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digital.ahrq.gov/ahrq-funded-projects/improving-sickle-cell-transitions-care-through-health-information-technology/annual-summary/2012
January 01, 2012 - and development of a technology-enabled tool that meets the needs of patients, their families, and providers … conduct 10 focus groups of key stakeholders including parents and caregivers of patients with SCD, providers … development of a health IT-enabled tool in future phases of work that meets patients’, families’, and providers … use and needs of key stakeholders affected by sickle cell disease, including patients, families, and providers
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digital.ahrq.gov/sites/default/files/docs/activity/safety_through_enhanced_e_prescribing_tools__stepstools__2010_pdf__2.pdf
January 01, 2010 - A survey of pediatric providers was completed and providers were
presented with a series of case studies … The providers were asked to agree or disagree with the suggested dose, and to explain why if they
disagreed … Some of the initial findings are about the types of information that providers find useful in the tool … The team learned what information providers find useful, and what is
extraneous.
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017190-chueh-final-report-2011.pdf
January 01, 2011 - Scope: The project team developed ACCORD to help providers and patients manage followup
of plans determined … Failure to followup abnormal tests and failure of care providers to adhere to recommended
guidelines … Providers: All staff physicians at the IMA are eligible. … Providers cited “always on” reminders to patients and adjustable reminders
to providers as a desired … Both providers and patients expressed concerns regarding the
time it would take for providers and patients
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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 - and uninsured
• Commercial insurers weren’t particularly aggressive
• A history of discord among providers … One
participant summed up the reaction of local health care providers: “If somebody is going to … submission by 2009
–
e‐Prescribing by 2011
–
Interoperable EHRs
for all hospitals and
providers … of Care *
‐
Quality Reporting*
‐
Radiology Image Interfaces*
•
Support Non‐Priority Providers … Acknowledgments
Slide Number 37
Slide Number 38
Slide Number 39
Who We Are and What We Do
What Providers
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017829-druss-final-report-2012.pdf
January 01, 2012 - Qualitative methods will be used to incorporate input from mental health
consumers, providers, and primary … care providers to adapt the Shared Care Plan to the specific
needs of persons with mental disorders … by whom, and for how long. 2) PHRs contrain information from one’s entire
lifetime and all health providers … controlled and managed by the health provider or institution, and typically do not span multiple
providers … , and primary care
providers to adapt the Shared Care Plan to the specific needs of persons with mental
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digital.ahrq.gov/ahrq-funded-projects/improving-post-hospital-transitions-and-ambulatory-care-children-asthma/annual-summary/2011
January 01, 2011 - poorly-managed care transitions from the hospital to the ambulatory setting; 3) failure of primary care providers … asthma-specific Reminder and Decision Support (RADS) system, has been developed and implemented to help hospital providers … currently used throughout Primary Children's Medical Center (PCMC) in Salt Lake City, Utah, by health care providers … Surveys will be administered to hospital providers who care for children admitted to PCMC during the … (Ongoing)
Determine factors associated with effective use of new IT applications by hospital providers
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digital.ahrq.gov/sites/default/files/docs/page/medicaid_medical_home_initiatives_and_the_role_of_health_information_technology_5.pdf
January 01, 2010 - Medicaid leadership and capacity
3
Primary Care Crisis
• Primary care crisis persists
– Primary care providers … –PCIP Website
– Services that the PCIP team provide include
• Implementation team that helps providers … – Designated providers must report quality measures as condition
of reimbursement. … to inform of the
program
• Consumer group input on
program design and materials
• Using BH providers … • Help PCPs build a better medical home by
targeting providers with ARRA HITECH
incentives
• Identify
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digital.ahrq.gov/sites/default/files/docs/publication/p20hs015295-size-final-report-2005.pdf
January 01, 2005 - potential early adopters involved include 12 rural Wisconsin hospitals, the 4
main Madison healthcare providers … our project (as represented in our planning grant application) was to assemble
multiple healthcare providers … Develop a workable model/plan for standards based data sharing that would allow
multiple providers using … The urban providers have
been represented by the Madison Patient Safety Collaborative (MPSC), a coalition … Currently, over 25 hospitals, clinics, regional
providers, and service vendors are connected to the
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digital.ahrq.gov/sites/default/files/docs/activity/ambulatory_care_compact_to_organize_risk_and_decisionmaking__accord__2010pdf_2.pdf
August 01, 2011 - The project team is developing ACCORD to help providers and patients manage followup activities
determined … ACCORD will
enable patient-specific care plan development to reduce miscommunication between providers … The project team is
working to ensure that patients and providers are comfortable proposing the care … Step two will test the tool to determine if
providers and patients are comfortable creating explicit … Intervention group providers will be trained to use ACCORD in
both the episodic, one problem at a time
-
digital.ahrq.gov/sites/default/files/docs/page/length-of-stay-quick-reference-guide.pdf
March 01, 2009 - Literature: Patients may
experience extensions in hospitalizations due to
delays in decisionmaking by providers … specialists.1
Health IT applications that facilitate the
transmission of important patient data to providers … Electronic health records (EHRs) allow providers to
view a patient’s medical record electronically in … By doing so, providers can avoid waiting for
paper charts to arrive to the hospital floor or
ordering … delivered faster.2,6 Viewing results electronically
may allow for faster access to results, enabling
providers
-
digital.ahrq.gov/sites/default/files/docs/activity/r18hs018171-arora-annual-summary-2012.pdf
January 01, 2012 - Providers
require access to patient-specific information to consult on cases, track patient progress … At Project ECHO’s inception, community-based providers transmitted patient-specific
information to specialists … This system will improve quality
of care and lead to greater knowledge sharing among health care providers … links and allow patients to see their
summary reports, facilitating better communication with their providers
-
digital.ahrq.gov/sites/default/files/docs/page/unlocking_quality_information__understanding_the_value_of_health_it_for_quality_measurement_and_improvement_5.pdf
April 26, 2010 - .
• Harmonize measures across sites and providers.
• Promote shared accountability and measurement across … • If so:
• Do providers or managed care organizations report any quality
measurement data to you currently … • Connect providers to statewide HIE.
• Integrate HIT to medical home strategy.
• Leverage CHIPRA grant … • Leverage lessons learned from CHIPRA grant.
• Partner with MCOs to push/pull data to providers.
• … • Leverage quality improvement to encourage
providers to adopt HIT (P4P).
73
Future Directions
-
digital.ahrq.gov/sites/default/files/docs/implementation/Shoe-CCCN%205-05.ppt
April 21, 2005 - The Project
Expand a highly functional diabetes registry to all patients, all providers, all payors … in Santa Cruz County
Core: Decision support for providers
Connect people with care
Spread best practices
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_017093_schwarz_pdf_3.pdf
January 01, 2011 - included lack of
insurance or family planning coverage; limits on provider time; limited access to providers … trained to fit
or insert contraceptive devices; competing medical priorities for patients and providers … ; visit type; case
mix; and lack of a clinical care system to remind providers. … Of note, to avoid alert fatigue, the CDS system was designed such that providers were alerted
only once … An unintended consequence of this
design was identified in the analysis; 13 percent of providers responded
-
digital.ahrq.gov/sites/default/files/docs/activity/harnessing_hit_to_prevent_medication_induced_birth_defects_2.pdf
September 01, 2011 - The project team also determined that
approximately 13 percent of providers responded to the alerts … The providers identified patient contraceptive method of preference, outside influences, already on … The bulk of the discussion focused on perception of barriers that
providers bring to contraception counseling … counseling included lack of insurance or family planning coverage, limitations on time, access to providers … , competing medical priorities, visit type, case mix, and lack of a
clinical care system to remind providers
-
digital.ahrq.gov/sites/default/files/docs/page/improving-care-transitions-for-the-medically-complex-patient-in-rural-montana.pdf
September 29, 2011 - 2007a, 4Kripalani 2007b
The PITSTOP Project
Patient Information Transfer System
to Outpatient Providers … )
• Providers and Nurses: Patient Call Backs
High-risk patients
• Hospitalists: Teach Back
High-risk … efficient and reliable and
results in quality patient care. 2.8% 36.1% 48.6% 2.8% 9.7%
Outpatient providers … from the
hospital regarding their patients after discharge. 7.0% 22.5% 50.7% 4.2% 15.5%
Outpatient providers … reconciled
medication list, at time of hospital discharge 15.3% 43.1% 30.6% 0.0% 11.1%
Outpatient providers
-
digital.ahrq.gov/sites/default/files/docs/activity/r01hs020909-dixon-annual-summary-2012.pdf
January 01, 2012 - Project Period: September 2011 – September 2016
AHRQ Funding Amount: $2,041,559
Summary: Clinical providers … messaging system
will deliver the forms, allowing them to be integrated more seamlessly into health care providers … When forms are flagged as reportable, they will be sent to appropriate clinical providers
and public … management of
population-level notifiable condition reporting and bidirectional communication among providers … Baseline surveys were distributed to health care providers and interviews were conducted with clinic
-
digital.ahrq.gov/sites/default/files/docs/activity/r18hs017864-ciemins-annual-summary-2012.pdf
January 01, 2012 - AHRQ Funding Amount: $1,155,371
Summary: Improving communication between inpatient and outpatient providers … information transfer (CTIT) system for all Billings Clinic
Hospital discharged patients and post-acute care providers … Internal
providers may also receive notification through the EHR messaging system. … Outside providers are prompted
to access more complete medical information by connecting through a Web-based … The system provides patients and their primary care providers (PCPs) with discharge information,
including
-
digital.ahrq.gov/sites/default/files/docs/activity/2011_017864_ciemins_pdf_3.pdf
January 01, 2011 - Information Transfer (CTIT) system for all Billings Clinic
Hospital discharged patients and followup providers … These providers are prompted to access more complete medical information by connecting through a
Web-based … The system provides patients and their primary care providers
(PCPs) with discharge information, including … Post-intervention results showed that
63 percent of providers found the discharge process to be efficient … Substantial improvements were also shown when providers
were asked whether information was sufficient
-
digital.ahrq.gov/sites/default/files/docs/activity/r18hs017795-eisenstein-annual-summary-2012.pdf
January 01, 2012 - patients with complex health care needs is often fragmented because patients
receive care from multiple providers … disparate locations and because information related to this care
is often not transmitted between providers … Coordinated Healthcare, an existing regional
health information exchange (HIE) network that connects providers … delivered successfully, the site
audits found that only 60 percent of the information directed to providers … information for
managing care transitions was frequently missing and not available to the medical home providers