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81. Real-Time Symptom Monitoring Using ePROs to Prevent Adverse Events During Care Transitions | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/real-time-symptom-monitoring-using-epros-prevent-adverse-events-during-care-transitions
    January 01, 2023 - in Care Adverse events (AE) during care transitions threaten patient safety and increase readmissions

82. Respiratory (Lung) Disease | Digital Healthcare Research
    digital.ahrq.gov/medical-condition/respiratory-disease
    January 01, 2024 - Respiratory (Lung) Disease Risk factors for hospital readmission in patients with interstitial lung disease. Citation Lee CT, Selvan K, Adegunsoye A, Strykowski RK, Parker WF, Dignam JJ, Lauderdale DS, Strek ME, Press VG. Risk factors for hospital readmission in patients with …

83. Individuals with Disabilities | Digital Healthcare Research
    digital.ahrq.gov/population/individuals-disabilities
    January 01, 2024 - Individuals with Disabilities School-Based Tele-Physiatry Assistance for Rehabilitative and Therapeutic Services (STARS) for Children with Special Health Care Needs Living in Rural and Underserved Communities - Final Report Citation Marcin J. School-Based Tele-Physiatry Assist…

84. A National Web Conference on Using Health IT to Improve Care Coordination and Outcomes in Patients with Complex Healthcare Needs | Digital Healthcare Research
    digital.ahrq.gov/events/national-web-conference-using-health-it-improve-care-coordination-and-outcomes-patients-complex-needs
    January 01, 2023 - Learning Objectives: Describe the impact on patient outcomes and hospital readmissions of an EHR-generated

85. Smith, Angela B. | Digital Healthcare Research
    digital.ahrq.gov/principal-investigator/smith-angela-b
    January 01, 2023 - cystectomy as well as other surgical oncology procedures that have the potential to reduce post-surgical readmissions

86. Using Health IT to Improve Care Coordination and Outcomes in Patients with Complex Health Care Needs (pdf file)
    digital.ahrq.gov/sites/default/files/docs/coordination-patients-complex-needs-slides-022014.pdf
    February 20, 2014 - patient-friendly medication lists ► Improve patients’ accuracy in taking medications ► Decrease 30-day hospital readmissions … goodness-of-fit statistic. 18 Results: Post-Hospital Discharge Follow-Up Visits Over Time 19 30-Day Readmissions … improved provider communication improves follow-up for medically complex patients, leading to reduced readmissions … • Clinical and financial implications given CMS reimbursement adjustments for avoidable readmissions … Post-Hospital Discharge Follow-Up Visits Results: Post-Hospital Discharge Follow-Up Visits Over Time 30-Day Readmissions

87. ED Disability Diagnostic Tool: An HIT Feasibility Study | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/ed-disability-diagnostic-tool-hit-feasibility-study
    January 01, 2023 - ED Disability Diagnostic Tool: An HIT Feasibility Study Project Final Report ( PDF , 218.58 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHR…

88. Health Information Technology in Heart Failure Care | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/health-information-technology-heart-failure-care
    January 01, 2023 - Health Information Technology in Heart Failure Care Project Final Report ( PDF , 321.58 KB) Disclaimer Disclaimer The findings and conclusions in this document are those of the author(s), who are responsible for its content, and do not necessarily represent the views of AHRQ. N…

89. Improving Quality of Care and Patient Outcomes During Care Transitions (R01) | Digital Healthcare Research
    digital.ahrq.gov/funding-mechanism/improving-quality-care-and-patient-outcomes-during-care-transitions-r01
    January 01, 2023 - This research will study the effectiveness of a virtual in-home program designed to reduce hospital readmissions

90. Quality Indicators Care Coordination Measures Project | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/quality-indicators-care-coordination-measures-project
    January 01, 2023 - measuring ways that care coordination might prevent emergency room visits and unnecessary hospital readmissions

91. Medication Errors | Digital Healthcare Research
    digital.ahrq.gov/health-care-theme/medication-errors
    January 01, 2023 - This research will study the effectiveness of a virtual in-home program designed to reduce hospital readmissions

92. Medication Adherence | Digital Healthcare Research
    digital.ahrq.gov/health-care-theme/medication-adherence
    January 01, 2023 - using patient-reported outcomes for cirrhosis collected with Patient Buddy and EncephalApp on hospital readmissions

93. Transitions in Care | Digital Healthcare Research
    digital.ahrq.gov/health-care-theme/transitions-care
    January 01, 2023 - This research will study the effectiveness of a virtual in-home program designed to reduce hospital readmissions

94. USA, IL, Chicago | Digital Healthcare Research
    digital.ahrq.gov/location/usa-il-chicago
    January 01, 2023 - This research will study the effectiveness of a virtual in-home program designed to reduce hospital readmissions

95. Disseminating Knowledge and Research Findings at Conferences | Digital Healthcare Research
    digital.ahrq.gov/2019-year-review/research-dissemination/disseminating-knowledge-and-research-findings-conferences
    January 01, 2019 - improved patients’ use of online health information, which was associated with fewer 30-day hospital readmissions

96. Care Coordination | Digital Healthcare Research
    digital.ahrq.gov/health-care-theme/care-coordination
    January 01, 2023 - This research will study the effectiveness of a virtual in-home program designed to reduce hospital readmissions

97. The Impact of an Adaptive Patient-Centered Web Application on Medication Optimization in HFrEF Patients | Digital Healthcare Research
    digital.ahrq.gov/ahrq-funded-projects/impact-adaptive-patient-centered-web-application-medication-optimization-hfref
    January 01, 2023 - Reasons behind readmissions include lack of awareness that a patient is having worsening HF, lack of

98. A National Web Conference on Transitions in Care (pdf file)
    digital.ahrq.gov/sites/default/files/docs/2010-02-24%20Transitions%20In%20Care%20(4).pdf
    January 01, 2010 - 116 0.314 0.009 ED Visits Total # of visits Rate (visits/patient/month) 90 0.245 61 0.165 0.014  Readmissions … visits  Rate (visits/patient/month) 76 0.207 55 0.149 0.090 * Hospital utilization refers to ED + Readmissions … with need for follow‐up visits visiting nurse associations with info and alerts • Evaluation ‐ readmissions

99. Implementation, Adoption, and Scaling Workgroup: Key Factors and Considerations for Assessing the Value of Patient-Centered Clinical Decision Support (pdf file)
    digital.ahrq.gov/sites/default/files/IAS_Key%20Factors%20and%20Considerations%20for%20Assessing%20the%20Value%20of%20PC%20CDS.pdf
    October 01, 2024 - patient who was recently discharged within a defined period (e.g., 30, 60, 90 days).25 Preventable readmissions … Reduction Program26 hospitals for excess readmissions). … Given the focus on preventing readmissions in CMS value-based programs, one informant suggested assessing … Identifying potentially preventable readmissions. … Hospital Readmissions Reduction Program (HRRP). Centers for Medicare & Medicaid Services.

100. Using Health Information Technology to Improve Transitions of Complex Elderly Patients from Skilled Nursing Facilities (SNF) to Home - 2010 | Digital Healthcare Research
     digital.ahrq.gov/ahrq-funded-projects/using-health-information-technology-improve-transitions-complex-elderly/annual-summary/2010
     January 01, 2010 - Ambulatory visits, hospital readmissions, emergency department visits, and followup laboratory testing