to document care resulting from their patient encounters … HEALTH CARE: IMPLEMENTING INNOVATIVE INTEGRATION SOLUTIONS 2
provider
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digital.ahrq.gov/sites/default/files/docs/activity/2011_018766_rimmer_pdf_3.pdf
January 01, 2011 - The first phase of the project was to gather input through
focus groups and health care provider interviews … At the end of the study,
parents were asked to talk to their son’s or daughter’s primary provider to … , allowing participants to bring this USB
drive with them to visits with their son’s or daughter’s provider … daughter) in viewing the PHR-ID, and the experience of caregivers when they
approached the health care provider … Two participants visited a health care provider and eight indicated interest
in completing the optional
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digital.ahrq.gov/health-it-tools-and-resources/health-it-bibliography/computerized-provider-order-entry-cpoe-system-3
Considerations for a Successful CPOE Implementation
In May of 2001, 13 experts on computerized provider … Statement on Considerations for a Successful CPOE Implementation Keyword: CPOE Category: Computerized Provider