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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017248-adams-final-report-2011.pdf
January 01, 2011 - Methods
PHP System Architecture
The content of the PHP system includes three general areas: routine … system from script code. … Each
interaction with the PHP system is launched from a Shell Module. … The PHP was designed as an
“inbound” system meaning that participants were asked to call the system … The PHP System is the
first telephony-based system that we know of that supports pediatric primary care
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017157-carrow-final-report-2012.pdf
January 01, 2012 - System Deactivations. … The initial focus for the common identifier was a serial number found in the
DrFirst system. … Core System User’s Guide. … , to the intermediary, to the pharmacy system, and finally, to the PMP. … , or incompatibility with current computer operating system).
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015377-schadow-final-report-2008.pdf
January 01, 2008 - Scope: The Regenstrief Institute’s CPOE system (Gopher) and a newly created application
based on SPL … Build a e-prescribing system on the foundation of the SPL/HL7 standard and its associated
terminologies … These enhanced labels were loaded into the standards based data system upon which the
e-prescribing … system was built. … Fragmentation of the environments in which this system was to be deployed made its actual
deployment
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digital.ahrq.gov/health-it-tools-and-resources/workflow-assessment-health-it-toolkit/experience/babbitt-n-2003-record
January 01, 2003 - During the summer of 2001, the team selected [a system], in large part for its user-friendliness, with … Roswell purchased the system in August 2001 and was live by November. … IT
Electronic medical records (EMR)
Context or other IT in place
Practice management system … On the back end, the EMR communicates billing information into the practice management system." … Practitioners and staff even developed a competition to see who could use the system more.
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digital.ahrq.gov/ahrq-funded-projects/computer-automated-developmental-surveillance-and-screening/annual-summary/2010
January 01, 2010 - The CHICA CDSS system includes elements such as: 1) pediatric guidelines encoded in Arden Syntax, a common … AAP) guidelines into the surveillance and screening algorithm, and evaluates the effect of the CHICA system … Specific Aims:
Expand and modify an existing computer-based decision support system (CHICA) to include … Qualitatively, they have been looking at the factors that contribute to use of the CHICA system, such … In general they are finding that younger physicians are quicker to adopt the system.
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015280-hsu-final-report-2008.pdf
January 01, 2008 - leaders need to
use the aggregate clinical information at the system level. … System factors included having a regular
doctor, insurance type, and years in the health system. … Within this system, the quality of antihyperlipidemia care is improving. … in 2005 and 2006 during a 3-year staggered implementation
of an EHR system. … Variation in Chronic Disease Care in Primary Care Teams of a Large Integrated
Delivery System.
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digital.ahrq.gov/sites/default/files/docs/page/2006Gurwitz_051711comp.pdf
January 01, 2005 - A systems-based
approach
Computerized Clinical Decision
Support System (CDSS)
• High-severity drug … 0.81, 1.32)
Conclusion
Use of CPOE with this particular
computerized clinical decision support
system … …
• The limits of a first-generation system
• Lack of specificity of alerts – alert burden
• Need to … ��A systems-based approach
Computerized Clinical Decision Support System (CDSS)
Purpose
Methods
CPOE … …
Slide No. 21 (No title)
Computerized Clinical Decision Support System (CDSS)
Computer on Wheels
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digital.ahrq.gov/ahrq-funded-projects/computer-automated-developmental-surveillance-and-screening/annual-summary/2012
January 01, 2012 - to this grant, researchers at Indiana University developed an electronic computer decision support system … The CHICA system includes: 1) pediatric guidelines encoded in Arden Syntax, a common computer language … (Achieved)
Evaluate the effect of the CHICA system on the developmental surveillance and screening … Qualitatively, they have been looking at the factors that contribute to use of the CHICA system, such … In general, they are finding that younger physicians are quicker to adopt the system.
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digital.ahrq.gov/ahrq-funded-projects/secure-messaging-pediatric-respiratory-medicine-setting/annual-summary/2009
January 01, 2009 - This project evaluated how the implementation of a secure e-mail messaging (e–messaging) system between … messages, 3) open-ended qualitative interviews of users and non-users to describe the impact of the system … Medical providers, nurses, patients, and their guardians were trained in the use of the messaging system … Interviews with patients and guardians who did use the secure messaging system were conducted to learn … The few users who initially used the system appeared to be patients⁄families who are newer to the practice
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digital.ahrq.gov/sites/default/files/docs/page/EightSuccessStories_092810.pdf
September 01, 2010 - Web-Based Reporting System. … ; a new medical records
management system; an emergency department tracking system; and a new radiology … system and its linked critical access hospitals. … Table 4.1 shows that the system
has remained sustainable despite major investments at both the system … The system remains “vendor agnostic.
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digital.ahrq.gov/ahrq-funded-projects/myhealthportal-using-electronic-portal-empower-patients-breast-cancer/annual-summary/2011
January 01, 2011 - To bridge the divide between patients and the health care system, one objective of this research is to … Once fully developed, the study will evaluate the feasibility of the portal system in a pilot randomized … controlled trial study with 120 breast cancer patients to examine the impact of the MyHealthPortal system … Intervention participants' satisfaction with and usage of the MyHealthPortal system will also be evaluated … be applicable to the breast cancer population, but could also serve as a model for PAMR-integrated system
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digital.ahrq.gov/ahrq-funded-projects/impact-health-information-technology-clinical-care/annual-summary/2008
January 01, 2008 - natural experiment involved the staggered introduction of a commercially available ambulatory health IT system … Prior to this implementation, the health system introduced Web-based health IT tools in 2004 to assist … used from outpatient visits to assess the association between the implementation of the new health IT system … The implementation of a new health IT system was found to be associated with a dramatic increase in the … timeliness of diagnostic information from that system, but not in the number of diagnoses charted during
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digital.ahrq.gov/sites/default/files/docs/publication/r18hs017196-jack-final-report-2011.pdf
January 01, 2011 - made revisions to the system. … system was useful and easy to use. … system of the future.. … Debugging the System. … The Alert System.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs016142-sims-final-report-2008.pdf
January 01, 2008 - System (PACS). … (HIS) and the clinic Electronic Medical Record (EMR)
system. … CIS data and Single Sign-on to the CIS system. … the integration and
Single Sign-on of the DHMC CIS system. … system.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015196-crandall-final-report-2007.pdf
January 01, 2007 - system, a new radiology information system, drug alerts and
clinical decision support expert rules) … patient management and registration system used for hospitals. … system. … information to a McKesson HealthQuest
hospital registration system. … and McKesson HealthQuest patient management system.
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digital.ahrq.gov/sites/default/files/docs/citation/CommFocusedTechYoungAAWomenFinal.pdf
March 01, 2017 - system based on feedback. … Modify the system based on user feedback.
11. … Gabby System. … During the next 2 months, participants were able
to log on to the Gabby system; the system sent reminder … The Pregnancy Risk Assessment Monitoring System (PRAMS) is an ongoing surveillance
system, conducted
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digital.ahrq.gov/sites/default/files/docs/workflowtoolkit/ehr_go_live_planning_checklist.pdf
January 01, 2006 - Staff has performed a “system walk through” of a patient visit from beginning to
end, allowing questions … Application
All users have signed on to the system with their user names/passwords. … Backups and Downtime
System backups have been tested and validated. … EHR system faxes have been tested and are working. … EHR system interfaces have been tested and are working.
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digital.ahrq.gov/sites/default/files/docs/citation/state-regional-demonstration-hit-ri-final-report.pdf
December 01, 2015 - Many lessons were learned about what it takes to establish a statewide HIE system. … , including completion of the initial build and system deployment and expansion. … , train on system use. … two views into the HIE system. … The second view includes back end DSP
services used to support system-to-system interoperability.
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digital.ahrq.gov/sites/default/files/docs/publication/uc1hs015076-rosa-final-report-2007.pdf
January 01, 2007 - James Middleton RN, MSN, MBA Kim Ockunzzi
Performing Organization:
Cleveland Clinic Health System … at
Cleveland Clinic Health System, Huron Hospital site. … reports and (iii) survey responses of employees
from all groups using the EMR system. … Table 4 provides an overview of the infection rate metrics as recorded by the EMR system. … The EMR system and its supporting IT-based
infrastructure were deployed successfully.
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digital.ahrq.gov/sites/default/files/docs/publication/r01hs015321-guise-final-report-2009.pdf
January 01, 2009 - Methods
Hypothesis
An integrated outpatient and inpatient health information system (HIT system) … Demonstrate the value of an outpatient alert system to increase GBS screening. … awareness of GBS status, especially in HIT system with
decision support. … Crossing the Quality Chasm: A New Health
System for the 21st Century. … To err is human:
building a safer health system.